Care in High Volume

Care in High Volume

A Pragmatic Guide to Low Intensity Psychological Therapy

1st Edition - January 1, 2023

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  • Authors: Elizabeth Ruth, James Spiers
  • Paperback ISBN: 9780323884921

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With the growing mental health crisis there is a need for efficient and effective treatment options for patients. Low Intensity therapy is a form of Cognitive Behaviour Therapy (CBT) used to treat mild to moderate mental health problems, through various therapy models (including supported self-help). Care in High Volume: A Pragmatic Guide to Low Intensity Psychological Therapy provides an insider’s guide to Low Intensity CBT (LI CBT). This book describes IAPT’s role as part of a healthy multi-disciplinary system, providing both social support and mental health treatments. The authors use a series of case vignettes, discussions and a review existing literature to help navigate through LI CBT.

Key Features

  • Reviews efficacy research on low intensity CBT
  • Identifies how to implement LI CBT in group and individual sessions
  • Discusses the benefits and pitfalls of IAPT
  • Includes case vignettes as examples
  • Explores expanding LI CBT to other regions and populations, including children


IAPT trainee, Clinical Psychologist, CBT trainees; Supervisors

Table of Contents

  • 1. The Origin and Challenges of IAPT and Low Intensity CBT
    2. Defining success through routine outcome monitoring.
    3. The Fit of Low Intensity CBT with other Psychological Professions
    4. Working inclusively with social differences.
    5. Vicarious Trauma and Clinician Burnout in Low Intensity CBT.
    6. Increasing Access Through Digital Therapy Delivery
    7. The role of Low Intensity CBT in Wider Health and Social Care Systems
    8. Staff Wellbeing and Retention
    9. Translating the English IAPT Context to Other Settings Worldwide.
    10. Developing as a Low Intensity Therapist and Beyond.
    11. A Summary of Key Messages and Action Points

Product details

  • No. of pages: 250
  • Language: English
  • Copyright: © Academic Press 2023
  • Published: January 1, 2023
  • Imprint: Academic Press
  • Paperback ISBN: 9780323884921

About the Authors

Elizabeth Ruth

Elizabeth has worked as a Psychological Wellbeing Practitioner in IAPT for ten years and has specialized in adapting Low Intensity CBT for Chronic health conditions. She has produced numerous self-help leaflets and booklets for her team and is the author of notaguru. blog, a candid account of the realities of low intensity work in IAPT. Twitter: @notapwpguru

Affiliations and Expertise

Formerly Psychological Wellbeing Practitioner, IAPT

James Spiers

James completed his Psychological Wellbeing Practitioner training in 2017 and has worked in various IAPT services as a low intensity therapist and clinical supervisor. He has presented at numerous local and regional forums on patient experience and staff wellbeing including more recently at the British Association for Cognitive and Behavioural Psychotherapies (BABCP) annual conference in Bath 2019. James is currently a second-year trainee Counselling Psychologist at York St John University and is researching barriers to inclusion in psychotherapy services for minority groups as his doctoral thesis which should be completed in 2021, prior to publication of the book.

Affiliations and Expertise

Psychological Wellbeing Practitioner, IAPT services, Low Intensity Therapist and Clinical Supervisor

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