Oxford Guide to Low Intensity CBT Interventions

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Overview

Mental disorders such as depression and anxiety are increasingly common. Yet there are too few specialists to offer help to everyone, and negative attitudes to psychological problems and their treatment discourage people from seeking it. As a result, many people never receive help for these problems.

The Oxford Guide to Low Intensity CBT Interventions marks a turning point in the delivery of psychological treatments for people with depression and anxiety. Until recently, the only form of psychological intervention available for patients with depression and anxiety was traditional one-to-one 60 minute session therapy - usually with private practitioners for those patients who could afford it. Now Low Intensity CBT Interventions are starting to revolutionize mental health care by providing cost effective psychological therapies which can reach the vast numbers of people with depression and anxiety who did not previously have access to effective psychological treatment.

The Oxford Guide to Low Intensity CBT Interventions is the first book to provide a comprehensive guide to Low Intensity CBT interventions. It brings together researchers and clinicians from around the world who have led the way in developing evidence-based low intensity CBT treatments. It charts the plethora of new ways that evidence-based low intensity CBT can be delivered: for instance, guided self-help, groups, advice clinics, brief GP interventions, internet-based or book-based treatment and prevention programs, with supported provided by phone, email, internet, sms or face-to-face. These new treatments require new forms of service delivery, new ways of communicating, new forms of training and supervision, and the development of new workforces. They involve changing systems and routine practice, and adapting interventions to particular community contexts.

The Oxford Guide to Low Intensity CBT Interventions is a state-of-the-art handbook, providing low intensity practitioners, supervisors, managers commissioners of services and politicians with a practical, easy-to-read guide - indispensible reading for those who wish to understand and anticipate future directions in health service provision and to broaden access to cost-effective evidence-based psychological therapies.

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Editorial Reviews

From The Critics
Reviewer: Gary B Kaniuk, Psy.D.(Cermak Health Services)
Description: This book focuses on low-intensity cognitive behavioral therapy (CBT) interventions, which are useful and cost-effective for the treatment of patients with less severe psychological disorders. The goal of this treatment approach is to use CBT principles and techniques with less therapeutic intervention.
Purpose: The editors' goal was to gather all the new models and practices that are collectively known as low intensity CBT interventions in one book and "to showcase the extraordinary new range of LI CBT interventions that are currently revolutionizing the delivery of mental health services."
Audience: They deem the book "essential reading for any psychologist, nurse, social worker, occupational therapist, psychiatrist, GP, physician, counselor or low intensity practitioner wishing to acquire the skills necessary for modern mental health care practice." Graduate students in clinical psychology and social work would benefit as well. The 12 editors and 83 authors represent the United States, the United Kingdom, Sweden, Australia, Germany, Canada, and the Netherlands.
Features: An introduction to conceptual models and definitions begins the book, and the rationale for low intensity CBT is clearly explained. The book then details specific techniques and applications, including assessment and evaluation, treating depression and anxiety, self-help classes, and the use of the therapy via the telephone and the Internet. It also covers preventive measures. After a section on how to train practitioners, the book ends with a discussion of the need for systemic change in order for health delivery systems to adopt low intensity CBT interventions as well as explain these services to the general public and increase access by underserved communities. I found interesting the chapter on a patient-led approach, which allows clients to determine how often they will see the therapist and which is supported by research. The book uses numerous tables and figures, and each chapter has a box of take-home messages. Overall, the book is practical, presenting informative case material.
Assessment: This excellent book addresses an important new topic in a comprehensive manner. It brings mental healthcare into the 21st century with a wide variety of interventions, including Internet and self-help resources. The international authorship reveals many different opinions, but on a common theme — the effectiveness of low-intensity CBT techniques. This is must reading for CBT practitioners.
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Product Details

  • ISBN-13: 9780199590117
  • Publisher: Oxford University Press, USA
  • Publication date: 7/1/2010
  • Pages: 632
  • Product dimensions: 6.70 (w) x 9.70 (h) x 1.40 (d)

Meet the Author

James Bennett-Levy, University of Sydney and Southern Cross University, Australia

David Richards, University of Exeter, UK

Paul Farrand, University of Exeter, UK

Helen Christensen, The Australian National University, Australia

Kathy Griffiths, The Australian National University, Australia

David Kavanagh, Queensland University of Technology, Australia

Britt Klein, Swinburne University, Australia

Mark A. Lau, University of British Columbia, Canada

Judy Proudfoot, University of New South Wales, Australia

Lee Ritterband, University of Virginia, USA

Chris Williams, University of Glasgow, UK

Jim White, STEPS, UK

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Table of Contents

Foreword, Isaac Marks
Section 1 Low Intensity CBT Models and Conceptual Underpinnings
Overview, James Bennett-Levy & Paul Farrand
1. Low Intensity CBT Interventions: A Revolution in Mental Health Services, 1. James Bennett-Levy, Dave Richards & Paul Farrand
2. Access and Organisation: Putting Low Intensity Interventions to Work in Clinical Services, Dave Richards
3. The STEPS Model: a High Volume, Multi-level, Multi-purpose approach to address Common Mental Health Problems, Jim White
4. Increasing Access and Effectiveness: Using the Internet to deliver Low Intensity Cognitive Behaviour Therapy, Helen Christensen
5. A New Language for CBT: New ways of Working Require New Thinking as well as New Words, Chris Williams & Jill Morrison
Section 2A: Introducing and Supporting Guided CBT
Overview, Paul Farrand, Lee Ritterband & James Bennett-Levy
6. Low Intensity CBT Assessment: In Person or by Phone, Paul Farrand & Chris Williams
7. Monitoring & Evaluation in Low Intensity CBT Interventions, Judy Proudfoot & Jennifer Nicholas
8. Introducing and Supporting Written and Internet-Based Guided CBT, Mark Kenwright
9. Matching clients to CBT self-help resources, Rebecca Martinez & Chris Williams
10. Collaborative Care: The Effective Organization of Treatment for Depression, Dave Richards
11. Supervising low intensity workers, Dave Richards
Section 2B Key Low Intensity CBT Interventions in Depression and Anxiety
Overview, Mark Lau
12. Behavioural Activation for Depression, Dave Richards
13. Problem Solving Therapy for Depression, Laurence Mynors-Wallis & Mark Lau
14. Increasing Physical activity as a Low Intensity Treatment for Depression, Adrian Taylor
15. Key Components of Low Intensity Interventions for Anxiety, Nick Titov, Gavin Andrews & Peter McEvoy
16. Brief Motivational Interviewing for Depression and Anxiety, Leanne Hides, Steve Carroll, Dan I Lubman & Amanda Baker
17. Low Intensity Interventions for Chronic Insomnia, Norah Vincent & Maxine Holmqvist
Section 2C: Guided CBT Interventions using Written Materials
Overview, Chris Williams, Paul Farrand & James Bennett-Levy
18. Choosing self-help books wisely: Sorting the wheat from the chaff, Dave Richards & Paul Farrand
19. Using Guided Self-Help Book Prescription Schemes, Paul Farrand & Joanne Woodford
20. Delivering book based CBT Self-Help Classes in health service, further education and voluntary sector services, Marie Chellingsworth, Chris Williams, Ann McCreath, Paul Tanto & Kirsten Thomlinson
Section 2D: Guided CBT Interventions using the Internet
Overview, Judy Proudfoot & Britt Klein
21. Turn On, Tune In and (Don't) Drop Out: Engagement, Adherence, Attrition and Alliance with Internet-based CBT Interventions, Kate Cavanagh
22. Treatment Credibility and Satisfaction with Internet Interventions, Lee Ritterband, Frances Thorndike, Drew Saylor & Desi Vasquez
23. Internet-based Mental Health Screening, Tara Donker, Annemieke Van Straten & Pim Cuijpers
24. Standards and Operating Guidelines for Internet Interventions, Lisa Whitehead & Judy Proudfoot
25. Guided CBT Internet Interventions: Specific Issues in Supporting Clients with Depression, Anxiety and Co-Morbid Conditions, Proudfoot, Andersson, Carlbring, Klein, Kyrios, Lauder, Munro, Palermo, Riper, Blankers
Section 2E Novel Uses of Communication Technologies: Supporting Low Intensity CBT in New Environments
Overview, Judy Proudfoot & Britt Klein
26. Using different communication channels to support internet interventions, Gerhard Andersson & Per Carlbring
27. Supporting Low Intensity Interventions using the Telephone, Karina Lovell
28. Use of Short-Messaging Service (SMS) To Enhance Low Intensity CBT, Jennifer Shapiro & Stephanie Bauer
29. Email in Low Intensity CBT Interventions, Nick Titov
30. Online Mutual Support Bulletin Boards, Kathy Griffiths & Julia Reynolds
31. Low Intensity Cognitive Behavioural Therapies by Mail (M-CBT), David Kavanagh, Jennifer Connolly, Amy Kelly, Angela White & Jan Parry
Section 2F Stepping Further Outside the Box: Extending the Environments for Low Intensity CBT
Overview, Mark Lau
32. Large group didactic CBT classes for common mental health problems, Jim White
33. Cognitive Behaviour Group Therapy (CBGT): Capitalizing on efficiency and humanity, Ingrid Sochting, Christopher Wilson & Theo DeGagne
34. Will you follow while they lead? Introducing a patient-led approach to low intensity CBT interventions, Tim Carey
35. The Advice Clinic or What I did in my thirty minutes, Jim White
36. Low intensity CBT Interventions by General Practitioners, Lee David
37. Adapting low intensity CBT for clients with severe mental disorder, Frank Deane & David Kavanagh
Section 2G: Going Upstream: Using Low Intensity CBT Interventions to Prevent Mental Health Problems
Overview, Kathy Griffiths
38. Group CBT for prevention of depression in adults, Pim Cuijpers
39. Internet-delivered prevention for anxiety and depression disorders in adults, Tahlee Marian & Justin Kenardy
40. Low intensity targeted group prevention of depression in adolescents and children, Greg Clarke
41. Internet-based anxiety and depression prevention programs for children and adolescents, Alison Calear, Helen Christensen, Kathy Griffiths
42. Parental programs for preventing behavioural and emotional problems in children, Matthew Sanders and James Kirby
43. Mindfulness-based cognitive therapy: a low intensity group program to prevent depressive relapse, Mark Lau
Section 3 Training Low Intensity CBT Practitioners
Overview, James Bennett-Levy & Dave Richards
44. Training low intensity workers, Dave Richards
45. Training Depression Care Managers, Dave Ekers
46. Training Peers to Provide Low Intensity CBT Support: The Value of Personal Experience, Sharon Lawn, Ann Smith, Kelly Hunter, Jim Smith, Nicki Hurst, Michael Nanai, & Kylie Neate
47. Training the Wider Workforce in the Use of Cognitive Behaviour Therapy Written Self-help Resources, Chris Williams, Catriona Kent & Anne Joice
48. Training GPs to prescribe depression self-management, Dan Bilsker & Elliot Goldner
49. Training Clinicians Online to be Etherapists: The 'Anxiety Online' model, David Austin, Britt Klein, Kerrie Shandley & Lisa Ciechomski
50. From Classroom to 'Shop Floor': Challenges Faced As A Low Intensity Practitioner, Jillian Telford & Rea Wilson
Section 4A: Facilitating the Uptake of Low Intensity CBT Interventions: Changing Systems and Routine Practice
Overview, David Kavanagh & James Bennett-Levy
51. Establishing the Improved Access to Psychological Therapies (IAPT) Program: Lessons from large-scale change in England, James Seward, Michael Clark
52. Implementing Low Intensity Interventions: What Governments want and why, Alex McMahon
53. Challenges and Potential Solutions in Integrating Internet-based CBT Interventions into Specialist Services, Gehard Andersson, Per Carlbring, Viktor Kaldo, Pim Cuijpers
54. Achieving widespread dissemination of low intensity evidence-based practices: The experience of the Triple P-Positive Parenting Program, Matthew Sanders & Majella Murphy Brennan
55. Practical Service Redesign: Helping GPs to Enhance Depression Care, Michael Smith
56. Implementing low-intensity CBT (LI CBT) in case management of clients with severe mental illness, David Kavanagh & Frank Deane
57. Effective Partnerships with Community Groups, Kevin Khayat
Section 4B: Facilitating the Uptake of Low Intensity CBT Interventions: Adapting Interventions to Different Community Contexts
Overview, David Kavanagh & James Bennett-Levy
58. Bringing the public on board: Health promotion and social marketing in deprived communities, Jim White
59. Enhancing Community Awareness of Depression and Access to Treatment: Experiences with beyondblue, Nicole Highet, Clare Shann & Leonie Young
60. Problems and Potentials in Rolling out Low Intensity CBT in Rural Communities, Mark Lau
61. Improving Access to Low intensity Interventions for Ethnic Minority Communities, Judy Leibowitz
62. Low intensity CBT with Indigenous consumers: Creative solutions for culturally appropriate mental health care, Arlene Laliberte, Tricia Nagel, & Melissa Haswell-Elkins

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