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Working with clients with Diabetes Evidenced Based Psychological Skills Training

Positive Diabetes ™ is a training package for staff on the application of CBT to the negative thinking frequently experienced by Type II patients in their struggle to establish healthy lifestyle changes such as regular glucose monitoring, diet and exercise. Additionally CBT is a NICE recommended treatment for depression which has recently been identified as an under recognised problem for patients with diabetes.

Positive Diabetes ™ is an adaption of the Certificate in CBT (Introductory course), specifically for the diabetes field. The Certificate was the first CBT course in the UK to be Approved by The British Psychological Society Learning Centre. Apart from providing an introductory training in CBT, the course also addresses specific diabetes issues such as how to adapt CBT in the face of patient passivity or hopelessness towards health behaviour change and its specific application to dietary changes, exercise and medication compliance. The course is available as a 4 day training package. (“Stripped down” CBT training as applied to the diabetes field is also available as one and two day training events. Follow up telephone and email supervision packages are also available on request).

Change ™ is a training package for staff on the application of Brief Solution Focused Therapy (SFT) to changing poorly complying diabetic behaviour.

The evidence base for an effective use of SFT has been well established for towards a decade e.g. Viner et al (2003), Hill-Briggs (2007), Nansel (2007) A strengths based approach, often described as “Motivational Interviewing with more tools”, Change ™ provides a 3 day training based on SDS’s extensive experience of Solution Focused training in this field to over 4000 delegates across the UK over the last five years. This intensely practical approach to helping patients overcome psychological difficulties is known for its particular advantages with resistant clients, those “in denial” about their condition or those who do not want to talk about their emotional distress in detail. Apart from basic training in Solution Focused skills, the course also addresses issues such as the adaption of the Miracle Question with diabetes patients and working with patients’ families. (“Stripped down” Solution Focused training as applied to the diabetes field is also available as one and two day training events. Follow up telephone and email supervision packages are also available on request)

Overcome ™ is a 2 day Motivational Interviewing (MI) training package for staff designed to provide the necessary MI skills to help patients overcome motivational problems that interfere with their compliance with diabetic treatment recommendations – whether medication compliance, exercise or glucose monitoring.

Specifically developed MI techniques for use with diabetes such as Agenda Setting are taught to delegates along with the application of general MI skills to the specific issues of diabetes such as working with ambivalence and eliciting change talk.
Apart from such basic MI training as applied to diabetes the course also gives delegates ample opportunity to raise difficult cases they are currently working with and to develop strategies for increasing client motivation.

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