The Implementation of Mindfulness-Based Cognitive Therapy: Learning From the UK Health Service Experience

Crane, Rebecca S.; Kuyken, Willem

doi:10.1007/s12671-012-0121-6

Cited by 120Health Policy Implementation ScienceMindfulness and Compassion InterventionsPsychotherapy Techniques and Applications

The Implementation of Mindfulness-Based Cognitive Therapy: Learning From the UK Health Service Experience

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Crane, Rebecca S., Kuyken, Willem·2013·Mindfulness

DOI 10.1007/s12671-012-0121-6PMC PMC3742431

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Abstract

Mindfulness-based cognitive therapy (MBCT) is an effective depression prevention programme for people with a history of recurrent depression. In the UK, the National Institute for Clinical Excellence (NICE) has suggested that MBCT is a priority for implementation. This paper explores the exchange, synthesis and application of evidence and guidance on MBCT between the academic settings generating the evidence and delivering practitioner training and the practice settings where implementation takes place. Fifty-seven participants in a workshop on MBCT implementation in the NHS were asked for their experience of facilitators and obstacles to implementation, and a UK-wide online survey of 103 MBCT teachers and stakeholders was conducted. While MBCT is starting to become available in the NHS, this is rarely part of a strategic, coherent or appropriately resourced approach. A series of structural, political cultural, educational, emotional and physical/technological obstacles and facilitators to implementation were identified. Nearly a decade since NICE first recommended MBCT, only a small number of mental health services in the UK have systematically implemented the guidance. Guiding principles for implementation are set out. We offer an implementation resource to facilitate the transfer of MBCT knowledge into action.

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There are numerous challenges in accessing and delivering MBIs, including geographical, logistical, and financial constraints and a lack of trained mindfulness teachers.
“Despite such efficacy, there are numerous challenges in accessing and delivering MBIs, including geographical, logistical, and financial constraints as well as a lack of trained mindfulness teachers [5,6].”
From Experiences of Using Digital Mindfulness-Based Interventions: Rapid Scoping Review and Thematic Synthesis (2023) · cites this paper as [6]
The Educational Challenge section reports inadequate formal teacher training and limited financial support for training; the Physical and Technological Challenge section reports shortages of suitable rooms and administrative support. These support training, financial, and logistical barriers to delivering MBCT, but the passages do not establish geographical constraints on access or extend the findings to MBIs generally. Page numbers are unavailable in our copy. (LLM, conf=0.86)
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ORIGINAL PAPER The Implementation of Mindfulness-Based Cognitive Therapy: Learning From the UK Health Service Experience
Crane, R. S., & Kuyken, W. (2012)
Self-citation
‘Mind the gaps’: the accessibility and implementation of an effective depression relapse prevention programme in UK NHS services: learning from mindfulness-based cognitive therapy through a mixed-methods study
Rycroft‐Malone, J., Gradinger, F., Griffiths, H. O., Anderson, R., Crane, R. S., Gibson, A., Mercer, S. W., & Kuyken, W. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026244 · Cited by 42 · see citing works
Self-citation
Accessibility and implementation in the UK NHS services of an effective depression relapse prevention programme: learning from mindfulness-based cognitive therapy through a mixed-methods study
Rycroft-Malone, J., Gradinger, F., Griffiths, H. O., Crane, R., Gibson, A., Mercer, S., Anderson, R., & Kuyken, W. (2017) · Health Services and Delivery Research · doi:10.3310/hsdr05140 · Cited by 24 · see citing works
Self-citation
Accessibility and implementation in UK services of an effective depression relapse prevention programme – mindfulness-based cognitive therapy (MBCT): ASPIRE study protocol
Rycroft‐Malone, J., Anderson, R., Crane, R. S., Gibson, A., Gradinger, F., Griffiths, H. O., Mercer, S. W., & Kuyken, W. (2014) · Implementation Science · doi:10.1186/1748-5908-9-62 · Cited by 18 · see citing works
Self-citation
The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services
Tickell, A., Ball, S., Bernard, P., Kuyken, W., Marx, R., Pack, S., Strauss, C., Sweeney, T., & Crane, C. (2020) · Mindfulness · doi:10.1007/s12671-018-1087-9 · Cited by 99 · see citing works
Self-citation

Authors: Crane, R. S., & Kuyken, W.
Affiliations: Bangor University (GB)
University of Exeter (GB)
Corresponding author: Crane, Rebecca S.
ORCID: Crane, Rebecca S.
Kuyken, Willem
Venue: Mindfulness
Publisher: Springer Science and Business Media LLC
Published: 2012-06-22
Volume: 4
Issue: 3
Pages: 246-254
ISSN: 1868-8527 (ISSN-L)
1868-8535
DOI: 10.1007/s12671-012-0121-6
PMC: PMC3742431
OpenAlex: W2162793401
Cited by: 120
References: 23
Citations by year: 2026: 5 · 2025: 7 · 2024: 10 · 2023: 6 · 2022: 5 · 2021: 14 · 2020: 8 · 2019: 13 · 2018: 9 · 2017: 12 · 2016: 10 · 2015: 8 · 2014: 7 · 2013: 4 · 2012: 2
FWCI: 11.93
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
Locations: Mindfulness (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: mindfulness-based cognitive therapy, implementation barriers and facilitators, recurrent depression, depression prevention, NICE guidelines, NHS mental health services, practitioner training, implementation planning

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