Читать книгу Low-intensity CBT Skills and Interventions - Группа авторов - Страница 40

A major challenge experienced by the IAPT programme has been attrition from the PWP, LICBT psychological therapy practitioner workforce (National Collaborating Centre for Mental Health, 2018). Soon after the end of training a significant number of the PWP workforce leave the role, with many seeking to undertake HICBT training to work at Step 3 of the Stepped Care model. High attrition has potential to destabilise services and challenge recovery rates with the workforce largely comprising novice practitioners that have failed to enhance and develop their competencies (Roth and Pilling, 2017). Experiencing a situation such as this with a workforce has the effect of threatening and fragmenting the quality of care (Imison, Castle-Clarke and Watson, 2016). Furthermore, failing to maintain the PWP challenges the economic case used as a justification behind the IAPT programme, threatening long term sustainability. However, development of the Psychological Professions Network, new vocational routes into training such as apprenticeships and developments in Assistant Practitioner roles represents the potential to reduce attrition by improving access to the workforce.