Training the wider workforce in cognitive behavioural self-help: The SPIRIT (Structured Psychosocial InteRventions in Teams) training course
Abstract
Background:The use of Cognitive Behavioural Therapy (CBT) self-help materials for depression is increasingly recommended as part of stepped care service models. Such resources can be delivered by both new specialist workers (such as the IAPT services in England), or by introducing this style of working into an existing workforce as described in the current paper. The Structured Psychosocial InteRventions in Teams (SPIRIT) course consists of 38.5 hours of workshops, and 5 hours of clinical supervision in the use of CBT self-help (CBSH).Method:This study describes an evaluation of the effectiveness of the course when offered to community and inpatient mental health staff from a wide range of adult and older adult mental health teams in NHS Greater Glasgow Mental Health Division.Results:Training resulted in both subjective and objective knowledge and skills gains at the end of training that were largely sustained 3 months later. At that time point, 40% of staff still reported use of CBSH in the last week. Satisfaction with the training is high, using validated rating scales.Conclusions:The SPIRIT training has gone some way to increasing access to CBSH for use in everyday clinical practice.
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Guided self-help interventions can be integrated into primary medical care as part of a stepped care approach to anxiety management.
“Guided self-help interventions can be integrated into primary medical care as part of a ‘stepped care’ approach to anxiety management [11]”
From Evaluation of self-help cognitive behavioural therapy for children's dental anxiety in general dental practice (2019) · cites this paper as [11]
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“The self-help approach promotes personal responsibility for one’s own health and well being and is particularly effective when the self-help approach is supported by short-term interventions from a trained practitioner (Gellatly et al., 2007).”
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Cognitive behavioural therapy self-help for depression: an overview
Ridgway, N., & Williams, C. (2011) · Journal of Mental Health · doi:10.3109/09638237.2011.613956 · Cited by 28 · see citing works
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- Authors
- Williams, C., Martinez, R., Dafters, R., Ronald, L., & Garland, A.
- Affiliations
- University of Glasgow (GB)
- Aintree University Hospital (GB)
- Corresponding author
- Williams, Chris
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2010-08-23
- Volume
- 39
- Issue
- 2
- Pages
- 139-149
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2025497358
- Cited by
- 14
- References
- 9
- Citations by year
- 2026: 1 · 2025: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 1
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- depression, employee training, stepped care, community mental health services, psychiatric inpatient care, clinical supervision, training effectiveness
- MeSH terms
- Adult, Aged, Anxiety Disorders, Attitude of Health Personnel, Curriculum, Depressive Disorder, Female, Follow-Up Studies, Humans, Inservice Training, Male, Mentors, Middle Aged, Patient Care Team, Professional Competence, Surveys and Questionnaires, Scotland, Self Care, Cognitive Behavioral Therapy, Evidence-Based Medicine
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