A Randomised Control Trial of CAT Informed Care Planning

This trial is taking place is Barnsley PCT NHS Trust and is being coordinated by Dr Mark Wilbram and Dr Stephen Kellett. The trial concerns assessing the effectiveness of a CAT consultancy model for patients in the Assertive Outreach Team and is being supported by a local research grant.

Patients in the AOT with stable psychosis are being randomly allocated to one of two possible conditions;

(1) treatment as usual and

(2) CAT enhanced care planning.

The active arm entails providing consultancy to care coordinators to produce an SDR for the client and then developing exits for the client and the care coordinator in CAT-informed group supervision sessions. Prior to the consultancy process, the care coordinators received two days of training on CAT principles. The primary outcome measure for the project is the level of client engagement. The trial has now been completed and the service is currently receiving the feedback, which indicates the organisational effectiveness of the CAT consultancy approach. Results will be feedback to ACAT in due course.

Contact details:
Mark.Wilbram@barnsleypct.nhs.uk
Stephen.Kellett@barnsleypct.nhs.uk

Published in 2014
Kellett S., Wilbram M., Davis C., and Hardy G. (2014). Team consultancy using cognitive analytic therapy: a controlled study in assertive outreach. Journal of Psychiatric and Mental Health Nursing, 21, pp 687-697.

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CAT Introductory Event: ACAT: 2 Day Introduction to CAT
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More information:

Support for CAT research Informal Research Advice Current Research and Research Awaiting Publication Deconstruction of CAT Using a CAT approach to make sense of psychosis Team based Interventions with 5 session CAT consultancy The case formulation task in psychotherapy Therapists’ Construction and Application of the Reformulation Diagram in Clinical Practice RCT of CAT with adolescent and borderline patients Understanding SDRs in CAT CAT Sequential Diagrammatic Reformulation (SDR) to explore service users' experience of CAT formulation: a qualitative thesis project Comparison of Treatment of Anorexia in Adults with CAT Case Series Research - in intellectual disability (community and forensic) services Recently Published Research and Research Presentations A Feasibility Trial of Group Cognitive Analytic Music Therapy in Secure Hospital Settings (2014) Assessment of identity disturbance: Factor Structure and validation of the Personality Structure Questionnaire (PSQ) in an Italian sample CAT and Psychosis Cognitive Analytic Therapy for high-risk sexual behaviour Is Cognitive Analytic Therapy (CAT) effective in treating Hoarding Disorder? Testing the Effectiveness of Cognitive Analytic Therapy for Hypersexuality Disorder: An Intensive Time-Series Evaluation Group Cognitive Analytic Therapy for Female Survivors of Childhood Sexual Abuse An eight-eyed version of Hawkins and Shohet’s clinical supervision model: the addition of the cognitive analytic therapy concept of the ‘observing eye/I’ as the ‘observing us’ Outcomes of cognitive analytic therapy delivered by trainees Treatment of Paranoid Personality Disorder with Cognitive Analytic Therapy - A Mixed Methods Single Case Experimental Design Team Consultancy Using Cognitive Analytic Therapy: A Controlled Study In Assertive Outreach Using a cognitive analytic approach to formulate a complex sexual and violent offender to inform multi-agency working: developing a shared understanding Bipolar Trial: CATBiD: A phase one randomised controlled study of Cognitive Analytic Therapy for Bipolar Affective Disorder Development and evaluation of cognitive analytic guided self-help (CAT-SH) for use in IAPT services How change is enabled during cognitive analytic therapy: An exploratory study of the treatment of depression Key References to Research in CAT Summaries and Meta-analyses of CAT Research Cognitive Analytic Therapy at 30 Cognitive Analytic Therapy: A review of the outcome evidence base for treatment summaries and meta analyses Research and Communication Committee ACAT Research Strategy Donate to ACAT Research Fund Researchers Currently Recruiting Through ACAT CAT Research Archives Do people with learning disabilities have a concept of reciprocal roles Exploring endings from therapist's experience RCT for CAT and diabetes A process study evaluating rupture repair in CAT CAT in groups The SPeDi Trial (Sheffield Personality Disorders) Goodbye Letters in CAT The effectiveness of CAT for BPD RCT for CAT informed care planning CAT and CBT for affective disorders

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