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Appendix 3 - Overview of Training Courses
(a) SPIRIT(Structured Psychosocial Inte Rventions In Teams)
The course is aimed at staff working in primary, secondary or voluntary sector settings. The training teaches the fundamentals of how to work using Cognitive Behaviour Therapy self-help with patients/clients. The training is offered to teams and also to individual workers and has been accredited by the University of Paisley and Glasgow Caledonian University from autumn 2006.
The training is based on the Overcoming Depression and Low Mood: A Five Areas Approach book by Dr Chris Williams which is made up of 10 workbooks covering such subjects as Understanding why I feel as I do, Practical Problem Solving, Noticing Unhelpful thinking and Changing Unhelpful Thinking. In addition core components addressing anxiety, panic and relaxation, and also how to use and support self-help are included. A randomised controlled study has confirmed the usefulness of this approach when delivered by a Guided Self-help Worker in primary care. A focus of the training is in safely supporting the delivery of CBT self-help materials.
The full course is delivered over 8 sessions which each last for approximately 3.5 hrs - plus additional practice and review meetings and a pre-course planning meeting. This adds up to 38 hours in all - however all the key components of this modular course are also available as stand-alone half to one day workshops. The four Practice and Review sessions are spread between the training sessions where there is an opportunity to observe the trainers taking part in a role play with actors playing the part of patients. The trainees also have the chance to role play with the actors in one of the practice and review sessions to try out their skills in practice. A logbook of clinical activity is kept to support the Practice and Review sessions.
The training has been thoroughly evaluated and leads to clear knowledge and skills gains. Each trainee is asked to set their own targets of what they would like to practice in between the training sessions and then this is reviewed in the following session.
Additional modules are also available to supplement the main course. These added modules address how to use the online Living Life to the Full Course, set up a local LLTTF College or group course, Obsessive-compulsive disorder, and working with Physical Health Problems as well as a module on using CBT self-help within team settings (secondary or primary care).
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