The featured paper is ‘Improving access to psychological therapies (IAPT) programme: Computerised cognitive behavioural therapy (cCBT) implementation guidance’ a Department of Health guidance document available as a PDF here.
Louis Appleby introduces the guidance and identifies computerised CBT as a means of increasing patient choice as well as improving access to psychological therapies.
There is then a summary of the NICE technology appraisal with ‘Beating the Blues(R)’ and ‘FearFighter TM’ being recommended for depression and panic/phobia respectively. There is then a description of the initiative for PCT’s to roll computerised CBT packages with appropriate supervision.
There follows a brief description of a number of mental health conditions for which cCBT may or may not be suitable and then a description of CBT together with cCBT.
The section on best practice is quite interesting where the authors discuss current experience of cCBT within services including community services. What was also interesting was the significance of self-referrals for cCBT and indeed the demand for such services coming not just from individuals but from Trusts which refer to the NHS Wellness program.
There is then a final section on implementation of services which considers a number of questions relevant to setting up a cCBT service. The appendix contains a detailed outline of implementation procedures for the different forms of cCBT.
The document provides a clear outline of the government’s guidance on implementation of cCBT practice and it will be interesting to see developments in the light of this guidance.
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