CoNsultant Profile A narrative of career pathway: I qualified as a mental health nurse in Nottingham in 1989 and worked as a staff nurse on a psychiatric acute admission ward for 12 months. As a student nurse I completed a specialist placement in behavioural psychotherapy with Steve Regel and this is where the seeds of my immense passion for behavioural and cognitive therapies’ were sown. In 1990, with mentorship from Steve Regel and the support of the then Director of Nursing Sam Nullatamby, I was seconded on the ENB 650 Adult Behavioural Psychotherapy course in Sheffield. This was an eighteen month full time training exclusively for nurses in behavioural treatments for anxiety disorders. As part of my training she spent a year working in Doncaster where I was introduced to Rational Emotive Behaviour Therapy (REBT), sparking my interest in cognitive therapy. Anne Garland Nurse Consultant Psychological Therapies Clinical area and responsibility: Clinical Lead for Specialist Depression Service Line manager: Tom O’Reilly delegated by Jane Marlow Directorate: AMH Division: Local Services Base address: St. Ann’s House, 114 Thorneywood Mount, Nottingham, NG3 2PZ 0115 8440517 Email: [email protected] Top areas of impact: nClinical expertise in cognitive therapy for chronic and recurrent depression nNational profile as CBT trainer and researcher in area of chronic and recurrent depression and published widely in the field Top areas of commitment: nImplementation in Adult Mental Health (AMH) of NICE recommended pharmacological and psychological treatments for chronic and recurrent depression through the specialist depression service nRepresent the clinical voice of the nursing profession on the Local Services Senior Management Group (SMG) which meets fortnightly I then returned to work as a clinical nurse specialist in CBT in Nottingham in a split post between Nottingham Psychotherapy unit and the Psychiatric Day Hospital at QMC. Finding the clinical presentations challenging and the behavioural training of only limited benefit I funded myself and completed the Oxford Certificate in Cognitive Therapy, a one year part-time course. Having completed this I moved to work in the Leicester Behavioural psychotherapy Service. I was keen to become involved in research and in 1994 secured a post in the Department of Psychiatry at the University of Newcastle upon Tyne as a cognitive therapist in an MRC funded two-centre, four year RCT of cognitive therapy for chronic depression. Newcastle is a centre of excellence internationally for cognitive therapy and I worked closely for six years with Professor Ivy Blackburn, (the woman who brought cognitive therapy to the UK) and Professor Jan Scott (who conducted the first British RCT of cognitive therapy for chronic depression). I was also involved in delivering the Newcastle Postgraduate Diploma in Cognitive Therapy. In 1999 I moved to Salford to set up the Mental Health Services of Salford Postgraduate Diploma in Cognitive Therapy. After a year in this post I took up a position at the Glasgow Institute for psychological Interventions (GIPSI) where I worked with Professor Chris Williams to deliver the first wave of Living Life to the Full training, a CBT assisted self-help Programme to equip staff with basic CBT skills to work with anxiety and depression. In 2001 I returned to Nottingham to take up my current post. In 2008 I completed the University of Oxford Masters in Advanced Cognitive Therapy Studies and at present I am studying for a PhD. During my career I have represented the profession of nursing in a number of roles: n1994-1998: Secretary to RCN CBT Forum n1995 to date: Nurse representative to the British Association of Behavioural and Cognitive Psychotherapies (BABCP) Accreditation and Registration Board n1996-2003: RCN representative to the British Psychological Society Complaints and Disciplinary Committee n1998: Mental Health nursing representative to the UKCC (now NMC) specialist nursing practice workshops. n2003-2005: President of the BABCP Awards: n2004: Awarded Nottinghamshire Healthcare NHS Trust Lifetime Achievement OSCAR n2008: Distinguished Visitor Award from the School of Nursing, University of Auckland, New Zealand. Invited and funded to deliver a 2 week programme of workshop and seminars. The first nurse to receive this in the history of the award. A description of specialism: Anne’s area of specialism is using cognitive and behavioural psychotherapies in the treatment of depression. She is the clinical lead for the AMH Specialist Depression Service. This service operates a collaborative care model where CBT therapists and psychiatrists work collaboratively to deliver NICE recommended pharmacological and psychological treatments for chronic and recurrent depression. The service has emerged from the CLAHRC Mood Disorder Randomised Controlled Test (RCT) (2009-2013) for which Anne and Professor Richard Morriss were joint grant holders. The study demonstrated the specialist depression service was significantly more effective than treatment as usual. The Trust has now established a small but permanent service.
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