The impact of living with a long term condition is being increasingly recognised in the Transforming Community Services programme (Department of Health 2011). There is a developing emphasis on helping people with long term conditions (LTC) such as chronic obstructive pulmonary disease (COPD), diabetes and cancer to manage the psychological and practical consequences of their illness. Long term conditions include both physical and psychological factors, which can actually lead to mental illness such as stress, depression and anxiety.
The aim of this module is to introduce students to the key skills used in Cognitive Behaviour Therapy (CBT), including screening, assessment, initial formulation and strategies used for a range of differing physical and psychological presentations. These will be related to working with people experiencing LTCs. The purpose is to enable students to develop a systematic understanding of how an individual experiences living with a long term condition and gain a comprehensive understanding of the role of CBT in enabling people with LTCs to be as independent as possible and in control of their lives (up to and including the end of life). Students will be encouraged to work with individuals to apply and critically evaluate the impact of CBT upon this population based upon analysis of their own practice and critical appraisal of the evidence base.
Module learning outcomes
By the end of the module students will be able to:
Demonstrate a comprehensive understanding of the impact of living with a long term condition, including factors, which impact upon the individual's ability to manage this, including social, environmental, physical and psychological factors.
Appraise and interpret the literature underpinning screening, assessment and formulation in CBT for people with long term conditions.
Demonstrate a comprehensive understanding of suitability factors for using a CBT approach to support cognitive and behavioural change relating to long term conditions, including contra-indications for treatment, the role of pharmacological interventions, substance misuse and co-morbidity.
Assess risk factors associated with psychological factors in long term conditions and integrate risk management within treatment plans, taking account of suicide risk and generating practical strategies for managing suicidality in the absence of complete data.
Demonstrate proficient application of the CBT model of assessment for patients with common psychological and physical health problems, taking into account clinical manifestations, co-morbidity, past history, present life situation, course and outcome in determining suitability for CBT, being able to give a clear rationale for all clinical decision making.
Sensitively adapt CBT according to individual circumstances and ensure equitable access for people from diverse cultures and with different values, through effective use of the therapeutic relationship.
Critically evaluate their own performance, with reference to literature and create an action plan for further skills development