Mental Health

CPI Care, has a duty of care to all users of its services to maintain their safety and well being whilst in our care.

We supply a wide range of evidence based therapeutic programmes designed following initial assessment and monitored using outcome measures.

The service users are actively involved in the planning of their care and we place them at the centre of the treatment which aims to make them feel empowered and proactive in the rehabilitation.

We aim to build a collaborative relationship with the service user by providing information that covers the nature, course and treatments offered as well as the likely side-effect of medication.

Our psychological interventions include:

  • Psychological Assessment and outcome measures;
  • Cognitive Behavioural Therapy;
  • Intervention for Self-Harm;
  • Trauma Focused CBT;
  • CBT for Psychosis and Schizophrenia;
  • Dialectical Behavioural Therapy;
  • Anger Management CBT;

 

 

Psychological Assessment

Psychological assessment is a process that uses a combination of techniques and instruments to help reach at some hypotheses about a person and its behaviour, personality and capabilities.

Psychological tests used by the clinical psychologist:

  • WAIS-III (Wechsler Adult Intelligence Scale – Third Edition;
  • Structured Clinical Interview and Screening Questionnaire;
  • ADOS (Autism Diagnostic Observation Schedule);
  • BECK Inventories for (Anxiety, Suicide Ideation, Obsessive-Compulsive behaviour, Hopelessness and Depression BDI-II);
  • Post-Traumatic Cognitions Inventory;
  • FACE Risk Assessment;
  • RORSCHACH (Projective/psychological test)

 

 

Psychological Interventions

Cognitive Behavioural Therapy

Cognitive Behaviour Therapy is a form of therapy that works on the way how we think as well as on the way how our thoughts affect our feelings and behaviours that will necessarily affect others response towards us.

It focuses on the “here and now” problems and difficulties as well as on evidences/facts against and for negative automatic thoughts that may be developed throughout an individual’s life.

CBT says that it’s not the event that causes our emotions, but how we interpret that event.

 

The first approach to CBT was called Rational Emotive Therapy (RET) which was originated by Albert Ellis, Ph.D. in the 1950’s.  Ellis developed his approach in reaction to his disliking of the in-directive nature of Psychoanalysis.

In the 1960’s, psychiatrist Aaron Beck became convinced that whatever the cause, is our thinking style that drives our unpleasant emotions here and now.

It is a time limited treatment where we expect the service user to take an active role focused on achievable goals.

Together with our service users we aim to respond to two main questions:

  • What patterns are maintaining the current behaviour?
  • What life events have led the person to that?

Cognitive Behavioural Therapy works for:

  • Depression and anxiety disorders;
  • Mood disorders (e.g. bipolar) with focus on depression;
  • OCD;
  • Self-Harm;
  • Suicidal ideation;
  • Emergent personality disorders;
  • Psychosis (if dual diagnose with substance abuse should complete detoxification first);
  • Eating disorders;
  • PTSD, in conjunction with DBT;
  • Conduct Disorders in conjunction with Anger Management;

 

Trauma Focused CBT

Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) is a model of therapy that addresses the needs of people with PTSD.
This model was initially developed to address trauma associated with child sexual abuse and has more recently been adapted for use with children who have experienced a wide range of traumatic experiences (emotional and physical abuse, bullying, loss, natural disaster, among others).

Trauma Focused CBT works for:

  • Any individual that has suffered one or multiple traumatic events and is displaying difficulties related to traumatic life experiences;
  • However, although in some cases, the traumatic experience may have contributed to their problems, TFCBT may not be the first or most important therapy they need (if their predominant problems are anti-social behaviours or when they presented severely depressed, self-harming or suicidal, or who have active substance abuse), should first receive treatments specific to those conditions;

 

CBT for Psychosis and Schizophrenia

Symptom Reduction

CBT for psychosis and schizophrenia should help the person to be able to cope with, understand the symptoms and develop the ability to function socially.

Psychosis may be a result of neurological illness, traumatic events or drug induced psychosis and should always be considered the person’s intellectual developmental level, emotional and cognitive capacity.

The Stress Vulnerability Model believes that biological and psychological predisposed people may become psychotic if they are exposed to stressful life events. It’s possible a therapeutic change by influencing the environment and strengthening the person’s ability to cope with the psychotic disorder.

The Symptom Focused Paradigm, where each symptom is emphasized, voice hearing, delusions/unusual assumptions or thought disorder or negative symptom.

CBT focuses of each symptom and explores individual experiences and beliefs related to symptoms

In therapy we aim to develop therapeutic alliance and to focus on educate and normalize the person’s psychotic symptoms by promoting the understanding of what a psychotic illness is and possible triggers.

The person should be encouraged to establish links between thoughts, feelings or behaviours and their current or past symptoms, and/or functioning as well as the re-evaluation of the perceptions and beliefs related to the target symptoms

 

Dialectical Behavioural Therapy

DBT was developed by Dr Marsha Linehan in the 1970’s, a psychology researcher at the University of Washington, to treat people with borderline personality disorder (BPD) and chronically suicidal individuals.

DBT combines Cognitive Behavioural Therapy with acceptance based strategies and, as revealed to be an effective evidence based treatment for people who self-harm, who have suicidal thinking, emergent or diagnosed personality disorders, depression and anxiety disorders, substance misuse and to change other patterns of behaviour that are not effective.

By using the DBT approach reviewed by Dr Linehan in the 1990’s, we will support our service users to work towards their recovery,  increase their emotional and cognitive regulation by learning about their own destructive cycles, triggers, feelings, thoughts and maladaptive coping mechanisms.

We aim is, to encourage people to turn uncontrolled behavior in controlled behavior, coaching clients in crisis and risk management, validate and accept their emotions in response to different life events such as abuse or trauma and build up healthy and even enjoyable coping mechanism to their future.

Dialectical Behavioural Therapy works for:

  • Self-Harm;
  • Suicidal ideation;
  • Emergent personality disorders;
  • Depression and anxiety disorders;
  • Mood disorders (e.g. bipolar);
  • OCD;
  • Those whit substance abuse disorder that have completed detoxification;
  • Eating disorders;
  • PTSD, in conjunction with CBT;
  • Conduct Disorders in conjunction with CBT and Anger Management;
  • Everyone who has an emotion regulation disorder.

 

CBT for Anger Management

Feeling angry is part of being human. It is an emotion and a natural response to events like, being attacked, insulted or frustrated and we can say that some of our anger responses can act as a safeguarding mechanism when they protect us from real harm or threaten.

However, in some cases experiencing anger results in being violent against others and self (conduct disorder and anti-social behaviours) and, it can be particularly hard for individuals to explore the causes of their anger.

We aim to help people to deal and explore the causes of their anger going through their feelings and past experiences and improve their responses to situations that may trigger that maladaptive response.

We want to help our service users to use their anger in constructive ways that don’t lead to responses that make things worse and that can put themselves and others in risk.

Cognitive Behaviour Therapy is a particularly practical approach to deal with anger issues and anti-social behaviour, however depending on each individual we may also benefit from TFCBT.

CBT for Anger Management works for:

  • Everyone who displays a pattern of disruptive and violent behaviour and have problems following rules;
  • When deceitful behaviour takes place, such as repeated lying, shoplifting, or breaking into homes or cars in order to steal;
  • When destructive behaviour takes place, such as intentional destruction of property such as arson and harming another person’s property;
  • When aggressive behaviour takes place, such as physical harm, fighting, bullying, being cruel to others, using weapons, and forcing another into sexual activity.