Evaluation of The Practitioner Online Referral and Treatment Service (PORTS)

the first 18 months of a state-wide digital service for adults with anxiety, depression, or substance use problems

Nickolai Titov*, Daniel Rock, Greg Bezuidenhout, Nick Webb, Rony Kayrouz, Olav Nielssen, Linda Williams, Carol Purtell, Blake F. Dear, Lauren G. Staples

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The Practitioner Online Referral and Treatment Service (PORTS) is a new digital mental health service (DMHS) providing assessment, treatment, and consultation across Western Australia, for adults with anxiety, depression, or substance use problems, and experiencing financial hardship or geographical disadvantage. From July 2017 to December 2018, a total of 2,527 individuals were referred to PORTS. Of these, 150 (6%) did not give consent for their results to be analysed. Of the remaining 2,377 patients, 615 (26%) could not be contacted to confirm the referral, 596 (25%) received assessment or information from PORTS, 427 (18%) were referred to another service, and 739 (31%) commenced treatment at PORTS. Almost half (47%) of patients were from areas with significant socio-economic disadvantage. Those referred by another mental health service were more likely to engage in treatment than those referred by a General Practitioner (GP). Overall outcomes were excellent, with large effect sizes (Cohen’s d: 1.1–1.4), from assessment to post-treatment and 3-month follow-up, reliable deterioration was low, and GP and patient satisfaction was high. These results indicate that the PORTS DMHS model is a promising method for engaging primary care patients with anxiety and depression, including those experiencing financial and geographical disadvantage.

Original languageEnglish
Pages (from-to)307-326
Number of pages20
JournalCognitive Behaviour Therapy
Volume49
Issue number4
Early online date25 Sep 2019
DOIs
Publication statusPublished - Jul 2020

Keywords

  • internet
  • remote
  • treatment
  • iCBT
  • anxiety
  • depression
  • Practitioner online referral treatment service
  • primary care

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