Piloting an adapted intervention with Primary Care
Mental Health Teams in Bradford
Shaista Meer
Ghazala Mir
Alina Serafin
September 2012

Contents
PROJECT BACKGROUND .................................................................................... 5
Introduction ......................................................................................................... 5
METHODS .............................................................................................................. 6
Advisory groups .................................................................................................. 6
Literature review .................................................................................................. 6
Key Informant interviews ..................................................................................... 7
Synthesis ............................................................................................................ 7
Client considerations ........................................................................................... 8
Training and recruitment of therapists ................................................................. 9
Field-testing the intervention ................................................................................... 9
Recruitment and retention of participants .......................................................... 10
Client demographics ......................................................................................... 12
Therapy sessions .............................................................................................. 13
Depression measures ....................................................................................... 13
Therapist adherence ......................................................................................... 13
Supervision ....................................................................................................... 14
Participant interviews ........................................................................................ 15
Analysis ................................................................................................................ 15
FINDINGS ............................................................................................................ 15
Therapist adherence to the manual ................................................................... 15
Key themes from participant interviews ............................................................. 16
Spiritual understandings of health, illness and depression ................................ 18
Consistency with client values .......................................................................... 19
Client-therapist match ....................................................................................... 19
Therapeutic tools ............................................................................................... 22
Sensitivity to support and resources available .................................................. 25
Social context .................................................................................................... 26
Training issues .................................................................................................. 30
Supervision ....................................................................................................... 31
Depression measures ....................................................................................... 32
Practical considerations ........................................................................................ 33
RECOMMENDATIONS ............................................................................................ 34
References ............................................................................................................... 38
Appendix 1: Extract from the client booklet .............................................................. 40
Appendix 2: Recruitment flow chart .......................................................................... 41
Appendix 3: Participant recruitment ......................................................................... 42
Appendix 4: Adherence checklist ............................................................................. 43
Appendix 5: Languages spoken by service users .................................................... 46
Appendix 6: Depression Scores Data....................................................................... 47



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