The framework describes the various
activities which need to be brought together in order to carry out CBT
effectively, and in line with best practice.
It is helpful to bear in mind that CBT is guided by a knowledge base and a philosophy, and that its techniques flow from this. Practitioners need to understand the rationale for what they are doing, and not treat CBT as a set of techniques. One of the most important features of CBT is that it is intended to be collaborative - the client is encouraged to share responsibility for the work, and to be an active co-participant in their therapy. A second principle is that, although a structured therapy, it works best if therapists consistently maintain a sense that clients need to understand themselves through a process of ‘guided-discovery', so that they find out about themselves for themselves. This leads to third principle, which is that CBT should help clients learn skills which enable them to cope with future adversity in a more effective way.
CBT is an approach that is intended to help clients to take stock of the way they behave and the way they think about themselves and others, and to see whether there are alternative perspectives and actions that could be more useful to them. It is not about correcting "faulty" thoughts or thinking positively.
The framework locates competences across five domains. This is intended to help users see how the various activities fit together. It is not a hierarchical model, with some domains being more important or requiring more skill than others. Any intervention will require clinicians to bring together knowledge and skills from all domains. This observation applies both to "low-intensity" intervention (such as guided CBT self-help for depression) and to "high-intensity" interventions (such as Beck's CBT model for depression).
The site contains
- background documents that explain how to use the framework
- a version for clinicians/ commissioners
- a version for service users
- the framework itself - the "map" of competences and the full list of competences
It is important to read the background documentation before making
use of the map and the competence, as this will help you to understand
the thinking behind the framework
Click here to visit the visit the CORE CBT Competences Site