Dr-B-McCrum Low IntensityPsychologicalInterventions PC

8/9/2019 Dr-B-McCrum Low IntensityPsychologicalInterventions PC

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cCBT Treatment

Beating the BluesUltrasis


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Why cCBT?

CBT recommen e y NICE for an iety

an epression (2004) NICE Technology Appraisal (TA097, 2006)

Beating the Bluesan Fearfighter

D requirement: all English PCTs tooffer packages y 31st March 2007


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Beating the Blues (BtB)

Beating the Blues is a computerise cognitiveehavioural therapy (cCBT) programme for epression

an an iety. It has een shown to e a cost effective antime efficient way of helping people suffering from thesecon itions to get etter an stay etter.

Beating the Blues is an 8-session, self help treatmentesigne for use y patients with no previous computer

e perience.

During the 8-session programme users i entify specificpro lems an realistic treatment goals.


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Compu e e CBT in Primary Care

Mild/Moderate anxiety and depression

6 GP Practices in Northern Trust Referral criteria established

Psychology assistant supported

Risk monitored

Evaluated effectiveness and acceptability


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CCBT (BtB)CCBT (BtB) -- suit bility crit risuit bility crit ri

Age 18 - 75

Mil to mo erate epression /an iety (BDI /BAI)

E ten e to inclu e severe epression an

an iety if no active suici al i eation.

No history of attempte suici e

No recent trauma

No PTSD

No i entifie CSA

No current a iction pro lem


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Depression categories

Minimum N = 40 (13.33%)

Mild N = 32 (10.66%)Moderate N = 65 (21.66%)

Severe N = 163 (54.33%)


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Anxiety categories

Minimum N = 33 ( 11%)

Mil N = 75 (25%)

Mo erate N = 76 (25.3%)

Severe N = 116 (38.66%)


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29.21

25.29

19.85

16.29

14.0212.32

10.72

0

5

10

15

20

25

30

Pre 1st 4th 8th 1/12f.u. 3/12 f.u.6/12 f.u.Depression

Depression Scores (BDI)


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22.72

18.5316.73

13.8612.3

11.269.52

0

5

10

15

20

25

pre 1st 4th 8th 1/12

f.u

3/12

f.u

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f.u. Anxiety

An iety scores (BAI)


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C.O. .E.

.

.

.

. . . . .


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Online CBT course

Living life to

the full


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www.livinglif t th full.c m

One of the top 4 we portals for mental health

Times Newspaper


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6,391

4,298

NO

YES

CURRENTLY INVOLVED WITH ENTALHEALTH ERVICES


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Online T c rse J int r ject: H ri r r e nd

H T s c l ept.

Inf r ti n t ll G s ( ppr x ) inrt ern Tr st (pop: , ) on seof

course

Referr l d ice Infor tion topatients

- ail support ser ice

- ail deli ered evaluation


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Evaluation framework Course usage

elpful

Unhelpful

What has change ?

oals achieve ? Useful


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Delivering self-help: What o weknow?

ui e self-help more effective than

psychoe ucation

Support is require

Monitoring/encouragement is all that is

nee e no nee to a therapy No links etween num er of sessions an

outcome


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Delivering self-help: What o weknow?

Support either y telephone or

face-to face Important factor is a ility to

engage/support

Book- ase self-help as effectiveas cCBT

ellatly et al, 2007

Williams an Martinez, 2008


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Matche Care vs.

Steppe Care?

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Dr-B-McCrum Low IntensityPsychologicalInterventions PC