3.2.5 CBT evaluation social implications

Question 1

What is a social implication of CBT in terms of geographical location of a patient

Answer 1

Availability of CBT is dependant on geographical catchment

Question 2

Why is the availability of CBT dependant on geographical catchment

Answer 2

NHS in England is organised into trusts where each trust provides services for a particular area. All of these trusts manage their own budgets

Question 3

What variations between geographical locations can be seen

Answer 3

The number of people offered CBT can range from 67% to just 14% with an average of 50% not being offered CBT by their trust

Question 4

What issue does offering of CBT being based on geographical location raise

Answer 4

Not everyone has equal access to treatment which is what the NHS is all about

Question 5

What can CBT provide for schizophrenics even though it cant provide a cure

Answer 5

Helps schizophrenics develop the skills needed to cope with the symptoms

Question 6

What is the reason CBT isn’t widely available on the NHS

Answer 6

COST - CBT is very expensive treatment

Question 7

What did Kuipers et al find about the economic impact of CBT

Answer 7

Costs involved in delivering CBT were likely to be offset by the reduces the need for emergency treatment in the future as it has relatively long success rates

Question 8

What does this suggest about the economics of CBT

Answer 8

Use of CBT is initially costly, but in the long term makes a saving as individuals are less likely to need emergency physciatric treatment.

Question 9

What is one problem with Kuipers findings about the economic implications

Answer 9

Trusts budgets often only allow them to deal with immediate care requirements so they cant look at long term requirements. trusts do not balance long term and short term costs