An Improving Access to Psychological Therapies (IAPT) service in England has implemented cognitive analytic therapy guided self-help (CAT-GSH) alongside cognitive behavioural guided self-help (CBT-GSH) in order to support enhanced patient choice. This study sought to explore the acceptability to psychological wellbeing practitioners (PWPs) of delivering CAT-GSH.

This study used a qualitative design with semi-structured interviews and associated thematic analysis (TA). A sample of n=12 PWPs experienced in delivering CAT-GSH were interviewed.

Five over-arching themes (containing 12 subthemes) were identified and conceptually mapped: (a) the past-present focus (made up of working with clients’ pasts and the different type of change work), (b) expanding the treatment offer (from the perspective of PWPs and clients), (c) the time and resources required to effectively deliver CAT-GSH (to enable safe and effective delivery for clients and personal/professional development for PWPs), (d) understanding CAT-GSH (made up of confidence, learning new therapeutic language/concepts and appreciating the difference with CBT-GSH) and (e) joint exploration (made up of therapeutic/supervisory relationships and enhanced collaboration).

CAT-GSH appears an acceptable (but challenging) approach for PWPs to deliver in IAPT services. Services should prioritise training and supervision for PWPs to ensure good governance of delivery.

英格兰的一项改善心理治疗 (IAPT) 服务已实施认知分析治疗指导自助 (CAT-GSH) 和认知行为指导自助 (CBT-GSH)，以支持增强患者的选择。本研究旨在探索心理健康从业者 (PWP) 提供 CAT-GSH 的可接受性。

本研究采用半结构化访谈和相关主题分析 (TA) 的定性设计。采访了在交付 CAT-GSH 方面有经验的n = 12 个 PWP样本。

确定了五个总体主题（包含 12 个子主题）并在概念上进行了映射：（a）过去-现在的重点（由处理客户的过去和不同类型的变革工作组成），（b）扩大治疗方案（从 PWP 和客户的角度来看），(c) 有效交付 CAT-GSH 所需的时间和资源（为客户提供安全有效的交付和 PWP 的个人/专业发展），(d) 了解 CAT-GSH（制定信心，学习新的治疗语言/概念并欣赏与 CBT-GSH 的差异）和（e）联合探索（由治疗/监督关系和增强的协作组成）。

CAT-GSH 似乎是 PWP 提供 IAPT 服务的一种可接受（但具有挑战性）的方法。服务应优先考虑对 PWP 的培训和监督，以确保良好的交付治理。