ISBN : 9780199590117
Mental disorders such as depression and anxiety are increasingly common. Yet there are too few specialists to offer help to everyone, and negative attitudes to psychological problems and their treatment discourage people from seeking it. As a result, many people never receive help for these problems. The Oxford Guide to Low Intensity CBT Interventions marks a turning point in the delivery of psychological treatments for people with depression and anxiety. Until recently, the only form of psychological intervention available for patients with depression and anxiety was traditional one-to-one 60 minute session therapy - usually with private practitioners for those patients who could afford it. Now Low Intensity CBT Interventions are starting to revolutionize mental health care by providing cost effective psychological therapies which can reach the vast numbers of people with depression and anxiety who did not previously have access to effective psychological treatment. The Oxford Guide to Low Intensity CBT Interventions is the first book to provide a comprehensive guide to Low Intensity CBT interventions. It brings together researchers and clinicians from around the world who have led the way in developing evidence-based low intensity CBT treatments. It charts the plethora of new ways that evidence-based low intensity CBT can be delivered: for instance, guided self-help, groups, advice clinics, brief GP interventions, internet-based or book-based treatment and prevention programs, with supported provided by phone, email, internet, sms or face-to-face. These new treatments require new forms of service delivery, new ways of communicating, new forms of training and supervision, and the development of new workforces. They involve changing systems and routine practice, and adapting interventions to particular community contexts. The Oxford Guide to Low Intensity CBT Interventions is a state-of-the-art handbook, providing low intensity practitioners, supervisors, managers commissioners of services and politicians with a practical, easy-to-read guide - indispensible reading for those who wish to understand and anticipate future directions in health service provision and to broaden access to cost-effective evidence-based psychological therapies.
Foreword
SECTION 1 LOW INTENSITY CBT MODELS AND CONCEPTUAL UNDERPINNINGS
Overview
1. Low Intensity CBT Interventions: A Revolution in Mental Health Services
2. Access and Organisation: Putting Low Intensity Interventions to Work in Clinical Services
3. The STEPS Model: a High Volume, Multi-level, Multi-purpose approach to address Common Mental Health Problems
4. Increasing Access and Effectiveness: Using the Internet to deliver Low Intensity Cognitive Behaviour Therapy
5. A New Language for CBT: New ways of Working Require New Thinking as well as New Words
SECTION 2A: INTRODUCING AND SUPPORTING GUIDED CBT
Overview
6. Low Intensity CBT Assessment: In Person or by Phone
7. Monitoring & Evaluation in Low Intensity CBT Interventions
8. Introducing and Supporting Written and Internet-Based Guided CBT
9. Matching clients to CBT self-help resources
10. Collaborative Care: The Effective Organization of Treatment for Depression
11. Supervising low intensity workers
SECTION 2B KEY LOW INTENSITY CBT INTERVENTIONS IN DEPRESSION AND ANXIETY
Overview
12. Behavioural Activation for Depression
13. Problem Solving Therapy for Depression
14. Increasing Physical activity as a Low Intensity Treatment for Depression
15. Key Components of Low Intensity Interventions for Anxiety
16. Brief Motivational Interviewing for Depression and Anxiety
17. Low Intensity Interventions for Chronic Insomnia
SECTION 2C: GUIDED CBT INTERVENTIONS USING WRITTEN MATERIALS
Overview
18. Choosing self-help books wisely: Sorting the wheat from the chaff
19. Using Guided Self-Help Book Prescription Schemes
20. Delivering book based CBT Self-Help Classes in health service, further education and voluntary sector services
SECTION 2D: GUIDED CBT INTERVENTIONS USING THE INTERNET
Overview
21. Turn On, Tune In and (Don't) Drop Out: Engagement, Adherence, Attrition and Alliance with Internet-based CBT Interventions
22. Treatment Credibility and Satisfaction with Internet Interventions
23. Internet-based Mental Health Screening
24. Standards and Operating Guidelines for Internet Interventions
25. Guided CBT Internet Interventions: Specific Issues in Supporting Clients with Depression, Anxiety and Co-Morbid Conditions
SECTION 2E NOVEL USES OF COMMUNICATION TECHNOLOGIES: SUPPORTING LOW INTENSITY CBT IN NEW ENVIRONMENTS
Overview
26. Using different communication channels to support internet interventions
27. Supporting Low Intensity Interventions using the Telephone
28. Use of Short-Messaging Service (SMS) To Enhance Low Intensity CBT
29. Email in Low Intensity CBT Interventions
30. Online Mutual Support Bulletin Boards
31. Low Intensity Cognitive Behavioural Therapies by Mail (M-CBT)
SECTION 2F STEPPING FURTHER OUTSIDE THE BOX: EXTENDING THE ENVIRONMENTS FOR LOW INTENSITY CBT
Overview
32. Large group didactic CBT classes for common mental health problems
33. Cognitive Behaviour Group Therapy (CBGT): Capitalizing on efficiency and humanity
34. Will you follow while they lead? Introducing a patient-led approach to low intensity CBT interventions
35. The Advice Clinic or What I did in my thirty minutes
36. Low intensity CBT Interventions by General Practitioners
37. Adapting low intensity CBT for clients with severe mental disorder
SECTION 2G: GOING UPSTREAM: USING LOW INTENSITY CBT INTERVENTIONS TO PREVENT MENTAL HEALTH PROBLEMS
Overview
38. Group CBT for prevention of depression in adults
39. Internet-delivered prevention for anxiety and depression disorders in adults
40. Low intensity targeted group prevention of depression in adolescents and children
41. Internet-based anxiety and depression prevention programs for children and adolescents
42. Parental programs for preventing behavioural and emotional problems in children
43. Mindfulness-based cognitive therapy: a low intensity group program to prevent depressive relapse
SECTION 3 TRAINING LOW INTENSITY CBT PRACTITIONERS
Overview
44. Training low intensity workers
45. Training Depression Care Managers
46. Training Peers to Provide Low Intensity CBT Support: The Value of Personal Experience
47. Training the Wider Workforce in the Use of Cognitive Behaviour Therapy Written Self-help Resources
48. Training GPs to prescribe depression self-management
49. Training Clinicians Online to be Etherapists: The 'Anxiety Online' model
50. From Classroom to 'Shop Floor': Challenges Faced As A Low Intensity Practitioner
SECTION 4A: FACILITATING THE UPTAKE OF LOW INTENSITY CBT INTERVENTIONS: CHANGING SYSTEMS AND ROUTINE PRACTICE
Overview
51. Establishing the Improved Access to Psychological Therapies (IAPT) Program: Lessons from large-scale change in England
52. Implementing Low Intensity Interventions: What Governments want and why
53. Challenges and Potential Solutions in Integrating Internet-based CBT Interventions into Specialist Services
54. Achieving widespread dissemination of low intensity evidence-based practices: The experience of the Triple P-Positive Parenting Program
55. Practical Service Redesign: Helping GPs to Enhance Depression Care
56. Implementing low-intensity CBT (LI CBT) in case management of clients with severe mental illness
57. Effective Partnerships with Community Groups
SECTION 4B: FACILITATING THE UPTAKE OF LOW INTENSITY CBT INTERVENTIONS: ADAPTING INTERVENTIONS TO DIFFERENT COMMUNITY CONTEXTS
Overview
58. Bringing the public on board: Health promotion and social marketing in deprived communities
59. Enhancing Community Awareness of Depression and Access to Treatment: Experiences with beyondblue
60. Problems and Potentials in Rolling out Low Intensity CBT in Rural Communities
61. Improving Access to Low intensity Interventions for Ethnic Minority Communities
62. Low intensity CBT with Indigenous consumers: Creative solutions for culturally appropriate mental health care