Use this URL to cite or link to this record in EThOS:
Title: Psychological consultancy in mental health teams
Author: Ghag, Jeetender Kaur
ISNI:       0000 0004 6500 3819
Awarding Body: University of Sheffield
Current Institution: University of Sheffield
Date of Award: 2017
Availability of Full Text:
Access from EThOS:
Full text unavailable from EThOS. Thesis embargoed until 31 Jan 2023
Access from Institution:
Literature Review: Psychological consultation is a common activity in mental health services, but evidence concerning its theoretical grounding, processes, and outcomes are relatively rare. Fifteen mixed method consultation studies were included in the review. Studies were assessed for methodological quality, and found to range from limited to strong. Cognitive behavioural consultation was the main approach used and consultation was most frequently delivered via formulation meetings. Psychological consultation appears to particularly improve staff understanding about clients and consultants should remain visible and accessible to teams. Practical and methodological developments are suggested to the consultation evidence base. Research Report: This empirical study aimed to measure the effectiveness of cognitive analytic consultancy (CAC) offered within a community team and then to explore the possible mechanisms of change. An A-B with follow-up small N case series (N=5) design was used that utilised a mixed methodology employing outcome measures and semi-structured interviews. There were significant improvements in client fragmentation, staff competence and emotional exhaustion, and alliance from a client perspective. Potential mechanism of change included the therapists approach, using the sequential diagrammatic reformulation, and acknowledging that difficult processes helped recovery. Further head-to-head trials comparing CAC to other consultation frameworks appears warranted.
Supervisor: Kellett, Stephen Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available