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 conceptualise how an individual experiences living with a long term condition and gain 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 reflect upon their learning each week, relating it to their practice context.
Module learning outcomes
By the end of the module students will be able to:
Describe the impact of living with a long term condition, including factors which impact upon the individuals ability to manage this, including social, environmental, physical and psychological factors.
Demonstrate knowledge and understanding of the application of the CBT model of assessment for people experiencing long-term physical and psychological conditions.
Describe suitability factors for using a CBT approach to support behavioural change relating to long term conditions, taking account of contra-indications for treatment, the role of pharmacological interventions, substance misuse and co-morbidity.
Assess risk factors associated with long term conditions and integrate risk management within treatment plans, taking account of suicide risk and generating practical strategies for managing suicidality.
Utilise CBT clinical processes for the assessment, formulation and treatment of a long term condition related to the student's own clinical practice.
Demonstrate an ability to develop a therapeutic relationship with people with long term conditions.
Reflect on the impact of their work with individuals with common physical and psychological problems.