An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner

Hakim, Naheem; Thompson, Andrew R.; Coleman-Oluwabusola, Gail

doi:10.1017/s1754470x18000296

Cited by 7 publications

(15 citation statements)

References 22 publications

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“…In an effort to make IAPT services more accessible Community Mental Health Workers (CMHW’s) were recruited to offer culturally adapted treatment as Psychological Wellbeing Practitioners (PWP’s) in Sheffield. Hakim and Thompason (2019) explored the experiences of CMHW’s as PWP’s working with BAME’s in IAPT. They found that IAPT was inaccessible for South Asians as IAPT’s treatment approach was too structured for BAME clients.…”

Section: Discussionmentioning

confidence: 99%

Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care

Yasmin-Qureshi

Ledwith

2020

JPMH

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Purpose A number of initiatives have been developed to ensure easy access to mental health services for Black and Asian Minority Ethnic (BAME) communities. Improving Access to Psychological Therapies (IAPT) is a service that delivers first line interventions for South Asian women; however, little is known about what makes IAPT accessible for this population. This paper aims to explore South Asian women’s experiences of accessing psychological therapy and whether therapy within IAPT helps individuals to re-frame their experiences within their own cultural context. Design/methodology/approach A qualitative approach was used. Semi-structured interviews were carried out with South Asian women who accessed an IAPT service. Ten participants took part in the study and interviews were analysed using thematic analysis. Findings Six themes were identified; access, experience, cultural framework, therapist characteristics, expectations and “sticking with it”. Having a good therapeutic relationship with the therapist was key. While cognitive behavioural therapy (CBT) enabled clients to manage their symptoms, manualised CBT led to a sense of dissatisfaction for some. Clients spoke of having to make a forced choice to either deny their culture or leave their culture at the door to access therapy. Cultural and religious exclusion had a negative impact on therapy particularly for those whose difficulties were related to their cultural or religious context. Practical implications Culture and religion continues to be excluded from psychological therapy for South Asian Women. A cultural shift is required from within IAPT services to maintain engagement for this group. Further clinical implications are discussed. Originality/value While the experiences of Black and Asian ethnic minority groups accessing secondary mental health services has been explored, this study explores and highlights the experiences of South Asian Women accessing therapy in primary care, and uniquely identifies the processes that enable women to engage in therapy.

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Section: Discussionmentioning

confidence: 99%

Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care

Yasmin-Qureshi

Ledwith

2020

JPMH

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“…An evaluation of the transition from the BAME community mental health worker to IAPT lowintensity psychological wellbeing practitioner (Hakim et al, 2019) Hakim et al (2019) explored the experience of four IAPT low-intensity Psychological Wellbeing Practitioners (PWP) who had previously worked as BME Community Mental Health Workers (CMHW). The participants reported that low-intensity CBT (LiCBT) was useful, but only when cultural adaptations were made.…”

Section: Summary and Discussionmentioning

confidence: 99%

“…The first article discusses the need for service change to improve access to culturally adapted therapy (Beck and Naz, 2019). The second article describes an evaluation of the transition from the Black, Asian and minority ethnic (BME) community mental health worker to the IAPT low-intensity psychological wellbeing practitioner (Hakim et al , 2019). The third article discusses issues of race, cthnicity and culture in CBT to support therapists and service managers to deliver culturally competent therapy (Naz et al , 2019).…”

Section: Summary and Discussionmentioning

confidence: 99%

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. Therefore, it makes sense to adapt CBT when working with diverse populations. Contributors to this special issue of theCognitive Behaviour Therapisthave tackled the issues around the cultural adaptation of CBT from various perspectives, using a variety of methods, and have addressed topics ranging from cultural adaptation to improving access to CBT. Here, I briefly summarize and discuss the papers in this special issue. I start with a systematic review of CBT for social anxiety across cultures. Seven articles cover aspects of adaptation of therapies for people from different backgrounds. Three papers discuss the issues of gender and sexuality when using CBT, while another three papers focus on refugees, asylum seekers and the homeless, and two papers describe the application of CBT with religious populations. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers.

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“…It met the minimum sample requirement to achieve thematic saturation, the point at which no new information are generated from the data (Braun and Clarke, 2019b). Related studies also used a similar sample size (Hakim et al , 2019; Robinson et al , 2012).…”

Section: Methodsmentioning

confidence: 99%

Psychological wellbeing practitioners’ experiences of improving access to psychological therapies (IAPT) services cultural competency training

Bucheeri

Faheem

2023

MHRJ

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Purpose This study aims to explore whether the cultural competency training in Improving Access to Psychological Therapies (IAPT) services is sufficient to equip Psychological Wellbeing Practitioners (PWP) to support Black, Asian and Minority Ethnic (BAME) service users. Design/methodology/approach A qualitative design was adopted using semi-structured interviews with six PWP participants. Reflexive thematic analysis using Braun and Clarke’s (2006) six-step process was used in data analysis. Findings Three themes revealed evaluations of PWP training, factors supporting PWPs’ cultural competency and points of improvement for PWP training. The training briefly and superficially covered cultural competency content; however, it encouraged PWPs to explore potential personal and cultural biases in therapy. PWP training can also be improved by providing more culturally relevant resources and involving BAME service users. Research limitations/implications A small sample size (N = 6) was used, impacting the findings’ generalizability. Practical implications PWP training does not sufficiently equip PWPs to support BAME service users. PWPs’ reflection of their own ethnic identity and personal experiences, when combined with training, can improve cultural competency. IAPT training should focus on cultural awareness, knowledge and skills to enhance therapeutic experience. Moreover, PWPs should reflect on their identity, personal biases and experiences when working with diverse communities. Originality/value This is one of the few qualitative studies evaluating the cultural competencies of PWPs in IAPT.

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An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner

Cited by 7 publications

References 22 publications

Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care

Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Psychological wellbeing practitioners’ experiences of improving access to psychological therapies (IAPT) services cultural competency training

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