ICBT in routine care

A descriptive analysis of successful clinics in five countries

Nickolai Titov*, Blake Dear, Olav Nielssen, Lauren Staples, Heather Hadjistavropoulos, Marcie Nugent, Kelly Adlam, Tine Nordgreen, Kristin Hogstad Bruvik, Anders Hovland, Arne Repål, Kim Mathiasen, Martin Kraepelien, Kerstin Blom, Cecilia Svanborg, Nils Lindefors, Viktor Kaldo

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Resumé

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.

OriginalsprogEngelsk
TidsskriftInternet Interventions
Vol/bind13
Sider (fra-til)108-115
ISSN2214-7829
DOI
StatusUdgivet - sep. 2018

Fingeraftryk

Internet
Depression
Computer Security
Quality of Health Care
Mental Health Services
Denmark
Norway
Patient Safety
Health Services
Referral and Consultation
Clinical Trials

Citer dette

Titov, N., Dear, B., Nielssen, O., Staples, L., Hadjistavropoulos, H., Nugent, M., ... Kaldo, V. (2018). ICBT in routine care: A descriptive analysis of successful clinics in five countries. Internet Interventions, 13, 108-115. https://doi.org/10.1016/j.invent.2018.07.006
Titov, Nickolai ; Dear, Blake ; Nielssen, Olav ; Staples, Lauren ; Hadjistavropoulos, Heather ; Nugent, Marcie ; Adlam, Kelly ; Nordgreen, Tine ; Bruvik, Kristin Hogstad ; Hovland, Anders ; Repål, Arne ; Mathiasen, Kim ; Kraepelien, Martin ; Blom, Kerstin ; Svanborg, Cecilia ; Lindefors, Nils ; Kaldo, Viktor. / ICBT in routine care : A descriptive analysis of successful clinics in five countries. I: Internet Interventions. 2018 ; Bind 13. s. 108-115.
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Titov, N, Dear, B, Nielssen, O, Staples, L, Hadjistavropoulos, H, Nugent, M, Adlam, K, Nordgreen, T, Bruvik, KH, Hovland, A, Repål, A, Mathiasen, K, Kraepelien, M, Blom, K, Svanborg, C, Lindefors, N & Kaldo, V 2018, 'ICBT in routine care: A descriptive analysis of successful clinics in five countries', Internet Interventions, bind 13, s. 108-115. https://doi.org/10.1016/j.invent.2018.07.006

ICBT in routine care : A descriptive analysis of successful clinics in five countries. / Titov, Nickolai; Dear, Blake; Nielssen, Olav; Staples, Lauren; Hadjistavropoulos, Heather; Nugent, Marcie; Adlam, Kelly; Nordgreen, Tine; Bruvik, Kristin Hogstad; Hovland, Anders; Repål, Arne; Mathiasen, Kim; Kraepelien, Martin; Blom, Kerstin; Svanborg, Cecilia; Lindefors, Nils; Kaldo, Viktor.

I: Internet Interventions, Bind 13, 09.2018, s. 108-115.

Publikation: Bidrag til tidsskriftReviewForskningpeer review

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

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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.

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KW - Delivery

KW - Depression

KW - Description

KW - Disorders

KW - Implementation

KW - Internet-delivered cognitive behaviour therapy

KW - Psychological treatment

KW - Routine care

U2 - 10.1016/j.invent.2018.07.006

DO - 10.1016/j.invent.2018.07.006

M3 - Review

VL - 13

SP - 108

EP - 115

JO - Internet Interventions

JF - Internet Interventions

SN - 2214-7829

ER -

Titov N, Dear B, Nielssen O, Staples L, Hadjistavropoulos H, Nugent M et al. ICBT in routine care: A descriptive analysis of successful clinics in five countries. Internet Interventions. 2018 sep;13:108-115. https://doi.org/10.1016/j.invent.2018.07.006