Oxford Guide to Low Intensity CBT Interventions

by James Bennett-Levy (Editor), David Richards (Editor), Paul Farrand (Editor), Helen Christensen (Editor), Kathy Griffiths (Editor)

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.

Product Details

ISBN-13:	9780191015571
Publisher:	OUP Oxford
Publication date:	05/13/2010
Series:	Oxford Guides to Cognitive Behavioural Therapy
Sold by:	Barnes & Noble
Format:	eBook
File size:	5 MB

About the Author

James Bennett-Levy is Associate Professor in Mental Health at Sydney University's Department of Rural Health (Northern Rivers) in northern New South Wales, Australia. As soon as he was appointed to the position, he saw the potential of low intensity CBT interventions for rural and remote communities, where access to evidence-based psychological therapies tends to be very poor. Recognising the absence of a useful low intensity CBT textbook to guide practitioners and decision makers, he initiated and co-ordinated the Oxford Guide to Low Intensity CBT Interventions. In his research work, he is one of the world's leading leading researchers on CBT training with a series of empirical and theoretical papers. David Kavanagh holds a Research Chair in the Institute of Health&Biomedical Innovation and School of Psychology&Counselling at Queensland University of Technology in Brisbane. Much of his research has been on brief or low-intensity interventions, and improvement of mental health service delivery via training and supervision. His research has included evaluations of remotely delivered treatment by mail, and more recently using the internet and text messaging. Professor Kavanagh has an extensive record of research funding and publications, and his work is widely cited. He is currently on the Academy of the National Health and Medical Research Council, and the Science, Academia and Research Advisory Group of the Australian Psychological Society. He is co-chair of the Queensland Health Collaborative on Alcohol and Other Drugs and Mental Health, and serves on state and Commonwealth consultative committees on services for mental disorders and substance misuse. Mark Lau is a Research Scientist and Director, BC Cognitive Behaviour Therapy Network with BC Mental Health and Addiction Services, an agency of the Provincial Health Services Authority where he is co-ordinating a series of projects to disseminate CBT across the province of BC. He is also a Clinical Associate Professor of Psychiatry at UBC and a Founding Fellow of the Academy of Cognitive Therapy. Dr. Lau's research interests include evaluating effective methods of CBT dissemination, investigating the mechanisms underlying the efficacy of Mindfulness-based Cognitive Therapy (MBCT), and the further development and validation of the Toronto Mindfulness Scale. In addition, Dr. Lau has led workshops in Cognitive Behaviour Therapy and MBCT across Canada, in the United States, United Kingdom and Australia. David A Richards is Professor of Mental Health Services Research at Exeter University's Mood Disorders Centre in the UK. Throughout his career, he has tirelessly campaigned to improve access to evidence-based therapies such as CBT. He has been involved in the UK's Improving Access to Psychological Therapies (IAPT) programme from its inception in 2005 and developed the low-intensity CBT methods used by IAPT on behalf of the UK Department of Health. As such he can be credited with personally establishing a completely new profession of low-intensity CBT workers in the UK, now known as Psychological Wellbeing Practitioners. In his spare time he runs a multi-centre research team funded by the Medical Research Council and the National Institute for Health Research which develops and tests new models of delivering treatment in clinical trials - including stepped care, guided self-help and collaborative care. Lee Ritterband is an Associate Professor at the University of Virginia Health System Department of Psychiatry and Neurobehavioral Sciences and Director of the Behavioral Health and Technology program area. With degrees in clinical psychology and computer science/technology, Dr. Ritterband specializes in the development and testing of behaviorally-based treatment programs delivered via the Web. Over the past decade, Dr. Ritterband has established himself as one of the leading researchers in Internet health interventions. He has been a Principal or Co-Investigator on many large research projects funded by the National Institutes of Health. In 2003, Dr. Ritterband was honored with the award, Best eHealth Research Paper of the Year, sponsored by the Health e-Technologies Initiative, National Program Office of the Robert Wood Johnson Foundation for eHealth. Chris Williams is Professor of Psychosocial Psychiatry at the University of Glasgow, UK. He became interested in low intensity working in the mid-1990's when he completed a postgraduate CBT course, but found he struggled to offer one hour CBT appointments in his everyday work. He sees low intensity working as bringing together two themes he is particularly interested in - CBT and education/teaching - and views CBT as a self-help form of psychotherapy. He researches CBT self-help in psychiatric and community settings and has developed a range of book-based, DVD, class-based and computer-delivered self-help resources including the free access www.livinglifetothefull.com website which receives around 2 million hits a month. His work developing the five areas model of CBT is focused on making CBT accessible to practitioners and the general public alike. Together his CBT self-help books are amongst the most used in the UK. He is Patron of the charities Anxiety UK and Triumph over Phobia. Jim White is a consultant clinical psychologist and currently leads the STEPS primary care mental health team in south-east Glasgow. He has mainly worked in primary care settings and has a reputation for innovation in his approach to common mental health problems. In particular, he is interested in getting to much larger numbers of people a lot sooner, empowering them to make real choices about how they want to tackle their problems and to work with them in ensuring they are able to act on their choices. The STEPS approach is possibly one of the most radical approaches in primary care mental health in Britain. We are a Scottish Executive Exemplar Project. STEPS offers a 6 level stepped-care approach: § Individual therapy § Group work § Single contacts § Non-face-to-face interventions § Working with others § Awareness raising / community involvement / early intervention and prevention Britt Klein is the Co-Director of the National eTherapy Centre; the Co-Director of the Swin-PsyCHE e-Therapy Unit; and an Associate Professor in the Faculty of Life and Social Sciences at Swinburne University, Melbourne, Australia. Since 1998 she has been developing and evaluating internet-based mental and physical health interventions as a means to increase access to health services by utilising low intensity CBT intervention modalities. Her biggest achievement to date is the co-creation of Anxiety Online (www.anxietyonline.org.au): a full service education and training, online psychological assessment and treatment clinic for the anxiety disorders open to the general public. She has been awarded numerous grants to develop and evaluate internet-based wellbeing, prevention and treatment programs, has published widely, teaches and supervises students in the field of internet interventions and she is the Co-Editor of the e-Journal of Applied Psychology.

Table of Contents

Foreword, Isaac MarksSection 1 Low Intensity CBT Models and Conceptual UnderpinningsOverview, James Bennett-Levy & Paul Farrand1. Low Intensity CBT Interventions: A Revolution in Mental Health Services, 1. James Bennett-Levy, Dave Richards & Paul Farrand2. Access and Organisation: Putting Low Intensity Interventions to Work in Clinical Services, Dave Richards3. The STEPS Model: a High Volume, Multi-level, Multi-purpose approach to address Common Mental Health Problems, Jim White4. Increasing Access and Effectiveness: Using the Internet to deliver Low Intensity Cognitive Behaviour Therapy, Helen Christensen5. A New Language for CBT: New ways of Working Require New Thinking as well as New Words, Chris Williams & Jill MorrisonSection 2A: Introducing and Supporting Guided CBTOverview, Paul Farrand, Lee Ritterband & James Bennett-Levy6. Low Intensity CBT Assessment: In Person or by Phone, Paul Farrand & Chris Williams7. Monitoring & Evaluation in Low Intensity CBT Interventions, Judy Proudfoot & Jennifer Nicholas8. Introducing and Supporting Written and Internet-Based Guided CBT, Mark Kenwright9. Matching clients to CBT self-help resources, Rebecca Martinez & Chris Williams10. Collaborative Care: The Effective Organization of Treatment for Depression, Dave Richards11. Supervising low intensity workers, Dave RichardsSection 2B Key Low Intensity CBT Interventions in Depression and AnxietyOverview, Mark Lau12. Behavioural Activation for Depression, Dave Richards13. Problem Solving Therapy for Depression, Laurence Mynors-Wallis & Mark Lau14. Increasing Physical activity as a Low Intensity Treatment for Depression, Adrian Taylor15. Key Components of Low Intensity Interventions for Anxiety, Nick Titov, Gavin Andrews & Peter McEvoy16. Brief Motivational Interviewing for Depression and Anxiety, Leanne Hides, Steve Carroll, Dan I Lubman & Amanda Baker17. Low Intensity Interventions for Chronic Insomnia, Norah Vincent & Maxine HolmqvistSection 2C: Guided CBT Interventions using Written MaterialsOverview, Chris Williams, Paul Farrand & James Bennett-Levy18. Choosing self-help books wisely: Sorting the wheat from the chaff, Dave Richards & Paul Farrand19. Using Guided Self-Help Book Prescription Schemes, Paul Farrand & Joanne Woodford20. 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 ThomlinsonSection 2D: Guided CBT Interventions using the InternetOverview, Judy Proudfoot & Britt Klein21. Turn On, Tune In and (Don't) Drop Out: Engagement, Adherence, Attrition and Alliance with Internet-based CBT Interventions, Kate Cavanagh22. Treatment Credibility and Satisfaction with Internet Interventions, Lee Ritterband, Frances Thorndike, Drew Saylor & Desi Vasquez23. Internet-based Mental Health Screening, Tara Donker, Annemieke Van Straten & Pim Cuijpers24. Standards and Operating Guidelines for Internet Interventions, Lisa Whitehead & Judy Proudfoot25. 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, BlankersSection 2E Novel Uses of Communication Technologies: Supporting Low Intensity CBT in New EnvironmentsOverview, Judy Proudfoot & Britt Klein26. Using different communication channels to support internet interventions, Gerhard Andersson & Per Carlbring27. Supporting Low Intensity Interventions using the Telephone, Karina Lovell28. Use of Short-Messaging Service (SMS) To Enhance Low Intensity CBT, Jennifer Shapiro & Stephanie Bauer29. Email in Low Intensity CBT Interventions, Nick Titov30. Online Mutual Support Bulletin Boards, Kathy Griffiths & Julia Reynolds31. Low Intensity Cognitive Behavioural Therapies by Mail (M-CBT), David Kavanagh, Jennifer Connolly, Amy Kelly, Angela White & Jan ParrySection 2F Stepping Further Outside the Box: Extending the Environments for Low Intensity CBTOverview, Mark Lau32. Large group didactic CBT classes for common mental health problems, Jim White33. Cognitive Behaviour Group Therapy (CBGT): Capitalizing on efficiency and humanity, Ingrid Sochting, Christopher Wilson & Theo DeGagne34. Will you follow while they lead? Introducing a patient-led approach to low intensity CBT interventions, Tim Carey35. The Advice Clinic or What I did in my thirty minutes, Jim White36. Low intensity CBT Interventions by General Practitioners, Lee David37. Adapting low intensity CBT for clients with severe mental disorder, Frank Deane & David KavanaghSection 2G: Going Upstream: Using Low Intensity CBT Interventions to Prevent Mental Health ProblemsOverview, Kathy Griffiths38. Group CBT for prevention of depression in adults, Pim Cuijpers39. Internet-delivered prevention for anxiety and depression disorders in adults, Tahlee Marian & Justin Kenardy40. Low intensity targeted group prevention of depression in adolescents and children, Greg Clarke41. Internet-based anxiety and depression prevention programs for children and adolescents, Alison Calear, Helen Christensen, Kathy Griffiths42. Parental programs for preventing behavioural and emotional problems in children, Matthew Sanders and James Kirby43. Mindfulness-based cognitive therapy: a low intensity group program to prevent depressive relapse, Mark LauSection 3 Training Low Intensity CBT PractitionersOverview, James Bennett-Levy & Dave Richards44. Training low intensity workers, Dave Richards45. Training Depression Care Managers, Dave Ekers46. 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 Neate47. Training the Wider Workforce in the Use of Cognitive Behaviour Therapy Written Self-help Resources, Chris Williams, Catriona Kent & Anne Joice48. Training GPs to prescribe depression self-management, Dan Bilsker & Elliot Goldner49. Training Clinicians Online to be Etherapists: The 'Anxiety Online' model, David Austin, Britt Klein, Kerrie Shandley & Lisa Ciechomski50. From Classroom to 'Shop Floor': Challenges Faced As A Low Intensity Practitioner, Jillian Telford & Rea WilsonSection 4A: Facilitating the Uptake of Low Intensity CBT Interventions: Changing Systems and Routine PracticeOverview, David Kavanagh & James Bennett-Levy51. Establishing the Improved Access to Psychological Therapies (IAPT) Program: Lessons from large-scale change in England, James Seward, Michael Clark52. Implementing Low Intensity Interventions: What Governments want and why, Alex McMahon53. Challenges and Potential Solutions in Integrating Internet-based CBT Interventions into Specialist Services, Gehard Andersson, Per Carlbring, Viktor Kaldo, Pim Cuijpers54. Achieving widespread dissemination of low intensity evidence-based practices: The experience of the Triple P-Positive Parenting Program, Matthew Sanders & Majella Murphy Brennan55. Practical Service Redesign: Helping GPs to Enhance Depression Care, Michael Smith56. Implementing low-intensity CBT (LI CBT) in case management of clients with severe mental illness, David Kavanagh & Frank Deane57. Effective Partnerships with Community Groups, Kevin KhayatSection 4B: Facilitating the Uptake of Low Intensity CBT Interventions: Adapting Interventions to Different Community ContextsOverview, David Kavanagh & James Bennett-Levy58. Bringing the public on board: Health promotion and social marketing in deprived communities, Jim White59. Enhancing Community Awareness of Depression and Access to Treatment: Experiences with beyondblue, Nicole Highet, Clare Shann & Leonie Young60. Problems and Potentials in Rolling out Low Intensity CBT in Rural Communities, Mark Lau61. Improving Access to Low intensity Interventions for Ethnic Minority Communities, Judy Leibowitz62. Low intensity CBT with Indigenous consumers: Creative solutions for culturally appropriate mental health care, Arlene Laliberte, Tricia Nagel, & Melissa Haswell-Elkins

Editorial Reviews

Reviewer: Gary B Kaniuk, PsyD (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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