Abstract
The evidence base demonstrating the effectiveness of psychological therapies has grown significantly in the last 20 years. These interventions now feature strongly in both NICE and SIGN guidance. Improving access to these evidence-based psychological therapies is a major priority in mental health services. There is recognition that psychologists and accredited psychological therapists cannot and should not be the sole providers of psychological interventions. By introducing skill mix there is scope to increase capacity in the wider staff resource. A number of projects in one NHS board in Scotland aimed at improving access to all levels of psychological expertise. This included a redesign of community adult mental health services, an increase in the delivery of training, the establishment of psychological therapies-focused clinical supervision and other governance systems for the delivery of psychological interventions.
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