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CBT for culture change: formulating teams to improve patient care

CBT for culture change: formulating teams to improve patient care
CBT for culture change: formulating teams to improve patient care
Background: Increasingly, clinical psychologists and CBT trained clinicians work with and within teams. The cognitive model enables us to formulate the processes maintaining distress, and work with people to effect change. The model tends to be used to understand individuals’ difficulties, but may be effective in making sense of problems within teams.

Aims: This study aimed to (i) explore the value of the cognitive model in formulating key staff-service user relationships; and (ii) determine whether such an approach would yield useful team based interventions.

Method: The cognitive interpersonal model was used to develop an idiosyncratic conceptualization of key staff-service user interactions in an inpatient setting. This then informed management team planning aimed at improving provision for service users, and staff experience. Additionally, frequency of challenging behaviours and levels of staff burnout were assessed before and after service changes, as preliminary outcome data.

Results: The team formulation was effective in (i) making sense of interactions contributing to the maintenance of service users’ challenging behaviours and staff burnout, and
(ii) deriving systemic interventions likely to effect change. This was then used to guide service development planning. In support of a CBT approach to understanding and intervening with teams, preliminary data indicate that staff burnout and incidents of challenging behaviours
reduced over time.

Conclusion: The cognitive interpersonal model can be used to formulate relationships within teams and guide systemic change. This is likely to have a beneficial impact for both service users and staff.
formulating teams, challenging behaviour, burnout, cognitive interpersonal model
1352-4658
496-503
Newman-Taylor, Katherine
e090b9da-6ede-45d5-8a56-2e86c2dafef7
Sambrook, Suzanne
f15f9d03-8048-4cbb-94c4-f6d87e945875
Newman-Taylor, Katherine
e090b9da-6ede-45d5-8a56-2e86c2dafef7
Sambrook, Suzanne
f15f9d03-8048-4cbb-94c4-f6d87e945875

Newman-Taylor, Katherine and Sambrook, Suzanne (2012) CBT for culture change: formulating teams to improve patient care. Behavioural and Cognitive Psychotherapy, 40 (4), 496-503. (doi:10.1017/S1352465812000069).

Record type: Article

Abstract

Background: Increasingly, clinical psychologists and CBT trained clinicians work with and within teams. The cognitive model enables us to formulate the processes maintaining distress, and work with people to effect change. The model tends to be used to understand individuals’ difficulties, but may be effective in making sense of problems within teams.

Aims: This study aimed to (i) explore the value of the cognitive model in formulating key staff-service user relationships; and (ii) determine whether such an approach would yield useful team based interventions.

Method: The cognitive interpersonal model was used to develop an idiosyncratic conceptualization of key staff-service user interactions in an inpatient setting. This then informed management team planning aimed at improving provision for service users, and staff experience. Additionally, frequency of challenging behaviours and levels of staff burnout were assessed before and after service changes, as preliminary outcome data.

Results: The team formulation was effective in (i) making sense of interactions contributing to the maintenance of service users’ challenging behaviours and staff burnout, and
(ii) deriving systemic interventions likely to effect change. This was then used to guide service development planning. In support of a CBT approach to understanding and intervening with teams, preliminary data indicate that staff burnout and incidents of challenging behaviours
reduced over time.

Conclusion: The cognitive interpersonal model can be used to formulate relationships within teams and guide systemic change. This is likely to have a beneficial impact for both service users and staff.

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More information

e-pub ahead of print date: 22 February 2012
Published date: July 2012
Keywords: formulating teams, challenging behaviour, burnout, cognitive interpersonal model
Organisations: Faculty of Health Sciences, Psychology

Identifiers

Local EPrints ID: 153577
URI: http://eprints.soton.ac.uk/id/eprint/153577
ISSN: 1352-4658
PURE UUID: 7a13ac7d-4f9d-46ea-b5d2-db479ea8cc90
ORCID for Katherine Newman-Taylor: ORCID iD orcid.org/0000-0003-1579-7959

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Date deposited: 20 May 2010 10:55
Last modified: 14 Mar 2024 03:16

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Author: Suzanne Sambrook

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