Chapters

Dr Scott has contributed chapters to many books; details below:

most recently: ‘CBT in Health and Social Care Settings’ in The Handbook of CBT Eds W.Dryden and R.Branch (2012) Sage: London, here is an extract:

CBT in Routine Practice – Suboptimal

Driven by a concern that mental health practitioners only treated the tip of the iceberg of those with mental health problems, the BritishGovernment has funded the IAPT initiative and the training and employment of at least 3,600 new psychological therapists by 2011. While this is a welcome improvement in the provision, only about half of GP practices have been covered by the IAPT initiative. But at least the question of the quantity of CBT provision has begun to be addressed. While CBT is of demonstrated efficacy in controlled trials (Butler et al., 2006) and effectiveness studies (e.g. Scott and Stradling, 1990), CBT as practised on the ground may be suboptimal. Studies by Westbrook and Kirk (2005) and Brown et al. (2011) of CBT conducted in routine practice found lower effect sizes for completers of treatment than found in controlled trials. Further the results were even more disappointing if the results from the dropouts from treatment were included, i.e if an intention to treat analyses was performed. Theser esults are echoed by Oei and Boschen (2009) who examined the effectiveness of Group Cognitive Behaviour Therapy (GCBT) in a client population, 17.3% of whom were suffering from depression, 30.2% with panic disorder, 14% with generalised anxiety disorder and 8.4% post-traumatic stress disorder. Only 43% of individuals showed reliable change and 17% were ‘recovered’ from their anxiety symptoms. Oei and Boschen (2009) concluded that their mixed group treatment was less effective than a disorder specific treatment but was comparable to the individual CBT treatments of Westbrook and Kirk (2005). While Oei and Boschen (2009) had a treatment manual there were no checks of fidelity to the manual. In both the Brown et al. (2011) and Westbrook and Kirk (2005) studies no treatment manual was used andthus there was no test of fidelity to an evidence-based treatment protocol. Further, in none of these studies was a standardised diagnostic interview used to establish diagnosis, Beck et al. (1962) have shown that non-standardised assessments have poor reliability, 32–54%.

 

Relapse prevention training
From: ‘Treating Drug Abusers’ Ed G. Bennett (1989)
Publisher: Tavistock/Routledge; London

Counselling for Trauma and Post-traumatic Stress Disorder
From: ‘Handbook of Counselling 2nd edition’ Eds Stephen Palmer and Gladeana McMahon (1997)
Publisher: Routledge; London

Brief Group Counselling and Post-traumatic Stress Disorder
From: ‘Trauma and Post-traumatic Stress Disorder’ Co-edited with Professor Stephen Palmer (2000)
Publisher: Cassell Ltd; London

Post-traumatic Stress Disorder: A Contextual Approach
From: ‘Trauma and Post-traumatic Stress Disorder’ Co-edited with Professor Stephen Palmer (2000)
Publisher:  Cassell Ltd; London

Guidelines for Crisis Counselling
From: ‘Trauma and Post-traumatic Stress Disorder’ Co-edited with Professor Stephen Palmer (2000)
Publisher:  Cassell Ltd; London

Journeying with the Traumatized – the Hillsborough Disaster
From: ‘Trauma and Post-traumatic Stress Disorder’ Co-edited with Professor Stephen Palmer (2000)
Publisher:  Cassell Ltd; London

Trauma, Duress and Stress
From: ‘Building a Culture of Respect: Managing Bullying at Work’ Co-authored with Professor Stephen Stradling. Ed N. Tehrani (2000)
Publisher: Taylor and Francis; London

The Cognitive-Behavioural Paradigm
From: ‘Handbook of Counselling Psychology 2nd edition’ CO-authored with Professor Dryden. Eds Dryden, R. Woolfe and S. Strawbridge (2003)
Publisher: Sage Publications; London

Stress and Compensation. A Critical Analysis
From: ‘Occupational Illness Litigation’ Eds A. McDonald and A. Georges (2003)
Publisher: Sweet and Maxwell; London