TY - JOUR
T1 - ICBT in routine care
T2 - a descriptive analysis of successful clinics in five countries
AU - Titov, Nickolai
AU - Dear, Blake
AU - Nielssen, Olav
AU - Staples, Lauren
AU - Hadjistavropoulos, Heather
AU - Nugent, Marcie
AU - Adlam, Kelly
AU - Nordgreen, Tine
AU - Bruvik, Kristin Hogstad
AU - Hovland, Anders
AU - Repål, Arne
AU - Mathiasen, Kim
AU - Kraepelien, Martin
AU - Blom, Kerstin
AU - Svanborg, Cecilia
AU - Lindefors, Nils
AU - Kaldo, Viktor
N1 - Copyright the Author(s) 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - Clinical trials have demonstrated the efficacy of internet delivered cognitive behaviour therapy (ICBT) for anxiety and depression. However, relatively little is known about the context, operations, and outcomes of ICBT when administered as part of routine care. This paper describes the setting, relationship to existing health services, procedures for referral, assessment, treatment, patients and outcomes of ICBT clinics in Sweden, Denmark, Norway, Canada and Australia. All five clinics provide services free or at low cost to patients. All have systems of governance to monitor quality of care, patient safety, therapist performance and data security. All five clinics include initial assessments by clinicians and between 10 and 20 min of therapist support during each week. Published reports of outcomes all demonstrate large clinical improvement, low rates of deterioration, and high levels of patient satisfaction. Services that require a face to face assessment treat smaller numbers of patients and have fewer patients from remote locations. The paper shows that therapist-guided ICBT can be a valuable part of mental health services for anxiety and depression. Important components of successful ICBT services are rigorous governance to maintain a high standard of clinical care, and the measurement and reporting of outcomes.
AB - Clinical trials have demonstrated the efficacy of internet delivered cognitive behaviour therapy (ICBT) for anxiety and depression. However, relatively little is known about the context, operations, and outcomes of ICBT when administered as part of routine care. This paper describes the setting, relationship to existing health services, procedures for referral, assessment, treatment, patients and outcomes of ICBT clinics in Sweden, Denmark, Norway, Canada and Australia. All five clinics provide services free or at low cost to patients. All have systems of governance to monitor quality of care, patient safety, therapist performance and data security. All five clinics include initial assessments by clinicians and between 10 and 20 min of therapist support during each week. Published reports of outcomes all demonstrate large clinical improvement, low rates of deterioration, and high levels of patient satisfaction. Services that require a face to face assessment treat smaller numbers of patients and have fewer patients from remote locations. The paper shows that therapist-guided ICBT can be a valuable part of mental health services for anxiety and depression. Important components of successful ICBT services are rigorous governance to maintain a high standard of clinical care, and the measurement and reporting of outcomes.
KW - delivery
KW - description
KW - implementation
KW - internet-delivered cognitive behaviour therapy
KW - psychological treatment
KW - routine care
KW - depression
KW - anxiety
KW - disorders
UR - http://www.scopus.com/inward/record.url?scp=85051135317&partnerID=8YFLogxK
U2 - 10.1016/j.invent.2018.07.006
DO - 10.1016/j.invent.2018.07.006
M3 - Review article
C2 - 30206525
AN - SCOPUS:85051135317
SN - 2214-7829
VL - 13
SP - 108
EP - 115
JO - Internet Interventions
JF - Internet Interventions
ER -