Evidence-Based - Seminar 2 (cCBT 3)

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  • Seminar 2 - cCBT
    • What is cCBT?
      • Emerged as an alternative method of delivering CBT
        • Given over the computer via an "interactive interface"
      • NICE provided support:
        • "Considered as a safe treatment"
        • "Recommended on the grounds of clinical and cost effectiveness"
      • However NICE note is would not be best for all patients and "would not be appropriate for the management of severe depression"
        • Inlucded in IAPT services for mild-mod patients
    • Why cCBT?
      • Provides access to services for people who would not otherwise have entered
      • Aids those heavily affected by negative stigma surrounding mental health
    • Evidence for cCBT
      • Proudfoot et al (2004) concludes cCBT is "a widely applicable treatment for anxiety and/or depression"
      • Kaltenthaler et al (2008) "evidence to support the effectiveness of cCBT"
        • e.g. programmes for depression: MoodCalmer, MoodLifter, NoDep
        • Beating the Blues = 8 x 1 hour sessions. Homework + weekly reports to GP
    • Evaluation of cCBT
      • Good:
        • Accessibility - available via internet or phone
        • Variety - several programmes available. Some target specific groups
        • Improvement - as effective as face to face CBT
        • Flexibility - choose session time. Fit into schedule. Shorter treatment period
      • Bad:
        • Analysis - need initial analysis to determine appropriateness for CBT
        • Severity - not suitable for all
    • Solutions
      • Schools to increase exposure / openness to mental health. Improve PC access

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