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Computer Cognitive Behaviour therapy 1 in 5 wait a year !
http://www.mind.org.uk/news/4027_new_report_shows_we_still_need_to_talk
Australian and New Zealand Journal of Psychiatry October 2010.
Randomized controlled trial of Internet cognitive behavioural treatment for social phobia with and without motivational enhancement strategies.
http://informahealthcare.com/doi/abs/10.3109/00048674.2010.493859
Solent Mind is the largest third sector provider of mental health services in the Hampshire region.
As part of the national Improving Access to Psychological Therapies Programme (IAPT), Solent Mind, in partnership with Hampshire Partnership Foundation NHS Trust are launching a new and exciting service called iTalk, providing Step 2 and Step 3 services respectively, marking the first phase of rolling out IAPT services in primary care across 5 localities in Hampshire
You will offer high volume evidence-based practice in facilitated self-help, CCBT and wellbeing management groups, and will develop, support and train innovative practice to qualified and trainee Psychological Wellbeing Practitioners. You will supervise and/or line manage qualified and trainee PWPs under the direction of the PWP Lead in the development of the Step 2 service. This is a great opportunity for those who are passionate about the PWP role and want to help shape and develop a new service.
http://www.mind.org.uk/jobs/4020_senior_psychological_wellbeing_practitioners_step_2_iapt_solent_mind
Cognitive Behavioral Therapy (CBT) for Anxiety Disorders in Autism
Study University of California,LA,Miami
http://www.clinicaltrials.gov/ct2/show/NCT01177969
I lost ten years of my life as a middle class, NHS sponsored drug addict... 12th October 2010.
http://www.dailymail.co.uk/health/article-1319716/I-lost-years-life-middle-class-NHS-sponsored-drug-addict-.html
Ultrasis Beating The Blues GP's Overseas.
http://www.healthcarejobs.co.uk/blog/index.php/2010/09/uk-treatment-helps-overseas-gps-beat-the-blues/
NHS-Coalition’s new mental health strategy should be applauded !
http://www.mhhp.org.uk/news.html
Coalition’s new mental health strategy should be applauded
In a comment piece, Rethink’s director of communications Mark Davies backs Health minister Paul Burstow’s assertion that tackling mental illness is critical to any attempt to reduce poverty. However, Davies also warns that improvements to mental health care will require “a degree of innovation and a healthy dose of courage. It means supporting words with actions and committing to tackling the stigma around mental illness, extending talking therapies to people with severe mental illness, ensuring that GPs as commissioners have the tools they need to commission in the field of mental illness and being prepared to invest in early intervention to make savings down the line”.
http://www.mhhp.org.uk/news/coalition’s-new-mental-health-strategy-should-be-applauded.html
Ultrasis Beating The Blues depression ccbt Mexico.
CONCLUSION
We expect to see future growth in online psychological
practice in Mexico. Additional empirical studies are needed
in order to establish ethical regulations for practicing
psychology under this modality of service, to assess results,
cost-effectiveness, and to investigate the limits of distance
intervention. These would lead to better practice of the
emergent modalities in these changing times.
http://measuringbehavior.org/files/ProceedingsPDF(website)/Flores_Poster41.pdf
Ultrasis - GetFit.com server location Georgia USA City Atlanta.
<a href="http://www.estimatedwebsite.com/getfit.com" target="_blank"><img alt="getfit.com - estimated value" style="border-width:0" src="http://www.estimatedwebsite.com/img/i.php?q=getfit.com"></a>
http://www.estimatedwebsite.com/getfit.com
CCBT - Computer Cognitive Behaviour Therapy - MedHelp.
http://www.medhelp.org/health_questions/anxiety-disorder-nos-symptoms
Computer Cognitive Behaviour Therapy Growing Rapidly.
http://www.thebiglifegroup.com/userfiles/file/Self%20Help%20Services/newsletters/newsletter_autumn2010.pdf
Well-being directory provider Ultrasis.
Service provided by Ultrasis Interactive Healthcare. Behavioural Specialist for Children Tel 01706 228501 Balladen Childrens Centre
http://www3.lancashire.gov.uk/acs/findextorg/wellbeingDir/results.asp?searchMethod=&strKeyword=&service_group=-1&category=388&age_range=-1&ss=0&proximity=-1&postcode=&need=-1&search=valid&order_by=&catID=388&district=-1&display=results&results_per_page=40
CCBT SharpBrain Ultrasis/Smartphone.
http://www.sharpbrains.com/blog/2010/09/28/innovation-get-therapy-through-your-iphone/
One in five teens in the USA suffer depression and on the increase - 07/10/10
http://www.webwire.com/ViewPressRel.asp?aId=124585
OPTIMI - Ultrasis Partners In Mental Health Project to 2012.
http://www.create-net.org/ubint/ubihealth/presentations/OPTIMI%20ECG%20UBICOMP%202010.pdf
Birmingham NHS Getfit/Ultrasis 7 October 2010.
https://myfamily.getfit.com/index.php?mod=login
Glaxosmithkline exit depression and pain drugs !!
http://blogs.wsj.com/venturecapital/2010/10/04/venture-firms-feel-the-pain-with-glaxosmithkline-spin-off/
Cardiff University 6 October 2010 calm/beating the blues/wellness.
http://www.cardiff.ac.uk/counselling/staff/index.html
3/10/2010 Insomnia cCBT.
http://www.bbc.co.uk/news/technology-11454894
Depression - Ultrasis/Beating The Blues Program (CCBT)
http://www.opening-doors.co.nz/
http://www.opening-doors.co.nz/cbt.html
Optimi - A Smart Wearable Sensor Assisting in Mental Health.
http://www.create-net.org/ubint/ubihealth/presentations/OPTIMI%20ECG%20UBICOMP%202010.pdf
http://www.optimiproject.eu/index.php?option=com_content&view=article&id=7&Itemid=8
GetfitWellness is an Ultrasis company.
http://www.ultrasis.com/
The ASDA colleague wellbeing programme is run independently of ASDA by GetFitWellness.
GetFitWellness supplies colleague wellbeing plans to the private and public sector including the NHS.
When you create your account and become a member, your information is encrypted as it travels from your computer to our secure servers which are based in London.
GetFitWellness works to make sure that all of our members' privacy is protected. Your personal health information is not stored on ASDA servers and no personal information is available to ASDA.
https://asda.getfit.com/index.php?mod=login
Cognitive Behaviour Therapy (CBT)for IBS
http://news.drugs-expert.com/inflammatory-bowel-disease-news/elizabeth-roberts-posts/cognitive-behavior-therapy-cbt-for-ibs-and-ibd/
Local Expert Speaks on Alcohol and Drug Addiction
Patch: What are effective therapies for addiction?
Fielding: There are several types of programs offered to individuals that are based upon their assessed, personal need, such as: out-patient, in-patient, residential and dual diagnosis programs (for individuals who are chemically addicted and have a mental illness). Several treatment modalities are offered while in treatment. One of the most effective therapies is cognitive behavioral therapy, or CBT. CBT is where you learn to change your thoughts and actions that make you more likely to use substances.
http://yorktown.patch.com/articles/local-expert-speaks-on-alcohol-and-drug-addiction
Computer-Assisted Cognitive-Behavioral Therapy.
Curr Psychiatry Rep. 2010 Sep 25;
Authors: Spurgeon JA, Wright JH
There has been a recent acceleration in the development and testing of programs for computer-assisted cognitive-behavioral therapy (CCBT). Programs are now available for treatment of depression, anxiety disorders, and other psychiatric conditions. Technology for delivery of CCBT includes multimedia programs, virtual reality, and handheld devices. Research on CCBT generally has supported the efficacy of computer-assisted therapy and has shown patient acceptance of computer tools for psychotherapy. Completion rates and treatment efficacy typically have been higher when clinicians prescribe and support the use of psychotherapeutic computer programs than when programs are delivered in a self-help format without clinician involvement. CCBT seems to have the potential to improve access to evidence-based therapies while reducing the demand for clinician time.
Research Seminar University Of Stirling.
http://www.psychology.stir.ac.uk/news/documents/Poster-Marks.pdf
http://www.sct.nhs.uk/_documentbank/Item_4A_BoD_IAPT_July_10.doc
BoD 28/7/10
Sheffield IAPT – A Future
This data validates the Sheffield IAPT service model and dosage for different IAPT interventions.
Parts of Document:
2.4.3 Expansion of cCBT
IAPT has expanded the use of computerized CBT, from using around 30 licences a year pre-IAPT, to over 200 uses in under a year. cCBT is another alternative for patients at step 2, where they get quick access to NICE recommended treatment, supported by an IAPT staff member over the telephone. We anticipate that this will continue to grow
Clinical Trials CCBT.
Duke University Medical Center in collaboration with Glendale Adventist Medical Center propose a randomized clinical trial of conventional cognitive behavior therapy (CCBT) vs. religious cognitive behavior therapy (RCBT) for major depression in medical patients with chronic disabling illness. Therapists will deliver the treatment in real time over the Internet and/or by telephone to increase...
http://clinicaltrialsfeeds.org/clinical-trials/show/NCT01208428
Virtual Therapy ccbt wave of the future!
http://brainblogger.com/2010/09/28/virtual-therapy-wave-of-the-future/
The Use of Cognitive Behavioral Therapy (CBT) in the Treatment of Adult ADHD-ADD by Cyndi Sarnoff-Ross is a licensed psychotherapist
On Sep 23 2010 Researchers at Massachusetts General Hospital have reported that the use of Cognitive Behavioral Therapy (CBT) for adults with ADHD is more effective then relaxation techniques and educational support. The most common treatment for adults with ADHD is medication, however many adults are either unwilling to take medications or continue to be symptomatic even on meds. Even with the use of medication, many sufferers still need alternative treatments to combat the symptoms of ADHD.
In this study, CBT strategies included psycho-education about ADHD and teaching organization skills as well as ways to reduce distractibility. Study participants were also taught to think more adaptively in circumstances that caused them to become increasingly stressed. There needs to be continued research in this area to determine who the best candidates for CBT are and how to best incorporate its use with patients already using another treatment modality.
According to this study, approximately 4.4 percent of adults in the US have ADHD which is a disorder characterized by marked inattentiveness, difficulty with concentration and focus, and in some cases impulsivity. Teaching patients how to manage their symptoms is useful with regard to any mental health condition; however, in my opinion, patients with ADHD do benefit from awareness about their disorder, so educational support should not be ruled out. Implementing CBT in addition to these other treatments can provide an effective treatment plan.
From Medscape Medical News Beyond Antipsychotics: Using Cognitive Behavioral Therapy for Psychosis
September 27, 2010 (Toronto, Ontario) — Individualized single-session interventions and group cognitive behavioral therapy (CBT) are legitimate considerations for psychotic patients who do not respond adequately to antipsychotic therapy, according to 2 studies presented here at the Canadian Psychiatric Association (CPA) 60th Annual Conference.
Traditionally, schizophrenic spectrum disorders (SSDs) were believed to be amenable to medication only, noted Ian Weinroth, MD, a clinical fellow in psychotherapy at Mount Sinai Hospital in Toronto, Ontario, Canada.
However, up to 50% of patients do not respond or respond poorly to antipsychotics — leaving a treatment gap that CBT can sometimes fill.
Single-session drop-in therapy delivered by a multidisciplinary team of psychologists, nurses, social workers, and family therapists can provide effective therapy and ease the burden on psychiatric services, 2 nurse therapists reported at the meeting.
"Single-session therapy is not assessment or triage — we are actually doing an intervention," explained Maureen Osis, RN, MN, a marriage and family therapist at the South Calgary Health Center, a community mental health walk-in Clinic in Alberta, Canada.
"We don't diagnose. We have people coming in with diagnoses, and we help them identify internal and external resources that have helped them in the past," said Pat Carruthers, RPN, PhD, a clinical nurse specialist at the clinic.
The clinic opened 6 years ago and now receives 800 visits per year, with 77% of clients waiting less than 20 minutes to be seen, the group reported. "We divert patients from other services and provide an alternative to the use of hospital emergency departments [EDs]," said Dr. Carruthers.
During a 3-year period, of 2550 clients responding to a survey, 69% said they would have sought services elsewhere if the clinic had not been an option, and 11% would have gone to a hospital, she reported.
Roughly three-quarters of the clinic's clientele fall between the ages of 18 and 54 years, and 60% are female.
Anxiety, Depression Common
Forty percent of their presenting problems involve anxiety, depression, or relationship issues. In total, 31% of clients return for a follow-up visit, 6% of these within 3 months of their initial visit.
Forty percent of clients indicate some risk for self-harm or harm to others, 22% are concerned about violence at home, and 8% report heavy use of street drugs or alcohol, she said.
The mean self-rated distress score at admission to the clinic is 7.7 of 10, decreasing to a mean of 5.3 at discharge, she said.
The team outlined 1 case of a 40-year-old bipolar patient who was being followed up by a psychiatrist but who had also visited the walk-in clinic 30 times during the past 6 years.
During the preceding decade, she had frequented hospital EDs several times per year and had been hospitalized several times.
Through her regular visits to the clinic the patient has been linked to urgent care mental health services and her psychiatrist when necessary but has avoided all hospital visits and admissions for 6 years.
Often, a visit to the clinic was enough to tide her over until her next appointment with her psychiatrist, said Ms. Osis. "She usually comes with a specific concern — she is very goal oriented — and the therapist and team help her to make a plan of action."
Single Sessions Can Be a Turning Point
"I'd certainly be endorsing a multidisciplinary service that includes nurses and psychologists," commented Dr. Weinroth after the presentation. "From a cost perspective and a flow perspective I'd support any diversion of patients from tertiary centers that are already swarming. If psychiatrists are so protective of their turf to think they're the only ones who can do this, it's just self-serving and arrogant."
Single-session interventions often lend themselves well to psychiatric crises, he added. "I've had experiences in my own practice where I've seen patients in consultation and done single, meaningful therapeutic interventions. It is about being able to identify, within that first visit, the core issues that the patient may not even be aware of," he said.
"For some people that's all they need — to help make sense of their experience, to reorganize, to boost their ability to cope and to go out the door with a plan of action. A patient won't get that kind of therapy in the ED," Dr. Weinroth added.
Even suicidality runs from passive thoughts of wanting to die to having a firm plan to do it, he added. "For some people, depending on severity, a single session can be enough to turn things around."
In recognition of this approach, guidelines from the CPA endorse individualized CBT in treatment-resistant patients with psychosis, said Dr. Weinroth. Building on this, his group is currently researching the effectiveness of CBT in a group setting for patients with SSDs.
Preliminary Data for Paranoid Symptoms Encouraging
Paranoid symptoms make recruitment difficult in this patient population, and his study is currently underpowered to show clear benefits of the group approach, he explained.
However, preliminary indications are positive. "We're encouraged that we're heading in the right direction based on positive feedback from the clients."
The Positive and Negative Symptom Scale and Suicide Intervention Response Inventory are being used to measure primary outcomes, such as delusions, hallucinations, and negative symptoms (apathy and withdrawal), as well as depression and anxiety.
"Even if we don't see a drop in scores, it may not necessarily reveal the whole picture. Although they may still hear voices throughout the day, they may respond to them differently, they may cope with them better — but a rating scale won't capture that," he said.
CBT represents a relatively new approach to managing patients who hear voices and have hallucinations and delusions, he said.
"How do you challenge people's view of the world if they are so very paranoid and so very sensitive and could take that as being a confrontation on their version of reality? The evidence more recently has suggested that while these ideas may not be completely broken and eliminated, they can be massaged and weakened. People can at least question their thoughts. Even if they don't challenge their delusions they can at least appreciate the idea and that's a start."
4 September 2010 Students Newsletter - De Montford University Leicester.
Calm and Beating The Blues under online self help - Look left side under Counselling and Personal Support.
http://www.dmu.ac.uk/Images/Newsletter_Issue%204_tcm6-55660.pdf