Does Five Session CAT Consultancy Lead to Improved Outcomes?

Amrit Sinha

Status: Unknown

Conditions: Psychological Intervention; Treatment as Usual

Treatments: Other: Five session cognitive analytic therapy (CAT) consultancy

Study type: Interventional

Funder types: Other

Identifiers

NCT03998072

160787

Details and patient eligibility

About

Five session CAT (Cognitive Analytic Therapy) consultancy was developed for patients whom services 'struggle to help', such as those with diagnoses of personality disorder. Five session CAT consultancy works with both patients and care coordinators, utilising key elements of CAT including reciprocal roles and reformulation to inform care planning and case management. The proposed study expands on the existing evidence base by utilising a comparator; a treatment as usual condition. The proposed mixed methods feasibility study will compare outcomes for both patients and care coordinators to assess the effectiveness of the intervention compared to controls in a community mental health team.

Enrollment: 24 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. they are indicated as unsuitable for individual therapy,
2. there is a poor or challenging relationship between the patient and the care coordinator(s)
3. the care coordinator(s) feels a sense of 'stuckness' with the case
4. the patient is chaotic

Exclusion criteria

1. actively psychotic
2. severely misusing substances
3. have poor appointment attendance
4. indicating that they are actively suicidal and unwilling to commit to trying to stay safe.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

---

24 participants in 2 patient groups

Intervention

Experimental group

Treatment:

Other: Five session cognitive analytic therapy (CAT) consultancy

Treatment as usual (waiting list control)

No Intervention group