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A Pragmatic Guide to Low Intensity Psychological Therapy
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Table of Contents

1. Low Intensity Psychological Interventions
2. Defining Success
3. Training and Competency
4. Working with Challenging Social Contexts
5. The Role of Low Intensity Psychological Interventions in Physical Healthcare
6. Working Inclusively with Gender and Sexual Diversity
7. Psychological Practitioner Wellbeing
8. Navigating Relationships and Therapeutic Boundaries
9. Reflecting on Interpersonal Practice
10. Supervision
11. Professional Identity
12. Discussing International Applications

About the Author

Elizabeth Ruth is an Assistant Professor and Psychological Wellbeing Practitioner Course Director at the University of Bradford. Elizabeth worked as a Low Intensity practitioner and supervisor in various roles within the Improving Access to Psychological Therapies programme for eleven years and developed an interest in adapting Low Intensity CBT for patients with long term physical health conditions. Elizabeth writes about the experience of work as a Low Intensity psychological practitioner, and has provided training, consultancy and supervision for NHS and third sector organisations. As a volunteer, Elizabeth has supported the formation of an independent IAPT Workers peer-support service and held various roles within the British Association of Behavioural and Cognitive Psychotherapies, including election to the Board of Trustees in 2022. James Spiers is a Counselling Psychologist registered with the Health and Care Professions Council in the UK, with a special interest in remote digital access to psychological assessment and treatment. He initially trained as a Psychological Wellbeing Practitioner in the IAPT programme in England and has worked in a variety of IAPT services as a practitioner and Low-Intensity CBT supervisor. Alongside Elizabeth Ruth, James has also delivered national training and professional development for the British Association for Behavioural and Cognitive Psychotherapies (BABCP), NHS and third sector organisations, aimed at inclusive practice for people with gender and sexual difference, as well as guest lecturer and external marker for the post graduate LICBT training course at the University of Bradford (UK).

Reviews

"It is great to see a book specific to low-intensity working, as the field continues to develop and expand. It would make a welcome addition to reading lists for low-intensity training programmes, and to service, or personal, libraries and bookshelves for those working as, with, or alongside low-intensity practitioners. The fact it is written by James and Liz, who are so experienced in low-intensity practice themselves is an added joy. The book is an accessible insight for those who have not worked as low-intensity practitioners themselves, with plenty of reference to wider research and underpinning policy. For those who have worked, or are currently working or training in the field, this book is the equivalent of a helpful conversation with a knowledgeable, supportive, experienced colleague who will ask the right questions, cover the relevant topics, and challenge you to dig a bit deeper. James and Liz write wonderfully, and hit that perfect balance between a well-researched academic text and an accessible guide that tells it as it is." --Kirsty McNeilis, Specialist Lecturer and Unit Lead on the Children and Young People's Wellbeing Practitioner (CWP) PG Diploma at the Greater Manchester Psychological Therapies Training Centre (GMPTTC), Programme Lead on the Enhanced Evidence-Based Practice (EEBP) Programme at the GMPTTC

"Working in health care services requires a wholly pragmatic approach which combines clinical best practice, operational guidelines and an understanding that real people (staff and our clients) do not neatly fit into boxes. This book fits beautifully into that space and is much needed for those working in low intensity roles and balancing what they have learned in training and what they see in clinical practice. Liz and James are experts in their field and bring experience and real-world knowledge together in a way that is easy to read and supportive to practitioners at all stages of their low intensity careers." –Dr. Sarah Watts, Clinical Director, Staffordshire and Stoke-on-Trent Talking Therapies Service, Midlands Partnership Foundation Trust

"This is a detailed and considered exploration of what it really means to deliver LI therapies. The personal reflections and practice specific examples remind of the importance of working inclusively, and of the human connections which are at the heart of all helping and healing. An informative, engaging and thought provoking read for any practitioner." –Dr Orla McDevitt-Petrovic, Lecturer in Psychology, Ulster University

"This book offers gritty, honest insights into the realities of working as a Low Intensity Therapist and forms a useful survival guide for trainees as well as anyone currently working, or considering working, in IAPT/NHS Talking Therapies. Presenting a nuanced, critical examination of key aspects of this healthcare service model, it is an essential resource for anyone interested in reflecting on IAPT/NHS Talking Therapies and the impact on the wider psy-sector in the UK and beyond. There is a timely exploration of important issues, including therapist burnout; the intersection of social deprivation and mental health; clinical realities around attempting to measure therapeutic outcomes; and adapting therapies for the needs of socially minoritized groups." – Dr. Sarah Cantwell, Cognitive Behavioural Therapist and Counsellor, Researcher, Founding member of IAPT Workers Café

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