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Behav Cogn Psychother. 2018 Jan;46(1):121-127. doi: 10.1017/S1352465817000285. Epub 2017 May 11.

Development and Evaluation of Acceptance and Commitment Therapy Delivered by Psychologists and Non-Psychologists in an NHS Community Adult Mental Health Service: a Preliminary Analysis.

Author information

1
Mental Health Recovery Team North,Solent NHS Trust,St Mary's Community Health Campus,Milton Road,Portsmouth PO3 6AD and School of Psychology,University of Southampton,Southampton SO17 1BJ.
2
Mental Health Recovery Team North,Solent NHS Trust,St Mary's Community Health Campus,Milton Road,Portsmouth PO3 6AD.
3
Research Centre for Behaviour Change,Department of Psychology,Bournemouth University,Poole House,Fern Barrow,Poole BH12 5BB.
4
Research Centre for Behaviour Change,Department of Psychology,Bournemouth University,Poole House,Fern Barrow,Poole BH12 5BB and Dorset HealthCare University NHS Foundation Trust.

Abstract

BACKGROUND:

Previous studies have demonstrated that acceptance and commitment therapy (ACT) is effective for depression and may be useful for complex transdiagnostic clients.

AIMS:

To conduct a preliminary evaluation of whether ACT is feasible and effective when delivered by psychologists and non-psychologists for complex clients in a National Health Service (NHS) community mental health service for adults.

METHOD:

Staff were trained in ACT and conducted one-to-one therapy with clients. Measures on general mental health, depression, fusion and values were given pre-therapy, post-therapy and at 3-month follow-up.

RESULTS:

Standardized measures showed significant improvements post-therapy for global mental health, depression, cognitive fusion and values post-treatment. These were partially maintained at follow-up and remained after an intent-to-treat analysis. There were no differences in outcomes between psychologists and non-psychologists.

CONCLUSIONS:

ACT may be delivered effectively with limited training for complex cases in secondary care, though further research is needed.

KEYWORDS:

ACT; NHS; adult mental health; depression

PMID:
28490390
DOI:
10.1017/S1352465817000285
[Indexed for MEDLINE]

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