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Key Point Factors Potentially Causing Drift from the Evidence Base in Decision-Making

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 Subjective: beliefs, attitudes and perceptions held by the patient and the clinician.

 Contextual:Service resourcesCharacteristics of workforce – proportion of HICBT and LICBT practitionersWaiting lists.

Within the Improving Access to Psychological Therapies (IAPT) programme across England, ways to address several of the contextual factors have been outlined (National Collaborating Centre for Mental Health; NCCMH, 2018). Subjective factors need ongoing self-monitoring and acknowledgement by practitioners within clinical supervision.

Low-intensity CBT Skills and Interventions

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