GBO End of year review 2020

First of all, we hope all of you are managing to stay safe and well and, for those of you who are on holiday, we hope you have had a good break.  It has been an unprecedented year in all sorts of ways: some very difficult (COVID-19), challenging (Brexit), others terrifying (the climate emergency), and some more hopeful of a brighter future (Black Lives Matter). Personally, I remain optimistic and hope and expect 2021 will be a year of recovery and regeneration. I have no wish for things to return to ‘normal’ but I do wish for the world to emerge different and better. How we achieve this, is by listening to new and seldom heard voices who can shed light on new ways of being and new ways of thinking. 

This is needed in the world of mental health every bit as much as in every other aspect of our lives. This is where the GBO has a small, but significant part to play in the new recovery. For those of you who work with the GBO tool, you will know that it is primarily a tool to facilitate better collaborative working. It generates a discussion about what the aims of the work together might be, it gives focus to the joint work between therapist and client and, most importantly of all, it invites us to hear the voice of the other.  The numbers generated, in rating the tool, should always be seen as an invitation to a conversation, to help understand the other’s view of progress and facilitate a discussion to help continue the work together. The numbers are also a useful by-product, that can be used to build practice-based evidence to show which interventions work in real world settings. 

The GBO is a feedback tool that also has its uses as an outcome measure. An outcome measure that tracks progress on the thing most important to the client and not the things that (predominantly white, western, male) academics feel we should measure. Admittedly, such ideographic tools create some headaches for statisticians, but this is for us to work out how best to make sense of what is important, rather than to measure what is easy. Part of the new recovery will necessitate us doing things differently, doing what is right, even though it might be hard, rather than doing what is easy, because this is what we have always done.

It has been an unprecedented year in the life of the GBO. In the UK, the GBO remains one of the most popular tools across child mental health services, well-liked by practitioners and clients.  2020 saw it become an officially mandated metric in the NHS Digital’s dataset, after a protracted trial period. Thousands of new practitioners are being trained in using the tool as part of the NHS new workforce strategy. To complement the traditional paper-based versions of the tool, and to meet with the demand as most therapy services went on-line, an interactive PDF version of the GBO was developed. Alongside this there have been interesting developments in digital versions of the tool: with permission, it is been incorporated into the Anna Freud Centre’s POD system and there has been an interesting pilot using client generated avatars in Herefordshire and Worcestershire Health and Care NHS Trust (a paper should be published in early 2021). Also of course, there is the longstanding research collaboration with CORC and the usual string of papers including the use of the GBO in paediatric settings, and commissioned paper for a special edition of the Journal of Clinical Psychology. 

The GBO is licensed under Creative Commons, meaning it is free to use by anyone, anywhere, always. Its development is entirely self-funded and it remains assertively independent of any organisation or institution. This freedom of use, along with its utility, have led to a global uptick in interest and use of the tool. It has now been translated into 7 different languages and we hope to add more in 2021. We were particularly pleased to enlist help to translate the tool into Russian, following a visit in late 2019 to the XVI European Congress of Psychology in Moscow. This has led to an international reach like never before: in the past year, there has been interest in the tool and its philosophy, across five continents (see the map below). Despite the COVID crisis leading to many plans being postponed – notably a collaboration with Western Australia, many initiatives have gone ahead, despite the difficulties, including: collaborations in Norway with the excellent BUP and University of Northern Norway, the submission of a promising research proposal in Aahus, Denmark, and the finalising of an implementation focused research trial with CHEO in Ontario, Canada.  

Global interest in the GBO in 2020

So, what of 2021? We are excited that we will finally see the GBO take centre stage at the postponed, first, international CAPA conference hosted by our colleagues in Nova Scotia, Canada in May, albeit virtually. A new chapter is in progress on a book on Low Intensity Interventions in child mental health settings, (COVID permitting) there will be face-to-face workshops in Norway and Australia, and work continues on an Italian translation of Cooper & Law (eds) (2018) ‘Working with Goals in Psychotherapy & Counselling’ OUP.

We want to end with a big ‘thankyou’ to all of you who have shown interest in the GBO and recognise its value. We would love to hear from you about your experiences of using it, as practitioner or client, feel free to get in touch with us using the contact form below. We would love to hear your tips, ideas, struggles and successes. Also, if you can help with translations of the form, we would love to hear from you too – we would particularly like to make the tool freely available across Africa and India – if you can help with Swahili, Urdu, Hindi, Gujarati translations etc. get in touch.

Finally, we wish you all a safe, successful and happy 2021; we hope you are able to make progress towards the goal of a better and brighter new future for ALL. 

GBO guidance – back in print!

Now back in print!

We are pleased to announce that the GBO Guide is now back in print! This is the third print run since Feb this year. Please contact us below if you want hard copies or you can download PDF version for free here

Child friendly adaptations of the GBO by Livvy Hall, Great Ormond Street Hospital

Livvy Hall, a Clinical Psychology trainee has adapted the GBO into a more child friendly version. The adaptation was developed whilst Livvy was on placement at Great Ormond Street Hospital (GOSH).

This first adaptation is aimed at children aged 8 years old and under but may be helpful with older children to and those children who find visual cues more helpful than verbal instructions.

fig 1. Detail from the GOSH adaptation of the GBO for children aged 8 and under

PDF versions of the under 8s adaptation can be downloaded here

There is also a version aimed at 8 – 13 year olds

fig 2. Detail from the GOSH adaptation of the GBO for 8 – 13 year olds

PDF versions of the 8 – 13 adaptation can be downloaded here

The adaptations were made with permission from Duncan Law, the developer of the GBO. Like all the other GBO tools, the GOSH adaptations are licensed under ‘Creative Commons’ meaning it is free to download and use by anyone.

Cultural differences in goal-setting and GBO: please share your experiences

Goal-oriented practice and the use of the goal-based outcomes (GBO) tool has spread to a range of settings in physical and mental health in recent years.  It is used across Europe and in North America, Japan and Australasia and is being translated into different languages.  This spread means that the practice and the tools are increasingly being used across different cultures.  

We would like to hear from you about your personal and clinical experiences of using the GBO or goal-oriented practice with people across different cultures.

We are interested in things like:

  • What have you experienced in terms of different cultural attitudes to goal setting?
  • What ideas or techniques have you found helpful in explaining goals and the GBO?
  • What differences have you noticed in the sorts of goals that are set across different cultures?
  • What differences are there in peoples understanding of the concept of goals, goal-setting and rating goal progress?
  • What experiences have you had using the GBO with translators?

Please share your experiences via the ‘leave a reply’ link below or via the ‘contact’ page

Goal-based outcomes (GBOs): Version 2.0 available to download here

The goals-based outcomes (GBOs) tools have been updated.  The forms have the same content to previous versions but have been made clearer and easier to use.

GBOs

They are relaunched under a Creative Commons License BY-NC-SA 4.0 making them free to share and use by anyone, for none commercial purposes, with appropriate attribution to Dr Duncan Law.  All three charts are available to download free of charge by clicking this link GBO version 2 March 2018 FINAL

Guidance on using the tools is available to download here

If you want to share your experiences of using GBOs please contact us via the contact page and we will consider publishing it as a blog

This page can be used to record therapy goals:

GBO pg2

This page can be used to track progress in sessions:

GBO pg3

This page can be used to track progress across sessions:

GBO pg1