Publisher BACP, BACP House, 15 St John’s Business Park, Lutterworth LE17 4HB Tel 01455 883300 Fax 01455 550243 email hcpj.editorial@bacp.co.uk Contents Disclaimer The views expressed in HCPJ are not necessarily those of BACP Healthcare or its members, or of BACP. 1 2 HCPJ is the quarterly professional journal for counsellors and psychotherapists in health care. Subscriptions The journal is sent free to BACP Healthcare members. For subscription queries telephone 01455 883300 or email membership@bacp.co.uk Editor Dr Penny Gray hcpj@pennygray.com Associate Editors Rachel Freeth, psychiatrist and counsellor Peter Jenkins, Senior Lecturer in Counselling Studies, Salford University Ewan Davidson, primary care counsellor and healthcare counselling tutor Sarah Hovington, primary care counsellor and BACP Healthcare Executive Member Editorial Early psychosocial interventions in dementia Evidence is growing of the benefits of psychosocial interventions early in dementia. Now we need to translate this into practice, writes Esme Moniz-Cook 3 4 Cover image Shutterstock British Association for Counselling and Psychotherapy ISSN 1475-0724 26Training nurses to deliver post-diagnostic dementia support Counselling skills training can make a big difference to nurses’ ability to address difficult issues following a dementia diagnosis, according to research by Dot Weaks and colleagues Printer Page Bros Copyright Apart from fair dealing for the purposes of research or private study, or criticism or review, as permitted under the UK Copyright, Designs and Patents Act 1988, no part of this publication may be reproduced, stored or transmitted in any form or by any means without the prior permission in writing of the publisher, or in accordance with the terms of licences issued by the Copyright Clearance Centre (CCC), the Copyright Licensing Agency (CLA), and other organisations authorised by the publisher to administer reprographic reproduction rights. Individual and organisational members of BACP only may make photocopies for teaching purposes free of charge provided such copies are not resold. Cognitive stimulation therapy for dementia has beneficial effects on both cognitive function and quality of life, say Elisa Aguirre and Martin Orrell Why counsel people with dementia? Production Jamie McCansh, Creative by Design, Paisley, Scotland Advertising For rates contact Jeannette Hughes tel 01455 883314 jeannette.hughes@bacp.co.uk therapy for dementia News Clients with dementia share the same difficult issues as others who come for therapy, writes Danuta Lipinska Design Fran Shall 22Cognitive stimulation 8 Counselling the relatives of people with dementia One-third of dementia caregivers fail to seek help, despite sometimes extreme difficulties. Yet a number of therapeutic interventions can be helpful for carers, writes Pamela Griffiths 12A psychodynamic perspective on dementia care Understanding and support for the difficult emotions that accompany dementia can help to reduce the burden of distress and improve care, writes Paul Terry 16CBT approaches in older adults: what the research tells us Cognitive behaviour therapy may be particularly well suited for those with early stage dementia and their carers, writes Ken Laidlaw 32Communication and personhood in advanced dementia A system of intensive interaction that focuses on the nonverbal communication capacities of people with advanced dementia appears to have great potential for supporting communication with those who care for them, according to Maggie Ellis and Arlene Astell 36Research matters writes Sara Perren 38Primary cares 39On the receiving end Finding the right therapist for me took years, writes Lisa Purvis 40Reviews 44BACP Healthcare update 45Forthcoming events Forthcoming events BACP regional events ‘Making connections; news, views, ethics and you’. Dates and locations: 5 July, Barceló Imperial Hotel, Torquay; 2 or 8 September, Glasgow; October, Wales; November, York; February 2011, Midlands; March 2011, Norwich. Dates/venues to be confirmed. For further information visit: www.bacp.co.uk/makingconnections or email sally.wigston@bacp.co.uk Trauma skills summer school Five-day programme for psychotherapists presenting some of the most recent developments in the treatment of traumarelated disorders. Each day offers two seminars lasting three hours, including a 30-minute break. Dates: 5–9 July. Venue: The Brunei Gallery, London WC1. For information visit: www.confer.uk.com/ bigidea.html, or tel: 01728 689090 or email info@confer.uk.com New Horizons One-day conference on implementing the recommendations for the national strategy: ‘a shared vision for mental health’, with sessions on: developing an evidence-based approach to improving wellbeing and mental health; early recognition and identification of depression in primary care; achieving inclusion through employment; commissioning for mental health and wellbeing. Date: 8 July. Venue: Manchester Conference Centre. Further information via Healthcare Events on 0208 8541 1399 or email: matt@healthcare-events.co.uk Lifepsychol 2010 Two-day conference designed to highlight the benefits of psychological management for people with long-term and lifethreatening conditions. Dates: 7–8 July. Venue: Grand Connaught Rooms, London WC2. For further details and to register visit www.lifepsychol.com or telephone 020 7554 4044. Impact on depression training Sainsbury Centre is running on-site training, adapted under licence from the Australian Beyondblue National Mental Health Programme, which takes one to four hours in the workplace. ‘Impact on depression’ is a proven, work-based programme that reduces the impact of depression and anxiety, minimising their effects on organisations. For details see: http://www.scmh.org.uk/ employment/impact_on_depression/ programmeevidence.aspx Short-term dynamic therapy for treatment-resistant clients: from failure and despair to health and hope Fifth congress of the International Experiential Dynamic Therapy Association (EDTA). Keynote presenter: Dr Jaak Panksepp. Dates: 15-18 July. Venue: Vancouver, BC, Canada. For details and to book visit: www.iedta.net Caring for older people: new approaches to provision and support For details and to book, visit: www.bacp. co.uk/research/SuPReNet/index.php or contact BACP Customer Services on 01455 883300 or email enquiries@bacp.co.uk Race equality in mental healthcare: 2010 and beyond One-day Westminster Policy and Practice briefing, providing a forum to consider current Government initiatives on delivering race equality in mental healthcare and the remaining key challenges that need to be addressed. Date and time: 13 October, 10.40am-3.15pm. Venue: Westminster, London. For information, visit: http://www. westminster-briefing.com/?p=12919 One-day Westminster Policy and Practice briefing, providing an opportunity to consider recent Government and opposition thinking and proposals over how to improve the care and funding pathways for older people. Participants will debate the implications for service providers and users, with an expert panel on issues such as: the key barriers to improving the system, and the role of early intervention. Date and time: 8 September, 10am-16.45 pm. Venue: Westminster, London. For information, visit: http://www.westminster-briefing. com/?p=11539 Next stages for the mental health strategy Working with suicide and suicidal ideation: assessment and risk assessment Improving dementia care A low-cost training day aimed at experienced counsellors, psychotherapists and counselling psychologists from all therapeutic modalities. Designed to take seriously the reality of suicide and enable practitioners to become skilled and supported in order that they can assess the indications, identify their limits and, if appropriate, work therapeutically with suicidal patients. Dates and locations: 17 September, Manchester; 26 November, London. For more information visit: www. cpc-online.co.uk and to book, tel: 01243 870701 or email cpc@cpc-online.co.uk Supervision and the therapist The second in an ESRC series organised by SuPRreNet, the organising theme of this seminar is an exploration of the ways in which therapists benefit from individual and group supervision. Date: 24–25 September. Venue: University of Leicester. This half-day seminar will assess the next stages for the New Horizons mental health strategy. Discussion will focus on reviewing its early impact, outlining the challenges that have been faced and how they have been addressed – and asking what further steps should be taken to improve public mental health. Date: 26 October, morning. Venue: Central London. Further details and booking via http:// www.westminsterforumprojects.co.uk/ forums/index.php?fid=westminster_ health_forum This half-day seminar will examine the effectiveness of the National Dementia Strategy, and what more can be done to make services more efficient and better value for money, and to increase the quality of dementia care. Date: 23 November, morning. Venue: Central London. Further details and booking via: http://www.westminsterforumprojects. co.uk/forums/index.php?fid=westminster_ health_forum Psychological therapies in the NHS: science, practice and policy The fourth annual conference examining the challenge and opportunity of evidence-based practice for the psychotherapy professions. Dates: 2-3 December 2010. Venue: Savoy Place, London. Further information via www. healthcare-events.co.uk or tel: 0208 8541 1399 or email: matt@healthcare-events. co.uk