bluuebunny/crossref_metadata_2025 huggingface dataset:
A psychologist in crisis
Authors: Macdonald Bree
Published: January 2023

When I started work as a clinical psychologist in a crisis team I was keen to clarify what the role would entail. This article is my description of this process during my first year in post.
Is it possible to influence lifestyle choices people make who have a severe and enduring mental health problem? A Motivational Interviewing principles group approach
Authors: Relton Lorna , Frost Rebecca , Gamble Lucy
Published: January 2023

Government legislation suggests that the physical health of those with mental health problems should be addressed. A healthy living course (HLC) was developed within a community mental health team (CMHT) to investigate this area further.
Doubly damned in the mental health system: Diagnosed and deemed diverse
Authors: Coles Steven , Fairbank Sarah
Published: January 2023

The article discusses how the psychiatric system and biogenetic explanations of distress restrict a full appreciation of diversity. It discusses the social and political nature of diversity. Changes to clinical training are advocated as a first step towards addressing diversity.
A reflection on assistant psychologists and graduate mental health workers: What’s the difference?
Authors: Greer Sarah
Published: January 2023

The roles of assistant psychologist and graduate mental health worker can appear to many as very similar. This article aims to explore the roles, their differences, and what these may mean for graduates looking to develop a career in clinical psychology.
Health psychology service for sickle cell disease: Reflections on service developments 11 years on
Authors: Thomas Veronica , Rawle Heather , Howard Jo , Abedian Mina , Westerdale Neil , Musumadi Luhanga
Published: January 2023

A previous paper (Thomas & Taylor, 2001) inClinical Psychology Forumdescribed the psychological issues and the main features present at the start of the health psychology service (HPS). In this paper we reflect on the HPS 11 years post establishment. Issues that are relevant to establishing a HPS in a medical setting are identified and the service is considered in the context of national guidelines.
Psychological care in physical health settings: The role of reflective practice with healthcare staff
Authors: Allen Ruth
Published: January 2023

Clinical psychologists working in physical health settings have a principal role in supporting the psychological care of patients. Reflective practice provides a basis from which this can be done, as well as an opportunity for developing psychological services.
Diabetes and clinical psychology
Authors: Shaban Clare
Published: January 2023

This paper summarises some the important issues relating to living with diabetes: some potential roles for clinical psychology, examples of clinical practice and suggestions for the future.
Mutual illumination on the Golden Mile: User peer support and clinical health psychology
Authors: Chadwick Paul M. , Liao Lih Mei
Published: January 2023

Engagement with patient support groups can lead to productive sharing of psychological expertise. In this article we explore the opportunities presented by this type of professional activity, drawing on our work and our relationship with a specific group – the UK Turner Syndrome Support Society.
Therapists’ and clients’ views regarding outcome data collection
Authors: Miller Ashley , Shepherd Melanie
Published: January 2023

Therapists’ and clients’ views about outcome data collection were surveyed to explore factors that might influence completion rates. Outcome measure (OM) administration appears to influence clients’ experience and understanding of the purpose of collecting OM data. Administration guidelines were developed based on the findings of the project.
Moving away from problematic substance use: The importance of ‘identity shift’
Authors: Maslin Jenny , Simons Ian
Published: January 2023

The theme of ‘identity shift’ in moving away from problematic substance use was explored through discussion and art groups. The importance of ‘identity shift’ in sustaining long-term changes and how this fits with treatment approaches is discussed.
The use of relaxation to support the management of challenging behaviour in an inpatient setting
Authors: Walker Rachel , Johnston Kate
Published: January 2023

This study evaluated the impact of a daily relaxation group on the levels of challenging behaviour presented by adults with a diagnosis of high functioning autism at a specialist assessment and treatment unit.
Audit of an independent occupational health clinical psychology service
Authors: Booker Emma , Hayler Penny , Housley Melita , Makadia Rakhee , Lawton Diana
Published: January 2023

This article discusses an audit and subsequent improvements to an occupational health clinical psychology service provided by a small independent practice. The results are compared with a similar audit in the NHS reported inClinical Psychology Forumby McPherson (2004).
Copying letters to patients three years on: An audit project to evaluate changes in a child and adolescent mental health service
Authors: Casswell Geraldine , English Jennifer
Published: January 2023

An audit repeated after three years to look at the staff practice in CAMHS of copying letters to clients showed a substantial change in favour of copying letters. For a third of clinicians the letter is now addressed to the client and copied to the referrer.
How should we train effective supervisors? A British consensus on facilitating experiential learning
Authors: Milne Derek , Scaife Joyce , Cliffe Thomas
Published: January 2023

Clinical supervisors require training in effective methods, yet there is surprisingly little information about how such training should be accomplished. We attempted to build a consensus amongst 36 supervisor trainers about facilitating experiential learning within supervisor training workshops.
www.glasgowsteps.com: A low-intensity approach to common mental health problems
Authors: White Jim
Published: January 2023

This paper looks atwww.glasgowsteps.com, one of the low intensity interventions offered by the STEPS primary care mental health team. The site is easy to navigate and offers information about common mental health problems, interactive selfassessment, self-help and free video, audio and written downloads.
The introduction of clinical psychology to an inpatient autistic spectrum disorder and intellectual disabilities service: Impact and reflections
Authors: Ingham Barry , Clarke Lesley
Published: January 2023

A psychology-led, formulation-based way of working was piloted within an inpatient autistic spectrum disorder and intellectual disabilities service. The impact of this new way of working and the potential next steps are discussed within this paper.
Raising psychosis awareness
Authors: Williams Luisa , Blakelock David
Published: January 2023

This paper evaluates a group-based psychoeducational programme aimed at raising forensic clients’ awareness of psychosis, which has been administered repeatedly over the course of four years.
A mother’s story of involvement with mental health services
Authors: Anonymous
Published: January 2023

Our story is one of hope. I have gone beyond surviving mental illness to thriving. There is hope of recovery for parents with mental health problems.
Childhood conduct disorder: The contribution of psychologists
Authors: Hutchings Judy , Bywater Tracey
Published: January 2023

This paper explores how a psychological understanding of conduct disorder and its treatment contributes to the psychological community, service providers and policy makers.
Developing a clinical health psychology service across the lifespan to people who have diabetes
Authors: Houghton Rebecca
Published: January 2023

This paper presents some of my reflections on the process of developing and providing a lifespan clinical health psychology service to people with diabetes. I have included some findings from literature searches and clinical observations across the last 18 months in post. My background is child clinical psychology, and the clinical priority for the service is children, adolescents and young adults with Type 1 Diabetes.
An investigation of clients who drop out of the computerised cognitive behavioural therapy programme ‘Beating the Blues’
Authors: Bayliss Paul , Willis Jim
Published: January 2023

We report on a small-scale, service-based investigation of clients who dropped out of the computerised cognitive-behavioural therapy programme Beating the Blues.
Systemic work in adult mental health
Authors: Faul Rachel , Priest Penny , Soffe-Caswell Janine
Published: January 2023

The following is an evaluation of the Systemic Practice Team, launched in March 2007, in order to meet the needs of families and staff members involved in adult mental health services in Shropshire.
Facilitating thinking: The role of the psychologist in a specialist personality disorder service
Authors: Ramsden Jo
Published: January 2023

This article discusses the importance of creating a mindful team approach to working with individuals whose presentation has the potential to attract a personality disorder diagnosis. The role of the psychologist in developing the team in this way is considered.
The Birmingham Provocation Hierarchy: For adults with mild to borderline learning disabilities
Authors: Hunter Catherine , Nadany Stephanie , Cragg Roderick
Published: January 2023

Using data from clinical interventions, this paper describes how the Birmingham Provocation Hierarchy was developed. This hierarchy highlights both situations which make people with learning disabilities most angry and the proportion of people who are made angry by these situations.
User involvement: Corporate and captive
Authors: Diamond Bob
Published: January 2023

Local developments that encourage the involvement of people with experiences of using mental health services are described. Concerns are raised about the future sustainability of such initiatives due to the power base of mental health services and the increasing corporate interest in the NHS.
Working in partnership to develop self-help hearing voices groups
Authors: Meddings Sara , Stapley Julia , Tredgett Claire
Published: January 2023

We reflect on our experience of working in partnership to develop self-help hearing voices groups. We focus on what members have told us about the potential roles of professionals, suggesting a key role in the background supporting their development.
Getting our foot in the door: service users and carers making progress in clinical psychology training – a personal view
Authors: Riddell Barbara
Published: January 2023

Having a dedicated (and paid) representative for service users and carers on the clinical psychology training programme ensures that service users’ and carers’ interests are taken seriously.
Tensions and dilemmas in clinical psychology’s relationship with the service user movement
Authors: Harper Dave
Published: January 2023

In this article I discuss dilemmas which arise as psychologists and service users work more closely together, in particular when the clinical psychology profession presupposes that its interests and those of service users are synonymous, when they may not be.
From student to service user to research lecturer on a clinical psychology programme: A personal view on why clinical psychology training needs service user involvement
Authors: Holttum Sue
Published: January 2023

This is my abbreviated personal story, touching on causes, what helped, and the difficulty of telling your therapist what doesn’t help when you are a service user. I end with some reasons for involving service users in clinical psychology training.
Auditing the effectiveness of solution-focused brief therapy in a child and family clinical psychology service
Authors: Simm Rebecca , Andrew Rachel , Brogan Sinead , Slinger Richard
Published: January 2023

This article describes an audit of the effectiveness of solution-focused brief therapy (SFBT) in a child clinical psychology service, and consequent revision of service provision.
Little and large: A survey of publications in an area NHS psychology department and over the one-year period of 2008-9
Authors: Bell Dorothy M. , Hancock Ian , Kidd Bruce
Published: January 2023

This article looks at research publications by staff members in one NHS psychology department and will hopefully help encourage all psychology staff over the country to consider their important role in carrying out, and in disseminating research whether ‘little or large’.
Joint supervision for trainee clinical psychologists: Pros and cons and issues to consider
Authors: Oddy Jennifer , Ormrod John , Firth Melinda , Dibdin Jamie
Published: January 2023

Joint supervision is one format used for supervising trainee clinical psychologists on clinical placement. This article outlines important issues related to joint supervision and the process of developing a checklist to ensure it is successful.
The meaning of satisfaction with clinical supervision: Is it simply getting what you want?
Authors: Radcliffe Kay , Milne Derek
Published: January 2023

Using grounded theory, the aim of this pilot study was to formulate the meaning of supervisees’ satisfaction with clinical supervision.
Where are all the older people? Not in Lewisham apparently!
Authors: Cobb Stephanie , Shepherd Melanie
Published: January 2023

Broomfield and Birch (2009) have shown that referrals of people over 65 to primary care mental health services are proportionally lower than expected. We investigated whether this situation is replicated in our London borough and discuss ideas for addressing the problem.
The psychological benefits of allotment gardening
Authors: Partridge Jan
Published: January 2023

Recent interest in the value of ‘green therapy’ has suggested that activities such as allotment gardening can have a significant effect on people’s mental and physical health. The purpose of this paper is to explore the relationship of allotment gardening and health.
Picture me: Respecting and reflecting children and families in the improvement of their CAMHS waiting area
Authors: Macleod Lindsey , McCavana Maria
Published: January 2023

Improving access to psychological services is a key issue for services. This paper looks at how this can be done at the very basic (and sometimes overlooked) level of improving the physical and emotional environment we welcome our clients into.
‘Silent gratitude isn’t much use to anyone’: Piloting a gratitude intervention in a community mental health team
Authors: Carson Jerome , Chander Anant , Muir Margaret , Wakely Elizabeth , Clark Sherry
Published: January 2023

The current paper focuses on a gratitude intervention. The aim of this was to improve mental wellbeing by raising individuals’ awareness of things in their life for which they were thankful. It was run with nine service users from a community mental health team in South London. The intervention led to positive change on a range of measures. Suggestions for improving the workshop are offered.
Post Qualification Training in Selective Ignorance: a report from two recent national conferences for therapeutic psychologists
Authors:   The Midlands Psychology Group, Moloney Paul
Published: January 2023

The proceedings of two recent national conferences for therapeutic psychologists suggest that in this supposedly scientific field, science in fact comes a long way behind professional interest.
Valuing creativity in the child teaching block
Authors: Norris Emma , Bird Simon
Published: January 2023

The Bristol course placed the concept of creativity as one of its core themes in the child teaching block. The aim was to allow trainees to practise communicating psychological ideas in effective and engaging ways, taking advantage of a variety of modalities and creative methods and above all, using the child’s natural interests and everyday creativity.
The Process Model for research supervision on the Bristol course
Authors: Gleeson Kate , Mortimore Catherine
Published: January 2023

Although supervisors rarely acknowledge a model for research supervision, it tends to be dominated by a Progress Model that focuses upon the product of research activity rather than the process. This article explores one alternative, the Process Model of research supervision, used with some success by supervisors on the Bristol Doctorate.
A taste of our own... therapy: Trainees’ rationales for, and experiences of, personal therapy
Authors: Timms Jo
Published: January 2023

The purpose of this article is to share what we have learned about trainee clinical psychologists’ expectations and experiences of engaging in personal therapy over the duration of the course, in order to provide rationales for other trainees and qualified clinical psychologists, when they are considering whether or not to engage in PT.
Preparing for clinical supervision in psychology: What can we learn from the Scottish experience?
Authors: Bagnall Gellisse
Published: January 2023

This article describes the development and systematic evaluation of supervisor training for new clinical psychology supervisors in Scotland, which includes an innovative process of portfolio review for evaluating supervisory competence. Future implications are considered in the context of IAPT.
The relationship between deprivation and referrals in a learning disability child and adolescent mental health service
Authors: Martin Emma , Cooney Gayle
Published: January 2023

Children with learning disabilities are more likely to experience mental health problems and social disadvantage. Referrals to a learning disability child and adolescent mental health service were audited, it was found there were more referrals from areas of multiple deprivation.
Clinical psychology leading the way: Trainee perspectives on leadership in the NHS
Authors: Bullock Hayley , Buffham Rachel , Coysh Claire , Nienaber Gillian
Published: January 2023

The challenge that clinical psychologists face in asserting the value of their roles has seen a greater emphasis on leadership. This article describes a qualitative study exploring views of leadership amongst trainee clinical psychologists at the University of Surrey.
The influence of IAPT and CBT on our profession: What might it mean for us and where should we stand?
Authors: Moore Phil S. , Amoako Annika
Published: January 2023

It would be suffice to say that the powerful influence of CBT on the profession of clinical psychology divides the opinions of psychologists. Recently the events of IAPT and NWW have been central in considering the influence of CBT and its relationship to the future of the profession. This article discusses the risks and potential of these developments to help inform and calibrate a professional stance.
Dickens on recovery
Authors: Cupitt Caroline
Published: January 2023

The themes of recovery and social inclusion are to be found in Dickens’ great novelDavid Copperfield,alongside some remarkable strategies for living with mental distress.
Are clinical psychologists negatively biased when writing practitioner notes?
Authors: Loader Kerrie
Published: January 2023

Effective communication is a key issue in a successful multidisciplinary team and the main source of communication is an individual’s medical records. This audit considered the effect of a positive or negative therapy session on the ability to communicate.
Thinking about thinking: developing a meta-cognitive approach to group-based cognitive behavioural therapy for psychosis within a medium secure setting
Authors: Bickerdike Alison , Matias Liz
Published: January 2023

This article describes the rationale, development and evaluation of group-based cognitive behavioural therapy for distressing symptoms of psychosis (CBTp) within a medium secure mental health setting. The authors present reflections on their experience of running the group as well as considerations for running such groups within forensic settings.
Systemic perspectives about therapeutic change working in a social services team context
Authors: Johnston Emma
Published: January 2023

Psychologists working in multidisciplinary teams can be constrained by organisational discourses that are at odds with systemic ideas about working therapeutically with families to create change. In this paper we reflect upon clinical dilemmas experienced within a social services agency context.
Clinical psychology in the noughties: The good, the bad and the nice
Authors: Nel Pieter W.
Published: January 2023

In this article I provide a review of the events and ideas which have dominated clinical psychology in the UK in the last decade. Eight ideas are listed and then briefly discussed.
Perspectives on clinical psychology training in India
Authors: Virudhagirinathan B.S. , Swaminathan Archana
Published: January 2023

This article briefly summarises the history of clinical psychology in India, and focuses on the new clinical psychology training course being set up in Chennai, formerly known as Madras, the capital of the Indian state of Tamil Nadu and the fifth most populous city in India.
The PsychMap website: Using technology to support international collaboration
Authors: Latchford Gary , Graber Rebecca , Melluish Steve
Published: January 2023

This article outlines the PsychMap website, background and philosophy, and encourages all readers to view and contribute to its development atwww.PsychMap.org
Clinical psychology getting lost? Accident, strategy or symptom?
Authors: Hassall Richard , Clements John
Published: January 2023

Clinical psychology is increasingly evolving as a psychotherapy profession, in contrast to its previous interest in environmental determinants of human behaviour. We explore the factors leading to this shift and how the profession is consequently losing its relevance for more disadvantaged groups.
Sex, consent and ageism
Authors: Duckett Stephane
Published: January 2023

Ageism may influence the ways in which we may or may not raise the issue of consent for vulnerable older adults. This essay reflects on those concerns.
Ethical and legal principles in the protection of vulnerable populations
Authors: Hothersall Steve J. , Maas-Lowit Mike
Published: January 2023

The adoption of core legal principles when considering issues in the protection of vulnerable people can assist practitioners in ensuring that interventions are both ethical and lawful, and we suggest that such principles are used as a filter for all professional judgements.
Carer satisfaction with an Assertive Outreach Service
Authors: Lumsden Virginia , Rajan Lisa
Published: January 2023

Carers of service users with severe and enduring mental health problems in contact with an Assertive Outreach Service (AOS) were asked about their experience of this service. Their responses are discussed with reference to implications for service development.
‘Not old enough for the dementia service’: Can clinical psychology services be delivered on the basis of patients’ needs rather than their dates of birth?
Authors: Higgon John , Robson Anna
Published: January 2023

This paper investigates whether two raters could, using information from referral letters, reliably assign patients to one of five pre-defined clinical categories. One category tried to define the ‘typical’ problems seen in adult mental health (AMH). The remaining four covered problems more typical of older adult (OA) work. High rates of agreement between the two raters suggest that most patients can be matched to services on the basis of information in the referral letter.
Learning to supervise whilst a supervisee
Authors: Marrinan Theresa , Milne Derek
Published: January 2023

This paper outlines a three-day workshop developed for final-year clinical psychology trainees to help them with supervision responsibilities in their first posts. An experiential workshop is detailed and favourable reaction evaluation data are summarised.
Developing a sleep service for children with learning disabilities or autistic spectrum disorders aged 0-5: Setting up the service and lessons from practice
Authors: Brady Alice , Mpetha Karen , Humphreys Shirley , Carney Anne-Marie
Published: January 2023

This paper describes the background to the development of a much needed sleep service in Liverpool for young children aged 0–5 years who have a learning disability or ASD. It also highlights lessons learned and future plans.
Complex case consultation forums: A thematic analysis
Authors: Walton Mark
Published: January 2023

A thematic analysis was conducted to explore the Complex Case Consultation Forums within Lancashire Care NHS Trust. The main themes were the nature of difficulties staff experience working with complex clients, staff anxiety and frustration and recommendations of care made by the forum.
Comparing the impact of the Increasing Access to Psychological Therapies (IAPT) initiative on an adult and older adult psychology service
Authors: Roberts Joanne , Boot Julia
Published: January 2023

Since the implementation of IAPT within our psychology service, adult and older adult referrals have approximately doubled. IAPT has therefore improved access for both these client groups but with some key differences.
A preliminary investigation into therapists’ beliefs about why some secondary-care clients did not show reliable improvement in therapy
Authors: Sodeke-Gregson Ayo , Radcliffe Jonathan , Goodbody Louise
Published: January 2023

Some clients who receive psychological therapy do not achieve reliable improvement according to their pre and post CORE-OM scores. Therapists’ beliefs about the reasons for this apparent failure to improve were investigated. Four broad themes emerged.
Therapists’ experiences of creating and maintaining an effective therapeutic alliance with difficult-to-engage clients
Authors: Lowings Graham , Allan Steven , Reader Helen
Published: January 2023

The study focuses on the personal experiences of therapists as they try to create and maintain an effective therapeutic alliance with a difficult to engage client group, those with a diagnosis of borderline personality disorder.
Leadership is our business
Authors: Coles Steven
Published: January 2023

An argument is made that the diagnosis of borderline personality disorder is a stigmatising label, a disordered concept and an inadequate way to make sense of people’s experience. Can clinical psychology take a position and help services move beyond diagnosis?
Exploring the how’s and why’s of being involved in a Recently Qualified Group
Authors: Cotterill Emma , Gillmore Chris , Cassell Emilie , Mclymont Danielle , Clark Elly
Published: January 2023

This article describes the work involved in coordinating a Recently Qualified Clinical Psychologist Group and reflects upon the experience of being part of the committee and attending the groups, considering the benefits and challenges.
Facilitating and evaluating trainee clinical competencies in Ireland
Authors: O’Callaghan Áine , Byrne Michael
Published: January 2023

This article, divided into three sections, first briefly considers the clinical competency set that psychologists in clinical training (hereafter referred to as ‘trainees’) aspire to, and then focuses on how these can be facilitated and evaluated while on clinical placements.
Evaluating the effectiveness of sending initial appointment reminders via text messaging on attendance rates
Authors: Pilkington Nicola , Preston Julie , Healey Kate
Published: January 2023

This article describes an audit of the effectiveness of sending initial appointment reminders via text messaging on attendance rates in a child and family clinical psychology service, and consequent implications for future service delivery.
Legal skills training on the Clinical Psychology Doctorate Programme at Teesside
Authors: Tyler Tracey
Published: January 2023

This paper describes the introduction of legal skills training to the doctorate training programme in Clinical Psychology at Teesside University. This is the first year that this has been run and was initiated by the changing environment and competing demands on psychologists in both the public and private sector.
Experiences of child & adolescent mental health services: A Service-user perspective
Authors: Dorothy Jake
Published: January 2023

This text was initially written as guidance for trainee clinical psychologists taking an introductory Children and Families module. Its aim was to highlight commonly overlooked factors which may result in having a strong impact upon the service-user’s overall experience of mental health services, contributing to both treatment outcomes, and reputation of child and family services on a wider scale.
Dropping out from cCBT: An investigation of non-completion of beating the blues
Authors: Johnson Sara , Hinshaw Tessa
Published: January 2023

High drop-out rates are commonly recorded when cCBT is evaluated in routine practice. This small-scale service evaluation study aimed to examine the factors associated with dropping out of cCBT, and evaluate outcome and user feedback in completer and drop-out groups.
The use of electronic records by clinical psychologists in CAMHS: An audit and reflections
Authors: Beeson Ella , Udwin Orlee
Published: January 2023

The introduction of electronic patient records in many NHS services has raised concerns about the implications of this step for clinical practice. In this article, we consider the possible consequences for capacity in a Tier 3 CAMHS setting based on a small-scale service audit.
On the record or off the record? Challenges for psychologists in the age of the electronic clinical record (Part I)
Authors: Berger Michael
Published: January 2023

Mental health services’ electronic records commonly characterise clinical presentations as psychiatric diagnoses. Nevertheless, psychologists must develop structured datasets to capture psychological conceptualisations if their views are to be part of electronic records and the many key clinical, management and policy analyses dependent on such records.
Assessing malingering, lying and deception for reports
Authors: Easton Simon
Published: January 2023

Clinical psychologists writing reports draw upon their clinical expertise, and need to carefully consider the validity of the information on which their opinions are based. This article provides an overview of relevant literature on malingering and deception.
Cultural competence: Social class –the forgotten component
Authors: Spence Nicola
Published: January 2023

Social class is often one of the least emphasised aspects of clinical psychologists’ multicultural competence. This article highlights the impact of social class on our lives and the lives of our clients and considers the resultant clinical implications.
Is culturally sensitive research achievable?
Authors: Pilkington Aneela , Msetfi Rachel
Published: January 2023

Culturally sensitive practice, both in the clinical and research context, is becoming more important as the world becomes increasingly multicultural. The aim of this article is to look at culturally sensitive research in the context of a study completed as part of a clinical psychology doctoral thesis. The article examines whether we can be culturally sensitive in research, as well as addressing barriers and possible solutions.
‘Health on the road to your heart’: Crosslanguage and cross-cultural challenges in consulting on mental health with a Cambodian orphanage
Authors: Splevins Katie , Daiches Anna
Published: January 2023

The following article is reflection on the cross-cultural and linguistic aspects of working as a consultant to the founder of an orphanage in Cambodia as part of a final year trainee placement.
A survey of the management of mood problems after stroke by clinical psychologists
Authors: Lincoln Nadina , Worthington Esme , Mannix Karyn
Published: January 2023

The management of mood problems after stroke was audited for 140 patients across 10 services. Most patients were screened using clinical interviews. The most common outcomes of assessment were monitoring and advice. Only 42 per cent received psychological treatment.
Referrer perspectives on a new local specialised neuropsychiatry and psychological therapies service: A thematic evaluation
Authors: Mueller Joanne , Rich Jan , Medford Nick
Published: January 2023

This thematic evaluation suggests a new neuropsychiatry and psychology service has ameliorated some previously reported difficulties associated with a national shortage of localised provision, particularly for people with medically unexplained symptoms (MUS). However, vast unmet need remains. Service-specific recommendations may be generalised to inform the development of other services in line with health policy.
White dialectics and clinical psychology: An invitation to dialogue
Authors: Goodbody Louise
Published: January 2023

There have been numerous articles inClinical Psychology Forumover the years that testify to the effort and commitment of many people to develop a more inclusive profession and set of psychological practices. Changes have been small and seem not to have altered the rules of relationship between those in majorities and those in minorities. Why might this be so? How may we move on?
Throwing down the diversity gauntlet
Authors: Williamson Andy
Published: January 2023

The following piece is adapted from a conference presentation (University of Hertfordshire Clinical Psych Diversity Conference). The article proposes an analysis of the problem of under representation, utilising an Egan framework (Egan, 1976/2010).
Demand for aesthetic surgery in adulthood: An audit and discussion of referrals for psychological assessment for aesthetic surgery in the NHS Lothian
Authors: Hardie Julie
Published: January 2023

This article reports the findings of an audit exploring key characteristics of individuals referred for aesthetic surgery in NHS Lothian and identifies an age-related trend in referrals, with demand diminishing over the course of adulthood. The findings are discussed from a psychological perspective to initiate further discussion and research amongst psychologists working in this field.
Supporting and promoting health and wellbeing at work among hospital porters
Authors: Merrick Kim , Tulett Fay , Camic Paul
Published: January 2023

This paper describes a pilot project, undertaken within an NHS Occupational Health and Staff Psychology Service, which aimed to promote the health and wellbeing of porters. The needs of the porters are described and main themes are highlighted. Recommendations are suggested.
Can a new observational tool distinguish between CBT, systemic and psychodynamic supervision?
Authors: Cliffe Tom , Milne Derek
Published: January 2023

We examine the validity of a new instrument for rating competence in supervision. The tool appears to have content validity and shows early promise in discriminating between cognitive behavioural therapy (CBT), psychodynamic and systemic supervision, as each had distinctive and theoretically-congruent profiles.
Getting CBT accreditation with the BABCP as a newly qualified clinical psychologist… and how we can retain our identity as clinical psychologists
Authors: Hutchins Jonathan
Published: January 2023

This article demonstrates how the author, a newly qualified clinical psychologist, gained accreditation as a cognitive behavioural psychotherapist with the British Association of the Behavioural and Cognitive Psychotherapies. Systemic implications for the profession and clinical psychology training are discussed.
The trouble with clinical psychology
Authors: Nel Pieter W.
Published: January 2023

The growing dominance of one psychotherapeutic approach in clinical psychology is troubling. Instead of enabling scientific progress in clinical psychology, this development could actually be slowing it down. In order to overcome this trouble we need to encourage more independent thinking at all levels of our profession.
Virtual worlds, people with learning disabilities, and capacity to consent: A feasibility study
Authors: Conboy-Hill Suzanne , Hall Val , Taylor Dave
Published: January 2023

Using a 3D simulation of Brighton, we tested the feasibility of delivering highly interactive healthcare information to adults with learning disabilities via virtual world technology. Participants showed engagement and enjoyment, recalled details at interview, and in many cases asked to return.
’Gut feelings’: A survey of referrals to a specialist gastro psychology service
Authors: Simpson Phillip , Dearden Richard
Published: January 2023

A retrospective survey of referrals to a specialist clinical psychology service was conducted for people with health problems of the gastrointestinal tract. A distinction was made between irritable bowel syndrome (IBS) and irritable bowel disease (IBD) and independent samples were compared for presenting psychological problem, level of attendance and type of therapeutic intervention. Emerging differences in the wider perception of these health problems and the psychological impact are discussed.
Person centred planning with service users in acute mental health crisis
Authors: Butt Katherine , Davis Fabian , Roach Sara
Published: January 2023

This paper reviews the literature regarding the history and development of person centred planning (PCP) and considers its application to working in the field of mental health. Experience of using it on an acute in-patient mental health unit indicates that PCP may be an effective aid to engagement and personal development in a challenging setting.
The impact of home treatment on carers
Authors: Cosham Emma , Johnstone Sarah , Openshaw Christine , Gilligan Taj
Published: January 2023

This report presents the findings of a carer-initiated service evaluation exploring the impact on carers of the home treatment model within an acute adult mental health service. Thematic analysis was used to summarise the findings from two focus groups.
Evaluation of an ‘emotional adjustment to stroke’ group
Authors: Davis Lucy , Mathieson Anna
Published: January 2023

An emotional adjustment group was set up to provide psychological support to stroke patients. Thematic analysis was used to understand individual’s experiences and evaluate the efficacy of this intervention.
Facing down the elephant in the room: Making your CPD Log a successful part of your practice and development
Authors: Newby Gavin , Coetzer Rudi
Published: January 2023

Whilst CPD is an established form of governance, it can be difficult to maintain up-to-date records. As regulatory audit of CPD comes closer, this article aims to reduce anxieties and suggest practical steps to maintaining a CPD log.
Long-term conditions within a Primary Care Psychology/IAPT service
Authors: Hawkes Lucy , Ruddle Georgina , Freeman Jon
Published: January 2023

Long-term conditions (LTCs) are affecting increasing numbers, causing considerable costs to the individual and NHS. The benefits of psychological intervention have been demonstrated, and the need to develop services is vital. This article describes recent developments within a primary care psychology service.
Notes from the Chair
Authors: Pemberton Richard
Published: January 2023

Headlines from the DCP Annual Strategy Event which was held in a stormy and rain swept Edinburgh in early July
Measuring outcomes in personality disorder services: Drawbacks and deliberations
Authors: Juett Georgia , McKay Jo , Hill Nathan
Published: January 2023

Evaluation of treatment outcomes in personality disorder services is frequently a requirement of service commissioners and there is a need to safely and reliably monitor treatment effectiveness. The selection of appropriate measures is discussed along with other related issues of methodology.
The Distress Thermometer as a measure of change in a stress management course for people affected by cancer – a pilot study
Authors: Lemaigre Charlotte , Salter Elspeth
Published: January 2023

Maggie’s Cancer Caring Centres’ pilot use of the distress thermometer as a measure of distress in patients enrolled in a six-week intervention course has highlighted the efficacy of their stress management course and consequently plan for its national rollout across the UK.
The implementation of the psychological recommendations in the NICE guideline for schizophrenia (2009) across two CMHTs: A service evaluation
Authors: Lewis Claire , Buffham Kelly , Evenson Erik
Published: January 2023

This article describes a service evaluation, investigating the implementation of the psychological recommendations in the NICE guideline for schizophrenia (2009) across two CMHTs in Birmingham. It presents the services’ adherence to these recommendations, potential barriers, and service recommendations.
Psychological gains and losses following bariatric surgery: A patient survey
Authors: Ratcliffe Denise , Khatun Mahbuba , Ali Rukshana
Published: January 2023

We conducted a patient survey to find out more about the positive and challenging aspects of bariatric surgery. These results will help us provide accurate and realistic information to pre-operative patients and facilitate informed decision making about bariatric surgery.
Group CBT for depression and anxiety in South Asian women: Description and preliminary evaluation through a small case series
Authors: Richardson Thomas , Bradbury Katherine
Published: January 2023

This paper describes the development of a Cognitive Behaviour Therapy (CBT) group aimed at South Asian women with depression and anxiety. A small case series demonstrated little overall improvement, highlighting the complexity of work with this population.
The characteristics and service needs of patients with high readmission rates to acute psychiatric in-patient care
Authors: Cogan Nicola , Shajahan Polash , Pethe-Kulkarni Aishwarya
Published: January 2023

This study aimed to identify patients at high risk of readmission within a large district general catchment area in NHS Lanarkshire. It examined demographic and clinical variables and utilisation of community mental health resources; in particular, engagement with psychology services.
An audit of adherence to the NHS Ayrshire & Arran guidelines for clinical supervision of psychological therapies
Authors: Sloan Graham , Tariq Aisha
Published: January 2023

An audit of adherence to a clinical supervision guidelines in NHS Ayrshire and Arran was conducted. Changes in adherence between 2006 and 2010 are explored, with recommendations made for service provision and future research.
‘An elephant’s nest in a rhubarb tree’: Making outcome measurement work for homeless people using psychology
Authors: Taylor Ellie , Elliott Suzanne
Published: January 2023

As the requirement to measure outcomes intensifies, services which have resisted the use of ‘paperwork’ within therapeutic settings are faced with some difficult dilemmas. This article reflects upon the process of outcome measurement for the Homeless Psychology Service in Leicester.
Developing guidelines for the role of Research Lead professional
Authors: Robinson Joanne , Hutton Cheryl
Published: January 2023

The involvement of clinical psychologists with research has been described as fundamental to the future of the profession (British Psychological Society, 2004). This article provides the background to the development of research lead professional guidelines and their content.
How to do research in a career as a clinical psychologist: A personal perspective on motivation, and personal, strategic and opportunistic factors
Authors: Cooper Myra J.
Published: January 2023

This paper is a personal account of how I have managed, as a clinical psychologist, to conduct clinically relevant research throughout my career. I reflect on key themes that have worked for me, personal, strategic and opportunistic, that may also work for others in pursuing a research career.
Trainee Clinical Psychologists – worth having around?
Authors: Croft Aimee , Thomas Mair , Ingham Barry , Collerton Daniel , Marrinan Theresa , Ormrod John
Published: January 2023

This brief paper explores the range of contributions made to services by Trainee Clinical Psychologists and considers this in light of the demands they make of supervisor time and other service resources.
Barriers to attendance at first appointments with Community Mental Health Teams
Authors: Taylor Billie Lever , Shenoy Jyothi , Holmes Nan
Published: January 2023

This study explores why service users fail to attend first appointments with Community Mental Health Teams (CMHTs) to help identify ways to improve attendance.
From small acorns: An action research project aiming to improve current care services for people diagnosed with borderline personality disorder (BPD)
Authors: Wright John , Stevens Sarah , Higgins Terri-Ann , Wright Steven
Published: January 2023

This paper describes a reflective process of problem solving to improve services for people attracting a personality disorder diagnosis. Descriptive statistics and qualitative material are discussed in terms of effecting local organisational change and broader national strategies.
Don’t blame the parents: Blame versus responsibility in families and family therapyThe talk of impairment: A Rapleyian deconstruction of intellectual disability
Authors: Dallos Rudi , Goodley Dan
Published: January 2023

‘The only thing I ever hear them talking about is me and if I didn’t have this [anorexia]… it’s kind of like, would everything fall apart, at least it’s keeping them talking. And they won’t argue while I’ve got this because it might make me worse. So um… that’s kind of bought, sort of like, I’m not in control as such but I’ve got more control over the situation that way…’

(Kathy, 17)
Social media and clinical psychology: Friends or foes?
Authors: Coiffait Fleur-Michelle , Bartlett Kirsten , Houghton David J. , Condie Jenna
Published: January 2023

The growth of social media introduces personal and professional benefits, risks and opportunities for those researching, training and working in clinical psychology. This article raises awareness of these issues and makes suggestions for using these networks professionally, ethically and successfully.
Widening access to clinical psychology: Regional and local initiatives
Authors: King Janine , Reynolds Kelly , Goodbody Louise , Chahal Kamel
Published: January 2023

The British Psychological Society (Turpin & Fensom, 2004) made recommendations for addressing the under-representation of those from minority ethnic backgrounds in professional psychology. The impact of two regional and local initiatives to widen access to clinical psychology is discussed.
The Tour de NICE and the art of deception
Authors: Priest Penny
Published: January 2023

Clinical Psychology Forumaims to publish a variety of contributions ranging from personal reflections on clinical practice to critiques of current health policy. The following is a reflection on the direction of the profession of clinical psychology. Please note that the views expressed in this article are those of the author and do not reflect the position of either the Division of Clinical Psychology or the British Psychological Society.
Implementing the NICE clinical guideline 91 (‘Depression in adults with a chronic physical health problem’) in a haematology department
Authors: Thomas Veronica , Rawle Heather , Abedian Mina , Ferguson Anna
Published: January 2023

The paper summarises the key points from the National Institute of Health and Clinical Excellence Guidance 91 (‘Depression in adults with a chronic physical health problem’) and how screening has been implemented in a Haematology Department that has demonstrated significant levels of depression.
Exploring ethnic diversity on placement: Service user demographics within Staffordshire and Shropshire
Authors: Tweed Alison
Published: January 2023

Whilst some progress has been made in enhancing access to clinical training for applicants from black and minority ethnic backgrounds, there is often a disparity between trainee demographics and the communities they serve. This evaluation aims to explore service user ethnicity on placement.
Experiences of a clinical psychologist running a pool-playing group
Authors: Bayliss Paul
Published: January 2023

This article describes my experiences setting up and running a group for people receiving a service from an assertive outreach team. The group met to play pool at a public venue in the local community. Some of the opportunities and dilemmas presented by this role are discussed.