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

2017 ◽  
Vol 46 (1) ◽  
pp. 115-120 ◽  
Author(s):  
Judith Gellatly ◽  
Leanne Chisnall ◽  
Nic Seccombe ◽  
Kathryn Ragan ◽  
Nicola Lidbetter ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Treatment Options ◽  
Third Sector ◽  
Health Problems ◽  
Initial Assessment ◽  
Successful Implementation ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Common Mental Health Problems

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.

MULTIPLE ACCESS POINTS AND LEVELS OF ENTRY (MAPLE): ENSURING CHOICE, ACCESSIBILITY AND EQUITY FOR CBT SERVICES

2000 ◽  
Vol 28 (4) ◽  
pp. 379-391 ◽  
Author(s):  
Karina Lovell ◽  
David Richards
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Developed Countries ◽  
Evidence Base ◽  
Health Problems ◽  
Behaviour Therapy ◽  
Face To Face ◽  
Cognitive Behaviour ◽  
Traditional Service ◽  
Common Mental Health Problems

Mental health problems contribute 23% to the global burden of disease in developed countries (WHO, 1999). In the U.K., recent legislation attempts to address this by modernizing mental health services so that they provide evidence based, accessible and non-discriminatory services for both serious and common mental health problems. Cognitive behaviour therapy (CBT) has a robust evidence base that fits very well with the thrust of policy. However, CBT's delivery systems are rooted in traditional service models, which pay little attention to the growing evidence base for brief and single-strand treatments over complex or multi-strand interventions. Services characterized by 9-5 working, hourly appointments and face-to-face therapy disenfranchise the majority of people who would benefit from CBT. In this paper we argue that the evidence exists for service protocols that promote equity, accessibility and choice and that CBT services should be organized around multiple levels of entry and service delivery rather than the more usual secondary care referral systems.

scholarly journals Understanding Black and Minority Ethnic service user's experience of racism as part of the assessment, formulation and treatment of mental health problems in cognitive behaviour therapy

2019 ◽  
Vol 12 ◽  
Author(s):  
Andrew Beck
Keyword(s):  
Mental Health ◽  
Cognitive Behaviour Therapy ◽  
Mental Health Problems ◽  
Cumulative Risk ◽  
Health Problems ◽  
Service Users ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Engagement Process ◽  
Minority Ethnic

AbstractExperiences of racism can be a cumulative risk factor for developing mental health problems. Cognitive Behaviour Therapists working with Black and Minority Ethnic (BME) service users should be confident in their ability to establish the necessary rapport to ask about these experiences and be able to incorporate this information into longitudinal formulations and as part of maintenance cycles. This paper sets out guidelines as to how to do this as part of a wider engagement process.

Cognitive behaviour therapy for adolescent offenders with mental health problems in custody

2011 ◽  
Vol 34 (3) ◽  
pp. 433-443 ◽  
Author(s):  
Paul Mitchell ◽  
Kirsty Smedley ◽  
Cassandra Kenning ◽  
Amy McKee ◽  
Debbie Woods ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behaviour Therapy ◽  
Mental Health Problems ◽  
Health Problems ◽  
Adolescent Offenders ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

scholarly journals Psychological Aspects of Diabetes

EMJ Diabetes ◽  
2020 ◽  
pp. 90-98
Author(s):  
Naseer Ahmad Bhat ◽  
Krishna Prasad Muliyala ◽  
Santosh Kumar Chaturvedi
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Aspects ◽  
Self Management ◽  
Diabetes Distress ◽  
Personality Profiles ◽  
Information Processing Speed ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

Diabetes is fundamentally a chronic metabolic disorder, yet it has established psychological connections and consequences. The present article offers an overview of some of the established findings with respect to the psychological aspects of diabetes among adults and adolescents. This narrative review describes the psychological impact of diabetes and the manner in which psychological functioning of the individual affects the development, management, and outcome of diabetes. Diabetes can lead to a great deal of distress, common mental health problems such as anxiety, depression, and sleep disorders, and can increase the risk of suicide. It also affects cognitive functioning across multiple domains such as attention, concentration, memory, executive function, and information processing speed. Diabetes is a burdensome life condition that significantly reduces quality of life. Personality characteristics can have both positive and negative impacts on self-management of diabetes, and some personality profiles, especially the distressed/Type D personality, are indicative of poor prognosis and greater chances of developing medical complications. Psychological interventions such as cognitive behaviour therapy, acceptance and commitment therapy, behavioural activation, and counselling strategies such as educational programmes, problem solving training, and motivational interviewing have proven very effective in coping with diabetes distress, managing comorbid mental health problems, and increasing adherence to self-care and antidiabetic behaviours. Additionally, yogic practices have also shown promising results for self-management of diabetes. Paediatric diabetes especially presents unique psychosocial challenges to patient management and affects academic performance of children and career choices of affected individuals.

New Dimensions in the OCD Spectrum: Autism, Pathologic Gambling, and Compulsive Buying

CNS Spectrums ◽  
1996 ◽  
Vol 1 (2) ◽  
pp. 44-53
Author(s):  
Cheryl M. Wong ◽  
Eric Hollander
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Treatment Options ◽  
Compulsive Buying ◽  
Health Problems ◽  
Obsessive Compulsive ◽  
Compulsive Shopping ◽  
Neurologic Disorders ◽  
Pathologic Gambling

AbstractThe obsessive-compulsive spectrum can be divided into two subclusters: disorders of impulsivity and neurologic disorders (Figure 1). This article examines autism (from the neurologic cluster) and pathologic gambling and compulsive shopping (from the impulse side of the spectrum). These three disorders are major mental health problems, impacting on society, the affected individuals, and their families. In addition, these three disorders are underrecognized and underdiagnosed. In this article, we outline and review the phenomenology, psychopathology, and treatment options of these three disorders.

scholarly journals The Cost Effectiveness of Ecotherapy as a Healthcare Intervention, Separating the Wood from the Trees

2021 ◽  
Vol 18 (21) ◽  
pp. 11599
Author(s):  
Sebastian Hinde ◽  
Laura Bojke ◽  
Peter Coventry
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Mental Health Problems ◽  
Health Benefit ◽  
Cost Effective ◽  
Health Problems ◽  
Healthcare Intervention ◽  
Health Crisis ◽  
Patient Pathways ◽  
Common Mental Health Problems

Internationally, shifts to more urbanised populations, and resultant reductions in engagements with nature, have been a contributing factor to the mental health crisis facing many developed and developing countries. While the COVID-19 pandemic reinforced recent trends in many countries to give access to green spaces more weight in political decision making, nature-based activities as a form of intervention for those with mental health problems constitute a very small part of patient pathways of care. Nature-based interventions, such as ecotherapy, are increasingly used as therapeutic solutions for people with common mental health problems. However, there is little data about the potential costs and benefits of ecotherapy, making it difficult to offer robust assessments of its cost-effectiveness. This paper explores the capacity for ecotherapy to be cost-effective as a healthcare intervention. Using a pragmatic scoping review of the literature to understand where the potential costs and health benefit lie, we applied value of information methodology to identify what research is needed to inform future cost-effectiveness assessments. We show that there is the potential for ecotherapy for people with mild to moderate common mental health problems to be cost-effective but significant further research is required. Furthermore, nature-based interventions such as ecotherapy also confer potential social and wider returns on investment, strengthening the case for further research to better inform robust commissioning.

scholarly journals Nationwide assessment of the mental health of UK Doctoral Researchers

2021 ◽  
Author(s):  
Cassie M Hazell ◽  
Jeremy Niven ◽  
Laura Chapman ◽  
Paul Roberts ◽  
Sam Cartwright-Hatton ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Poor Mental Health ◽  
Academic Community ◽  
Anxiety And Depression ◽  
Control Group ◽  
Evidence Based ◽  
Preventative Measures ◽  
Common Mental Health Problems

Doctoral Researchers (DRs) are an important part of the academic community and, after graduating, make substantial social and economic contributions. Despite this importance, DR wellbeing has long been of concern. Recent studies have concluded that DRs may be particularly vulnerable to poor mental health problems, but direct comparisons of the prevalence of mental health problems between them and a control group is lacking. Here, by comparing DRs with educated working controls, we show that DRs report significantly greater anxiety and depression, and that this difference is not explained by a higher rate of pre-existing mental health problems. Moreover, most DRs perceive poor mental health as a ‘normal’ part of the PhD process. Thus, our findings suggest a hazardous impact of PhD study on mental health, with DRs being particularly at risk of developing common mental health problems. This provides an evidence-based mandate for universities and funders to reflect upon practices related to DR training and mental health. Our attention should now be directed towards understanding what factors may explain heightened anxiety and depression among DRs so as to inform preventative measures and interventions.

Sign in / Sign up

Export Citation Format

Share Document