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@Home eTherapy Service for People with Common Mental Health Problems: an Evaluation

Published online by Cambridge University Press:  16 May 2017

Judith Gellatly*
Affiliation:
University of Manchester, Manchester, UK
Leanne Chisnall
Affiliation:
Self Help, Manchester, UK
Nic Seccombe
Affiliation:
Self Help, Manchester, UK
Kathryn Ragan
Affiliation:
Self Help, Manchester, UK
Nicola Lidbetter
Affiliation:
Self Help, Manchester, UK
Kate Cavanagh
Affiliation:
University of Sussex, Falmer, UK
*
Correspondence to Judith Gellatly, Division of Nursing, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester M13 9PL, UK. E-mail: [email protected]

Abstract

Background: Ensuring rapid access to psychological interventions is a priority of mental health services. The involvement of peer workers to support the delivery of more accessible treatment options such as computerized cognitive behaviour therapy (CCBT) is recognized. Aims: To evaluate the implementation of a third sector remote CCBT @Home eTherapy service for people experiencing common mental health problems supported by individuals with lived experience. Method: Supported CCBT packages with telephone support were delivered over a 30-month period. Self-complete measures identifying levels of depression, anxiety and functioning were administered at each treatment appointment. Results: Over 2000 people were referred to the @Home eTherapy service; two-thirds attended an initial assessment and 53.4% of referrals assigned to CCBT completed treatment. Statistically significant improvements in anxiety, depression and functioning were found, with 61.6% of treated clients meeting recovery criteria. Conclusions: The service meets Improving Access to Psychological Therapies (IAPT) key performance targets, and is comparable to other IAPT services using CCBT. Evidence for the successful implementation of such a service by a third sector organization is provided.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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References

Bailie, H. A. and Tickle, A. (2015). Effects of employment as a peer support worker on personal recovery: a review of qualitative research. Mental Health Review Journal, 20, 4864.Google Scholar
Cavanagh, K., Seccombe, N. and Lidbetter, N. (2011). The implementation of computerised cognitive behavioural therapy in a service user-led, third sector self-help clinic. Behavioural and Cognitive Psychotherapy, 39, 427442.Google Scholar
Delgadillo, J., McMillan, D., Lucock, M., Leach, C., Ali, S. and Gilbody, S. (2014). Early changes, attrition, and dose-response in low intensity psychological interventions. British Journal of Clinical Psychology, 53, 114130.Google Scholar
Department of Health (2008). Improving Access to Psychological Therapies (IAPT) implementation plan: national guidelines for regional delivery. London: Department of Health.Google Scholar
Faulkner, A. and Basset, T. (2012). A helping hand: taking peer support into the 21st century. Mental Health and Social Inclusion, 16, 4147.Google Scholar
Fuhr, D. C., Salisbury, T. T., De Silva, M. J., Atif, N., van Ginneken, N., Rahman, A., and Patel, V. (2014). Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 49, 16911702.Google Scholar
Gellatly, J., Bower, P., Hennessy, S., Richards, D., Gilbody, S. and Lovell, K. (2007). What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychological Medicine, 37, 12171228.Google Scholar
Health and Social Care Information Centre (HSCIC) (2016). Psychological Therapies: Annual Report on the Use of IAPT Services. England, 2015–16.Google Scholar
Mahlke, C. I., Krämer, U. M., Becker, T. and Bock, T. (2014). Peer support in mental health service. Current Opinions Psychiatry, 27, 276281.Google Scholar
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