Towards the Development of an Integrated CBT Provision within a Large Organisation Offering Services to People with Mental Hea

Cognitive Behavioural Therapy (CBT) has become the main psychological treatment provided by the National Health Service (NHS) of the UK. Its position in the NHS has been strengthened by the National Institute for Health and Clinical Excellence (NICE) guidance, which recommends CBT as the psychological treatment of choice for a broad range of psychological and mental health problems. The NICE guidelines also recommend that CBT should be delivered by suitably trained and supervised clinicians. All these recommendations have put considerable pressure on NHS mental health providers to increase access to good quality CBT provision. This paper will describe how this challenge is being addressed by one such organisation. It will briefly introduce the organisation and provide information on the initial reviews of its CBT provision. It will then describe the model of CBT clinical governance that has been developed, the CBT training schemes available within the organisation and the model of CBT supervision structure that is being implemented. Difficulties and successes of this project will be discussed and illustrated with relevant data.