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Funded consultancy is underway with University of Washington and Washington State to implement Low-Intensity CBT into the state healthcare system. Change in the legislature has been secured to recognise supported low-intensity CBT as an approved psychological therapy. 

Further work will begin to consider wider implementation issues with service providers and other professionals. Once implemented there is opportunity for wider research looking to adapt the Cedar low-intensity CBT interventions for the state context and accommodate different populations in the diverse state. 

Project Lead: Professor Paul Farrand

Funded consultancy continues with Uppsala University on a range of projects adapting and evaluating low-intensity CBT interventions for a range of informal carer groups. These include parents of children being treated for cancer, informal carers of people with milder forms of dementia and for people with renal failure. 

The dementia research has adapted funded research undertaken with Cedar and extended it into the Swedish context that has needed to address professional implementation barriers. The research is now being located in community groups where informal carers are being supported by trained peers to support a behavioural activation intervention for people with mild dementia and low mood. 

Project Lead: Professor Paul Farrand

Within the renal failure context, funded development work has developed a competency framework for a new apprenticeship role, Assistant Wellbeing Practitioner (Renal), soon to be published. This work attracted additional funding from the Kidney Association to employ a Band 3 Healthcare Assistant to apply competencies within the renal speciality to be evaluated. Following evaluation, work has potential to inform an apprenticeship training programme to develop a variation on the Healthcare Assistant Practitioner apprenticeship. 

This work has also served to involve Cedar with funding from the Marie Sklodowska-Curie Fellowship, which is European-wide research funding to promote collaboration between Universities supporting a PhD student, Chelsea Coumoundouros. Chelsea will be joining Cedar for a 3-month sabbatical undertaking multidisciplinary working with a Consultant in Renal Medicine, specialty allied health professionals and the Improving Access to Psychological Therapies Step 2 workforce to examine barriers to implementation focussed on supporting emotional wellbeing in informal carers. 

Project Lead: Professor Paul Farrand

The Cedar low-intensity CBT interventions are the most commonly used in IAPT services in England and widely used across the world. Following evaluation currently under review for publication, NHS Improvement (NHSI) has sought approval to translate the Cedar interventions into nine languages to help improve access to people with English as a second language or struggle to engage with interventions in English. NHSI are currently in discussion with the University Design team to receive funding to help adapt the interventions around the translations. 

Cedar is also soon to engage in discussion with NHS Every Mind Matters who have requested use of the Cedar interventions for their programme, with adaptations to consider to be consistent with the programme. Requests were also made to translate the Cedar interventions info French Canadian for use within Quebec, Canada. Interventions have now been adapted for all provinces with a model of support based around mental health social workers being developed. Collaborative research opportunities to evaluate this approach with University of Laval are being discussed. 

Project Lead: Professor Paul Farrand