IAPT and the internet: the current and future role of therapist-guided internet interventions within routine care settings

Thew, Graham R.

doi:10.1017/s1754470x20000033

Cited by 31 publications

(41 citation statements)

References 52 publications

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“…In the context of lockdown measures, social isolation and physical distancing, face-to-face therapy is not practical or safe, therefore it is important to consider alternative methods in delivering treatment. There is a body of evidence indicating that computerised CBT is effective in child, young people and adult populations (Grist et al, 2018;Hollis et al, 2017;Newby et al, 2020;Olthuis et al, 2016;Thew, 2020;Vigerland et al, 2016). Evidence also suggests that transdiagnostic online CBT for anxiety in children and young people can be as effective in emergency contexts: in 2012, after a series of violent earthquakes in New Zealand, an online therapist-assisted CBT package was found to be effective at reducing anxiety (Moor et al, 2019).…”

Section: What a Cbt Intervention For Health-related Worries With A Chmentioning

confidence: 99%

Practitioner review: health anxiety in children and young people in the context of the COVID-19 pandemic

Haig‐Ferguson

Cooper

Cartwright

et al. 2020

Behav. Cogn. Psychother.

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Background Health-related fear is a normal and common response in the face of the global pandemic of COVID-19. Children and young people are frequently being exposed to messages about the threat to health, including from the media and authorities. Whilst for most, their anxiety will be proportionate to the threat, for some, existing preoccupation with physical symptoms and illness will become more problematic. There is a growing body of evidence that health anxiety may occur in childhood, however much of the literature is taken from research using adult samples. Aims This practitioner review aims to give an overview of the assessment and treatment of health-related worries in children and young people in the context of the COVID-19 pandemic. This review is based on the limited existing evidence in this population and the more substantial evidence base for treating health anxiety in adults. We consider the adaptations needed to ensure such interventions are developmentally appropriate.

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Section: What a Cbt Intervention For Health-related Worries With A Chmentioning

confidence: 99%

Practitioner review: health anxiety in children and young people in the context of the COVID-19 pandemic

Haig‐Ferguson

Cooper

Cartwright

et al. 2020

Behav. Cogn. Psychother.

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“…For example, in the case of PTSD, they have recommended that there is enough evidence that online and videoconferencing trauma-focused CBT can be as effective as face-to-face therapy (NICE, 2018). Telemental health has been a topic of interest in IAPT services for several years (Thew, 2020). Furthermore, Whaibeh et al (2020) argue that telemental health has demonstrable effectiveness, convenience and reliability, and that it is an essential mode of service provision to be integrated into routine practice.…”

Section: Discussionmentioning

confidence: 99%

Beyond the COVID-19 pandemic: ‘Learning the hard way’ – adapting long-term IAPT service provision using lessons from past outbreaks

Skilbeck

Spanton

Roylance

2020

tCBT

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Infectious disease outbreaks have occurred sporadically over the centuries. The most significant ones of this century, as reported by the WHO, include the EVD epidemic, SARS pandemic, Swine Flu pandemic and MERS pandemic. The long-term mental health consequences of outbreaks are as profound as physical ones and can last for years post-outbreak. This highlights the need for enhancing the preparedness of pragmatic mental health service provision. Due to its magnitude, the novel COVID-19 pandemic has proven to be the most impactful. Compared to previous outbreaks, COVID-19 has also occurred at higher rates in frontline staff in addition to patients. Since COVID-19 is more contagious than earlier outbreaks, there is a need to identify infected people quickly and isolate them and their contacts. This is the current context in which mental health services including IAPT have had to operate. Evidently, IAPT services are a major mental health service provider in the UK which have demonstrated variability in their response to COVID-19. While some IAPT services quickly adapted their existing strengths and resources (e.g. remote working) other services were less prepared. To date there are no clear unitary guidelines on how IAPT services can use their pre-existing resources to respond to the long-term effects of outbreaks. In light of this, the current paper aims to reflect on the lessons learned from past outbreaks in order to consider how an enhanced remit of IAPT might integrate with other services to meet the long-term needs of patients and staff affected by COVID-19.

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“…This format of therapy delivery has encountered scrutiny for its questioned likeness to 'real therapy'. More specific concerns have been raised about online facilitated therapy; for example, 'the therapeutic alliance won't be as strong online' or 'internet-based therapies won't be as effective as face-to-face therapy' (Thew, 2020;p. 4).…”

Section: Remote Workingmentioning

confidence: 99%

“…However, by and large these concerns have been counterbalanced by evidence that suggests therapy of this format is effective, albeit different from therapy as 'normal'. Above all, an undeniable strength of remote therapy, given social distancing, is its ability to enhance the availability and accessibility of psychological support (Thew, 2020). Similarly, telephone-delivered therapy has faced similar critiques, although research indicates that it remains able to provide the basis for a working alliance: a foundation of effective psychological support (Turner et al, 2018).…”

Section: Remote Workingmentioning

confidence: 99%

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Adapting IAPT services to support frontline NHS staff during the Covid-19 pandemic: the Homerton Covid Psychological Support (HCPS) pathway

Cole

Waterman

Stott

et al. 2020

tCBT

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The Coronavirus (Covid-19) pandemic is exerting unprecedented pressure on NHS Health and Social Care provisions, with frontline staff, such as those of critical care units, encountering vast practical and emotional challenges on a daily basis. Although staff are being supported through organisational provisions, facilitated by those in leadership roles, the emergence of mental health difficulties or the exacerbation of existing ones amongst these members of staff is a cause for concern. Acknowledging this, academics and healthcare professionals alike are calling for psychological support for frontline staff, which not only addresses distress during the initial phases of the outbreak but also over the months, if not years, that follow. Fortunately, mental health services and psychology professional bodies across the United Kingdom have issued guidance to meet these needs. An attempt has been made to translate these sets of guidance into clinical provisions via the recently established Homerton Covid Psychological Support (HCPS) pathway delivered by Talk Changes (Hackney & City IAPT). This article describes the phased, stepped-care and evidence-based approach that has been adopted by the service to support local frontline NHS staff. We wish to share our service design and pathway of care with other Improving Access to Psychological Therapies (IAPT) services who may also seek to support hospital frontline staff within their associated NHS Trusts and in doing so, lay the foundations of a coordinated response. Key learning aims (1) To understand the ways staff can be psychologically and emotionally impacted by working on the frontline of disease outbreaks. (2) To understand the ways in which IAPT services have previously supported populations exposed to crises. (3) To learn ways of delivering psychological support and interventions during a pandemic context based on existing guidance and research.

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IAPT and the internet: the current and future role of therapist-guided internet interventions within routine care settings

Cited by 31 publications

References 52 publications

Practitioner review: health anxiety in children and young people in the context of the COVID-19 pandemic

Practitioner review: health anxiety in children and young people in the context of the COVID-19 pandemic

Beyond the COVID-19 pandemic: ‘Learning the hard way’ – adapting long-term IAPT service provision using lessons from past outbreaks

Adapting IAPT services to support frontline NHS staff during the Covid-19 pandemic: the Homerton Covid Psychological Support (HCPS) pathway

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