here - Mental Health Clinicians

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: anne.garland@nottshc.nhs.uk
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.