Cognitive Behaviour Therapy for Psychosis, Eating Disorders and Personality Disorders PG Certs

INTRODUCTION

The NHS in England considers it a priority to provide high-quality evidence-based psychological interventions to individuals diagnosed with severe mental illnesses such as psychosis bipolar disorder eating disorders and personality disorders. Cognitive behavioural therapy (CBT) has been shown to be effective in helping individuals develop the skills necessary to manage these issues and rebuild their lives.

However, one of the challenges has been increasing the number of practitioners who can deliver these interventions. To address this NHS England has developed a long-term strategy to increase the number of nationally commissioned Postgraduate CBT in Severe Mental Health Problems (SMHP) training places. This will enable the NHS workforce to significantly increase the provision of CBT for SMHP over the next 5 years.

The postgraduate diploma and certificate programmes offered provide practitioners with the skills necessary to deliver high-quality CBT interventions to individuals experiencing severe mental health problems. These programmes are Level 2 accredited with the British Association of Behavioural and Cognitive Psychotherapies (BABCP) which means that graduates receive a recognised high-quality qualification allowing them to practice and deliver CBT.

In addition, individuals with lived experience are now involved in reviewing and developing course materials to ensure that the needs of individuals with severe mental illnesses are central to the skills that course students develop.

The Post Graduate Certificate programmes are designed for mental health and social care staff with previous substantial core CBT training either as part of their core mental health training or subsequently through a postgraduate diploma CBT course. They are sometimes referred to as specialist CBT “top-up” trainings.
The programme consists of three pathways and students follow just one of these routes:

•    CBT for Psychosis and Bipolar Disorder (CBT-PBP)
•    CBT for Eating Disorders (CBT-ED)
•    CBT for Personality Disorders (CBT-PD)

Mental health and social care staff without core CBT training may be eligible for a related PGDip in CBT programme.

Places on the programmes are funded by NHS England and students need to be seconded by their employer and to be working in a setting with people with the relevant severe mental health problems (psychosis/bipolar, eating disorders or personality disorders) and have access to an experienced CBT clinical supervisor.

Note on fees: Students are not able to self-fund. The programme is funded by NHS England and is for trainees working in the NHS.

Location: Online (Zoom) with some in-person teaching.

COURSE AIMS AND PRINCIPLES

Cognitive behavioural interventions have a well-established evidence base for a wide range of mental health problems. This evidence extends to the use of CBT for psychosis and bipolar disorder, eating disorders and personality disorders, interventions that are recommended by the National Institute for Heath and Clinical Excellence (NICE).

The aim of the courses is to train people to provide NICE concordant CBT to people experiencing the relevant severe mental health problem. Students follow specialist modules for their SMHP route (CBT for psychosis/bipolar or CBT for personality disorders) throughout the training year.

COURSE CONTENT

Objectives and Outcomes
The course will provide students with:

1. An awareness of key cognitive behavioural models, associated theoretical underpinnings and the related evidence base, for the PGCert route they are following (CBT-PBP, CBT-ED, CBT-PD)
2. Competence in engaging, assessing and developing collaborative cognitive-behavioural formulations with individuals with the problems (psychosis/bipolar, eating disorders or personality disorders) of the PGCert route they are following
3. Competence to deliver high quality, collaborative, evidence-based CBT interventions in accordance with NICE guidance and the competence frameworks (Roth & Pilling 2013) for working with people with psychosis/bipolar, eating disorders or personality disorders

Why Study at UCL?
UCL is among the principal research and training centres in the UK for mental health and psychological therapies and offers an ideal environment to study CBT. The UCL course is run and taught by experienced practitioners in the field of CBT for SMHPs, and therefore a balance is achieved between the teaching of the theoretical knowledge needed and the practical skills necessary in training as CBT therapists.

Who is the programme for?
The programme is specifically for mental health professionals with previous substantial core CBT training interested to develop specialist CBT knowledge and skills in order to provide CBT for people with either psychosis/bipolar disorder, eating disorders or personality disorders. But the training is also relevant for those interested to broaden their range of skills as part of wider professional and career development.

STRUCTURE SECTION

Introduction
The training programme lasts one year during which trainees study one day a week at the UCL campus during UCL term times (30-35 teaching days).

In addition to the teaching day, students need to spend at least two further days a week seeing clients with mental health problems for CBT under supervision.

Teaching
The programme is delivered through a combination of lectures, workshops, skills practice, clinical supervision groups, directed reading and e-learning. Most teaching days comprise a combination of lectures, skills practice and a supervision group.

Students follow specialist modules for the PGCert route they have enrolled in, these include:

CBT for Adults with Eating Disorders: Fundamentals (PSYC0276)
This module covers theoretical and research literature on central concepts and methods of Cognitive Behaviour Therapy as applied to eating disorders and includes the practical teaching of fundamental skills for the application of CBT-ED. The focus is on assessing the eating disorders and equipping students with core skills and knowledge to formulate different eating disorder presentations. Skills based competencies are developed through small group experiential work and role-plays in workshops, linked to group supervision by programme members and individual/group supervision in the place of work.

CBT for Adults with Eating Disorders: Implementation (PSYC0277)
The module provides students with a strong foundation in the implementation of evidencebased cognitive behavioural therapy for eating disorders. Students are expected to draw on core theoretical concepts and models as well as incorporating current research and innovative developments in clinical practice. The module includes specific applications and adaptations of CBT-ED for particular client groups or settings (e.g. delivering CBT-ED online, working with individuals with comorbid depression or OCD. Skills-based competencies are developed through small group experiential work and role-plays in workshops, linked to group supervision by programme members and individual/group supervision in the place of work.

CBT for People with Psychosis and Bipolar: Fundamentals (PSYC0280)
This module covers theoretical and research literature on central concepts and methods of Cognitive Behaviour Therapy as applied to psychosis and includes the practical teaching of fundamental skills for the application of CBTp. The focus is on assessing the varied experience of psychosis and equipping students with core skills and knowledge to formulate the experience of positive and negative symptoms. Skills based competencies are developed through small group experiential work and role-plays in workshops, linked to group supervision by programme members and individual/group supervision in the place of work.

CBT for People with Psychosis and Bipolar: Implementation (PSYC0081)
The module provides students with a strong foundation in the implementation of evidence-based cognitive behavioral therapy for psychosis and bipolar. Students are expected to draw on core theoretical concepts and models as well as incorporating current research and innovative developments in clinical practice. The module includes specific application and adaptions of CBTp for particular client groups or settings (e.g. applications with adolescents, older people or application in inpatient settings).

CBT for Personality Disorders: Fundamentals (PSYC0278)
This module covers theoretical and research literature on central concepts and methods of Cognitive Behaviour Therapy as applied to personality disorders and includes the practical teaching of fundamental skills for the application of CBT-PD. The focus is on assessing the personality disorders and equipping students with core skills and knowledge to formulate different personality disorders presentations. Skills based competencies are developed through small group experiential work and role-plays in workshops, linked to group supervision by programme members and individual/group supervision in the place of work.

CBT for Personality Disorders: Implementation (PSYC0279)
The module provides students with a strong foundation in the implementation of evidence-based cognitive behavioural therapy for personality disorders. Students are expected to draw on core theoretical concepts and models as well as incorporating current research and innovative developments in clinical practice. The module includes specific applications and adaptations of CBT-PD for particular client groups or settings. Skills-based competencies are developed through small group experiential work and role-plays in workshops, linked to group supervision by programme members and individual/group supervision in the place of work.

Most teaching days include a small group supervision group where 4-5 students meet with an experienced CBT supervisor to discuss the cases they are seeing for CBT as part of their training. This group supervision is in addition to the CBT supervision that students receive in their workplace.

Outside the teaching days, students will be allocated reading and e-learning tasks. E-learning includes access to a library of CBT training video vignettes.

Course required clinical work
In addition to the teaching, workshops, course group supervision and reading, students need to spend at least two further days a week seeing clients with mental health problems for CBT under supervision. These need to be people with the SMHP of the PGCert route they are following, so people with psychosis/bipolar disorder, eating disorders or personality disorders.

Students will need to receive supervision for the clients they see from an experience CBT supervisor from the service where the client is being treated.

This is in addition group supervision provided by the programme. It is the responsibility of the student and employer to arrange their service supervision.

Assessments
The assessments are a combination of written and oral assignments in each module. Written assignments include essays, case reports, reflective accounts and clinical and supervision logs. Oral assignments are audio or video recordings of sessions of CBT treatment. All assessments need to be passed and contribute to the award of the Diploma.

APPLICATION SECTION

Entry Requirements
Applicants for a UCL postgraduate programme are normally expected to hold at least a 2.2 in a UK undergraduate degree (or equivalent overseas qualification). But other academic qualifications of an equivalent standard, including professional mental health qualifications, and substantial work experience and achievements at work demonstrating ability to study successfully at a postgraduate level can be taken into account. Overseas applicants need to provide evidence of proficiency in English. Applicants must have the right to work in the UK without restriction and be eligible for Home Fees status.

In addition, applicants for this programme are required to have:

• A core mental health practitioner qualification (e.g. in mental health nursing, occupational therapy, social work, psychiatry, clinical psychology)
• If you don't have a core profession you will be required to complete a KSA. Further details on the KSA can be found here.
• Post qualification experience of working with people with the SMHP of the PGCert route they are applying to (psychosis/bipolar disorder, eating disorders or personality disorders)
• Substantial core CBT training either as part of their core mental health training or subsequently through a postgraduate diploma CBT course
• Commitment to attending and completing all course assignments over the year of the programme
• Availability and commitment to spend at least 2 days a week over the training year seeing people in CBT under supervision
• Evidence of secondment to a funded place on the programme by their employer and evidence of agreement from their employer to see people in CBT under supervision for at least 2-days a week under supervision and access to a suitable experience local site CBT supervisor for this supervision

For full details of student and employer requirements download: Employer and student requirements (PDF)

What we are looking for?
When we assess your application we would therefore like to learn via your personal statement:

• Which specific PGCert CBT route you are applying for (CBT-PBP, CBT-ED, CBT-PD)
• Why you are interested in CBT training in this specialist route
• What is your previous training in CBT
• Whether you are committed to attending and completing all course assignments over the year of the programme
• How you would be able to carry out the required two days a week CBT practice on people with the mental health problems in your current employment or work context
• Whether your employer has agreed to second you for a day/week on to the programme and to support you seeing people in CBT for at least 2 days a week and making available a local experienced CBT supervisor who could supervise your work

Together with the essential academic and core mental health professional qualification requirements, the personal statement is your opportunity to illustrate whether your reasons for applying to this programme match what the programme will deliver.

Programme Brochure
Please click here to access this (PDF)

Deadline for Applications
TBC

CAREERS

This Postgraduate Certificate will equip people to provide NICE concordant CBT for either psychosis/bipolar disorder, eating disorders or personality disorders in the NHS and other health and social care settings. Those successfully completing the Post Graduate Certificate may be in a position to apply for accreditation as a CBT therapist with the British Association for Behavioural and Cognitive Psychotherapies (BABCP).

CONTACT

MEET OUR CORE TEAM

Programme Director

Dr Joe Oliver
Joe Oliver is an Associate Professor and overall programme director for the CBT-SMHP programmes. As a Consultant Clinical Psychologist, he has research interests in the development of psychological interventions to promote psychological health and well-being and has co-authored several books in this area. He is a leading UK trainer in behavioural and cognitive therapies and is committed to making training engaging, practical and fun.

PG Dip 1st Year Programme Lead - CBT for SMHP

Dr Fergus Kane
Dr Fergus Kane is a Principal Clinical Psychologist and Digital Lead working at the PICuP outpatient psychosis service at the South London and Maudsley NHS Trust.  He has a research background in the neurobiology of bipolar disorder, which led to him training as a clinical psychologist. He has a number of specialist interests including supporting people with experiences of psychosis and bipolar disorder, working with the consequences of traumatic experiences and the use of technology to improve the utility and efficiency of healthcare, therapy and training.  He has worked and taught in three different countries and whilst in Ecuador, taught the country's first course in trauma focussed Cognitive Behavioural Therapy (TF-CBT).   Dr Kane believes passionately in working to make high quality psychology therapy more widely available and accessible.

Helena Colodro-Sola
Helena Colodro-Sola is a Clinical and Counselling Psychologist who combines her role as a lecturer at UCL while working in private practice. With extensive national and international experience, she has worked in different settings and with diverse clients facing a wide range of psychological challenges such as depression, anxiety, substance misuse, chronic health conditions, work-related stress, and more. Her professional interests lie in understanding the factors that contribute to a strong therapeutic relationship within the framework of CBT. By exploring these factors, Helena aims to enhance the quality of therapeutic interactions and improve treatment outcomes. Additionally, she is committed to developing approaches that better support individuals in overcoming their difficulties and living more fulfilling lives.

Programme leads for CBT for psychosis/bipolar disorder

Dr Sophie Fyfe & Dr Rebecca Kelly
Sophie Fyfe is a Clinical Psychologist specialising in CBT for psychosis and Cognitive Analytic Therapy. Alongside her role at UCL, where she jointly leads the CBT for psychosis and bipolar disorder programmes with Rebecca Kelly, she works in community mental health in Central and North West London NHS Foundation Trust. Sophie has a particular interest in understanding relational experiences in psychosis and improving the care and treatment of those living with psychotic disorders.

Rebecca Kelly is a Principal Clinical Psychologist specialising in CBT for psychosis and bipolar disorder. Alongside her role at UCL jointly leading the CBT for psychosis and bipolar disorder courses with Sophie Fyfe, she works in the Psychological Interventions Clinic for Outpatients with Psychosis at the Maudsley and in private clinical practice. Rebecca has particular clinical and research interests in CBT for bipolar disorder and CBT for trauma in the context of psychosis, and provides specialist training and supervision in these areas.

Programme lead for CBT for Eating Disorders

Professor Lucy Serpell and Dr Matthew Pugh
Lucy Serpell is Associate Professor in the Department of CEHP at UCL and Clinical Lead for Eating Disorders in NELFT (London), a lifespan NHS eating disorder service. In her UCL role she conducts research into eating disorders and helps train the clinical psychologists of the future. Lucy is passionate about improving care and treatment of people with eating disorders. In 2015-16, she was part of the revision of the NICE guidelines for eating disorders. Lucy completed her PhD into the valued nature of anorexia nervosa at the Institute of Psychiatry in 2001. Her clinical doctorate (DClinPsy) was awarded by UCL in 2004.

Matthew Pugh is a Clinical Psychologist, Cognitive Behavioural Psychotherapist, and Advanced Schema Therapist. He works with Central and North West London NHS Foundation Trust eating disorder services alongside the CBT for eating disorders programme. His main research interests relate to the use of experiential psychotherapeutic methods, primarily chairwork, and has published widely in this area. 

Programme lead for CBT for Personality Disorders

Dr Janet Feigenbaum
Associate Professor on the doctorate in clinical psychology and strategic and clinical lead for personality disorders for North East London Foundation Trust.  International consultant trainer in DBT for British Isles DBT.  Clinical lead for the North East London Foundation Trust IAPT SMI demonstration site. Honorary senior lecturer for Bangor University supporting the PG certificate in DBT. Member of the North East London R&D department, and UCL Partners.

WHAT OUR TRAINEES AND STAFF SAY

Dr Joe Oliver
Programme Director

Jonathan Talsma
Trainee CBT Therapist

Fiona Hunnisett
Trainee CBT Therapist

Anita Kwapong
Trainee CBT Therapist

Katy Dow
Trainee CBT Therapist

Doreen Hoerold
UCL Clinical Supervisor

Esther McNeile-Jones
UCL Clinical Supervisor

Gurmit Dhillon
UCL Clinical Supervisor

BABCP ACCREDITATION

As of the end of 2022 PG Dip CBT-SMHP programmes were successfully Level 2 accredited with BABCP. This means that when trainees pass the course, they are guaranteed to become an accredited BABCP CBT Therapist.Trainees finishing the program will need to wait until their marks have been ratified at the exam board, which takes place end of February/March the following year. Once this has been completed, they can make their application to BABCP. All details are on the BABCP website.

The programme has also received Level 1 accreditation for the PG Certificates, which means that the course meets BABCP's quality of training criteria ie. the quality of the training delivered and CBT qualifications of the trainers.

GLOSSARY

• CBT: cognitive behavioural therapy
• SMHP: severe mental health problems
• PBP: psychosis and bipolar disorder
• ED: eating disorder
• PD: personality disorder
• CLINICAL SUPERVISOR: a qualified CBT therapist whose role is to support and guide trainees in their clinical work
• INTERVENTION: a therapy skill or procedure that is used to help a client in therapy
• COMPETENCE FRAMEWORK: a framework that sets out the skills, knowledge and attributes needed to be a CBT practitioner
• OCD: obsessive compulsive disorder
• KSA: knowledge, skills and attitudes
• CLIENT/ SERVICE USER/ PATIENT: We recognise that there is not a current consensus agreement about which term is most appropriate, but we aim to use the term to refer to a person who is actively receiving psychological therapy and may themselves have their own views about which is the most appropriate term.