Geographic inequity in the availability of cognitive behavioural therapy in England and Wales

Shapiro, David A, Cavanagh, Kate and Lomas, Howard (2003) Geographic inequity in the availability of cognitive behavioural therapy in England and Wales. Behavioural and Cognitive Psychotherapy, 31 (2). pp. 185-192.

Full text not available from this repository.

Abstract

Delivery of cognitive behavioural therapy (CBT) is limited by a scarcity of resource. In England and Wales, there are not enough practitioners appropriately trained in CBT to meet the needs of those who might benefit from treatment. In addition, there are reasons to believe that available therapists are inequitably distributed across the country. We investigated the distribution of British Association of Behavioural and Cognitive Psychotherapies (BABCP) members, accredited CBT practitioners, and BABCP members who are nurses or clinical psychologists in England and Wales by postal code. This analysis demonstrated a 20-fold discrepancy in availability of accredited CBT practitioners between the best and least well-served population deciles. Despite limitations, these findings are highly indicative of "postcode availability" of the best qualified CBT practitioners. We discuss possible strategies to remedy this inequity, which further challenges the ability of conventional methods of CBT delivery to meet public health requirements.

Item Type: Article
Schools and Departments: School of Psychology > Psychology
Depositing User: Kate Cavanagh
Date Deposited: 06 Feb 2012 15:36
Last Modified: 13 Mar 2012 15:23
URI: http://sro.sussex.ac.uk/id/eprint/13469
📧 Request an update