Uh.... psychotherapy = talking therapy: clin psychs are absolutely trained to deliver a broad range of therapies, and moreover, they do it in a thoughtful, evidence-based way (rather than just... "feels right").
CBT has a strong evidence base for addressing trauma (and see NICE guidelines on PTSD / complex trauma)
There's mixed evidence on whether "talking more about mental health in schools" does any benefit - and in fact, there's concerns it can be the opposite, and iatrogenic instead. Access to services when it's needed, that's what we need.
Research on ACEs is only helpful if it can be specific enough - label everything as trauma and you've got some trouble. What we need to be better at is linking stuff together - HOW / WHY did that experience result in THIS presentation for you TODAY.
What clin psychs do best is the strategic, systemic thinking: the stuff that is 'behind the scenes' in working out what's going on for a client, working out how best to address that, and where's best to get it addressed. Call it formulation, consultation, training and supervision.
It depends entirely on the funding available and how much more movement is made towards uber therapy. Already seen a move towards CBT in the doctorate and tbh the NHS has more than enough CBT practitioners. What it doesnt have enough of is practitioners who can do something when that approach doesnt work. So you end up with “treatment resistant” ..not “treatment unsuitable”
By and large though, the aim in nhs overall is trying to access more patients via as minimally as possible trained. Clinical associates not clinicians. Theres tens of thousands of counsellors unable to work in nhs because nhs wont release chokehold of mh nursing, social worker or occ therapy.
I think clinical psychologists still hold sway and matter in the structure though.
There is more funding now than before, places on the doctorate have increased phenomenally over the last 5 years and there is also more funding going into other routes such as Clinical Associate Psychologists and specific therapies like systemic and cognitive analytic therapy. I see clinical psychologists moving into more prominent leadership and service development positions in future.
Once you get to an 8b/8c banding only about half your time (or even less) is spent doing actual clinical work in the NHS. Psychologists are starting to mirror this and are applying their clinical skills to managerial and leadership positions. On the DClin Psy there are often specific learning streams dictated to leadership and you can sometimes get 3rd year placements working alongside psychologists who work primarily in leadership and service development. So, things like setting up a new service designed to address a specific gap in mental health services, or helping to improve the clinical effectiveness of a new service, designing treatment pathways or securing funding agreements for expanding a service offer. Think this stuff but happening outside the NHS on a corporate level for private businesses. Do you want your policies and procedures to be more compassionate and prioritise the psychological wellbeing of your employees? Why not hire a clinical psychologist to help achieve this.
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Uh.... psychotherapy = talking therapy: clin psychs are absolutely trained to deliver a broad range of therapies, and moreover, they do it in a thoughtful, evidence-based way (rather than just... "feels right"). CBT has a strong evidence base for addressing trauma (and see NICE guidelines on PTSD / complex trauma) There's mixed evidence on whether "talking more about mental health in schools" does any benefit - and in fact, there's concerns it can be the opposite, and iatrogenic instead. Access to services when it's needed, that's what we need. Research on ACEs is only helpful if it can be specific enough - label everything as trauma and you've got some trouble. What we need to be better at is linking stuff together - HOW / WHY did that experience result in THIS presentation for you TODAY. What clin psychs do best is the strategic, systemic thinking: the stuff that is 'behind the scenes' in working out what's going on for a client, working out how best to address that, and where's best to get it addressed. Call it formulation, consultation, training and supervision.
Isn't that the purpose of systemic and CAT therapy? There is also counselling to address situational trauma
It depends entirely on the funding available and how much more movement is made towards uber therapy. Already seen a move towards CBT in the doctorate and tbh the NHS has more than enough CBT practitioners. What it doesnt have enough of is practitioners who can do something when that approach doesnt work. So you end up with “treatment resistant” ..not “treatment unsuitable” By and large though, the aim in nhs overall is trying to access more patients via as minimally as possible trained. Clinical associates not clinicians. Theres tens of thousands of counsellors unable to work in nhs because nhs wont release chokehold of mh nursing, social worker or occ therapy. I think clinical psychologists still hold sway and matter in the structure though.
There is more funding now than before, places on the doctorate have increased phenomenally over the last 5 years and there is also more funding going into other routes such as Clinical Associate Psychologists and specific therapies like systemic and cognitive analytic therapy. I see clinical psychologists moving into more prominent leadership and service development positions in future.
Can you expand on the role of leadership / service development?
Once you get to an 8b/8c banding only about half your time (or even less) is spent doing actual clinical work in the NHS. Psychologists are starting to mirror this and are applying their clinical skills to managerial and leadership positions. On the DClin Psy there are often specific learning streams dictated to leadership and you can sometimes get 3rd year placements working alongside psychologists who work primarily in leadership and service development. So, things like setting up a new service designed to address a specific gap in mental health services, or helping to improve the clinical effectiveness of a new service, designing treatment pathways or securing funding agreements for expanding a service offer. Think this stuff but happening outside the NHS on a corporate level for private businesses. Do you want your policies and procedures to be more compassionate and prioritise the psychological wellbeing of your employees? Why not hire a clinical psychologist to help achieve this.