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The concept and definition of low intensity cognitive behaviour therapy

Shafran, R; Myles-Hooton, P; Bennett, S; Öst, L-G; (2021) The concept and definition of low intensity cognitive behaviour therapy. Behaviour Research and Therapy , 138 , Article 103803. 10.1016/j.brat.2021.103803. Green open access

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Abstract

There is confusion in the terminology used to describe different forms of cognitive behaviour therapy, in particular low intensity CBT. Such confusion has implications for research, clinical practice and service organisation. This thought-piece aims to describe the key components of low intensity CBT in comparison to brief high intensity standard CBT. It is proposed that low intensity CBT (i) utilises self-help materials, (ii) is six hours or less of contact time with each contact being typically 30 minutes or less, and (iii) any input can be provided by trained practitioners or supporters. These components distinguish the intervention from brief high intensity intensity CBT which (i) is based on the standard evidence-based CBT treatment, with therapy contact time 50% or less than the full CBT intervention, and (ii) is usually delivered by someone with a core mental health professional qualification or equivalent. Brief CBT can refer to either low intensity CBT and/or brief high intensity CBT. We hope that making the distinction between these different forms of intervention stimulates debate and helps consistent and appropriate categorisation for future research and practice.

Type: Article
Title: The concept and definition of low intensity cognitive behaviour therapy
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.brat.2021.103803
Publisher version: http://dx.doi.org/10.1016/j.brat.2021.103803
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Blended CBT, Brief CBT, Concentrated CBT, Definition, High intensity CBT, Intensive CBT, Low intensity CBT
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10122781
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