The first 30 months of the MindSpot Clinic: Evaluation of a national e-mental health service against project objectives

Australian and New Zealand Journal of Psychiatry

Volumn 51, Issue 12, 2017, Pages 1227-1239

  Titov, Nickolai ^a,b   Dear, Blake F ^a,b   Staples, Lauren G ^a,b   Bennett Levy, James ^c   Klein, Britt ^d   Rapee, Ronald M ^a   Andersson, Gerhard ^e   Purtell, Carol ^b   Bezuidenhout, Greg ^b   Nielssen, Olav B ^b  

^a MACQUARIE UNIVERSITY   (Australia)

^b MindSpot Clinic   (Australia)

^c UNIVERSITY OF SYDNEY   (Australia)

^d UNIVERSITY OF BALLARAT   (Australia)

^e LINKÖPING UNIVERSITY   (Sweden)

Author keywords

anxiety; cognitive behaviour therapy; depression; Internet treatment; service implementation

Indexed keywords

ACCESS TO INFORMATION; ADULT; AGED; ANXIETY DISORDER; ARTICLE; AWARENESS; BEHAVIOR ASSESSMENT; CLINICAL EVALUATION; COGNITIVE BEHAVIORAL THERAPY; CONTROLLED STUDY; DEMOGRAPHY; DEPRESSION; EFFECT SIZE; ELECTRONIC MENTAL HEALTH SERVICE; EVIDENCE BASED MEDICINE; FEMALE; GENERALIZED ANXIETY DISORDER 7 ITEM SCALE; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HUMAN; INFORMATION; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; MEDICAL INFORMATION; MENTAL HEALTH SERVICE; MINDSPOT CLINIC; ONLINE SYSTEM; PARAMETERS; PATIENT HEALTH QUESTIONNAIRE 9; PATIENT SATISFACTION; POSTTRAUMATIC STRESS DISORDER CHECKLIST CIVILIAN VERSION; SYMPTOM; THERAPIST TIME; WEBSITE TRAFFIC DATA; WELLBEING; YALE BROWN OBSESSIVE COMPULSIVE SCALE; ADOLESCENT; AUSTRALIA; COGNITIVE THERAPY; CONSUMER HEALTH INFORMATION; EVALUATION STUDY; EVIDENCE BASED PRACTICE; MIDDLE AGED; STATISTICS AND NUMERICAL DATA; TELEMEDICINE; TREATMENT OUTCOME; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANXIETY DISORDERS; AUSTRALIA; COGNITIVE THERAPY; CONSUMER HEALTH INFORMATION; DEPRESSIVE DISORDER; EVIDENCE-BASED PRACTICE; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; MALE; MENTAL HEALTH SERVICES; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); TELEMEDICINE; YOUNG ADULT;

EID: 85035083149     PISSN: 00048674     EISSN: 14401614     Source Type: Journal    
DOI: 10.1177/0004867416671598     Document Type: Article

References (50)

1. AL-Asadi AM, Klein B, Meyer D, (2014) Posttreatment attrition and its predictors, attrition bias, and treatment efficacy of the anxiety online programs. Journal of Medical Internet Research 16: e232.
2. Andersson G, Titov N, (2014) Advantages and limitations of Internet-based interventions for common mental disorders. World Psychiatry 13: 4–11.
3. Australian Bureau of Statistics (ABS) (2007) National Survey of Mental Health and Wellbeing: Summary of Results. Available at: www.ausstats.abs.gov.au/ausstats/subscriber.nsf/0/6AE6DA447F985FC2CA2574EA00122BD6/File/43260_2007.pdf
4. Australian Bureau of Statistics (ABS) (2010) General Social Survey: Summary Results, Australia (ed. Statistics ABo). Canberra, ACT, Australia: ABS.
5. Australian Bureau of Statistics (ABS) (2012) Year Book Australia. Canberra, ACT, Australia: ABS.
6. Australian Bureau of Statistics (ABS) (2015) Labour Force. Canberra, ACT, Australia: ABS.
7. Australian Government (2012) E-Mental Health Strategy for Australia (ed. Ageing DoHa). Canberra: Australian Government. Available at www.health.gov.au/internet/main/publishing.nsf/content/7C7B0BFEB985D0EBCA257BF0001BB0A6/File/emstrat.pdf
8. Australian National Mental Health Commission (2014) The National Review of Mental Health Programmes and Services. Sydney, NSW, Australia: National Mental Health Commission.
9. Baer L, (1991) Getting Control: Overcoming Your Obsessions and Compulsions. London: Penguin Books.
10. Cahill J, Barkham M, Stiles W, (2010) Systematic review of practice-based research on psychological therapies in routine clinic settings. British Journal of Clinical Psychology 49: 421–453.
11. Clifton B, (2010) Advanced Web Metrics with Google Analytics. Indianapolis, IN: Wiley Publishing.
12. Crutzen R, Roosjen JL, Poelman J, (2013) Using Google analytics as a process evaluation method for Internet-delivered interventions: An example on sexual health. Health Promotion International 28: 36–42.
13. Cuijpers P, van Straten A, Andersson G. (2008) Psychotherapy for depression in adults: A meta-analysis of comparative outcome studies. Journal of Consulting and Clinical Psychology 76: 909–922.
14. Dear BF, Staples LG, Terides MD. (2015) Transdiagnostic versus disorder-specific and clinician-guided versus self-guided internet-delivered treatment for generalized anxiety disorder and comorbid disorders: A randomized controlled trial. Journal of Anxiety Disorders 36: 63–77.
15. Gilbody S, Littlewood E, Hewitt C. (2015) Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): Large scale pragmatic randomised controlled trial. British Medical Journal 351: h5627.
16. Gyani A, Shafran R, Layard R. (2013) Enhancing recovery rates: Lessons from year one of IAPT. Behaviour Research and Therapy 51: 597–606.
17. Hadjistavropoulos HD, Nugent MM, Alberts NM. (2016) Transdiagnostic Internet-delivered cognitive behaviour therapy in Canada: An open trial comparing results of a specialized online clinic and nonspecialized community clinics. Journal of Anxiety Disorders 42: 19–29.
18. Hedman E, Ljótsson B, Kaldo V. (2013) Effectiveness of Internet-based cognitive behaviour therapy for depression in routine psychiatric care. Journal of Affective Disorders 155: 49–58.
19. Hubbarb A, Ahern J, Fleisher N. (2010) To GEE or not to GEE: Comparing population average and mixed models for estimating the associations between neighborhood risk factors and health. Epidemiology 21: 467–474.
20. Kazdin A, (2015) Evidence-based psychotherapies II: Changes in models of treatment and treatment delivery. South African Journal of Psychology 45: 3–21.
21. Kenter RMF, van de Ven PM, Cuijpers P. (2015) Costs and effects of Internet cognitive behavioral treatment blended with face-to-face treatment: Results from a naturalistic study. Internet Interventions 2: 77–83.
22. Kessler R, Aguilar-Gaxiola S, Alonso J. (2009) The global burden of mental disorders: An update from the WHO World Mental Health (WMH) surveys. Epidemiology Psychiatry 18: 23–33.
23. Kessler R, Andrews G, Colpe L. (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine 32: 959–976.
24. Klein B, Meyer D, Austin DW. (2011) Anxiety online – A virtual clinic: Preliminary outcomes following completion of five fully automated treatment programs for anxiety disorders and symptoms. Journal of Medical Internet Research 13: e89.
25. Kroenke K, Spitzer RL, Williams JB, (2001) The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine 16: 606–613.
26. Kroenke K, Spitzer RL, Williams JB. (2007) Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine 146: 317–325.
27. Kroenke K, Spitzer RL, Williams JB. (2010) The patient health questionnaire somatic, anxiety, and depressive symptom scales: A systematic review. General Hospital Psychiatry 32: 345–359.
28. McDonald S, Calhourn P, (2010) The diagnostic accuracy of the PTSD Checklist: A critical review. Clinical Psychology Review 30: 976–987.
29. Mental Health Commission of Canada (2014) E-Mental Health in Canada: Transforming the Mental Health System Using Technology. Ottawa, ON, Canada: Mental Health Commission of Canada.
30. Meurk C, Leung J, Hall W. (2016) Establishing and governing e-Mental health care in Australia: A systematic review of challenges and a call for policy-focussed research. Journal of Medical Internet Research 18: e10.
31. Mewton L, Wong N, Andrews G, (2012) The effectiveness of internet cognitive behavioural therapy for generalized anxiety disorder in clinical practice. Depress Anxiety 29: 843–849.
32. Ministry of Health New Zealand (2012) Rising to the Challenge: The Mental Health and Addiction Service Development Plan 2012–2017. Wellington, New Zealand: Ministry of Health.
33. Mojtabai R, Olfson M, Sampson NA. (2011) Barriers to mental health treatment: Results from the National Comorbidity Survey Replication. Psychological Medicine 41: 1751–1761.
34. National Institute for Health and Care for Clinical Excellence (2009) Depression in adults: Recognition and management. Available at: www.nice.org.uk/guidance/CG90 (accessed 26 November 2015).
35. Nielssen O, Dear BF, Staples LG. (2015) Procedures for risk management and a review of crisis referrals from the MindSpot Clinic, a national service for the remote assessment and treatment of anxiety and depression. BMC Psychiatry 15: 304.
36. Pirkis J, Harris M, Hall W. (2011) Evaluation of the better access to psychiatrists, psychologists and general practitioners through the Medicare Benefits Schedule Initiative, 22 February. Centre for Health Policy, Programs and Economics, University of Melbourne, Melbourne, VIC, Australia.
37. Pirkis J, Hickie I, Young L. (2005) An evaluation of beyondblue, Australia’s National depression initiative. International Journal of Mental Health Promotion 7: 35–53.
38. Richards DA, Borglin G, (2011) Implementation of psychological therapies for anxiety and depression in routine practice: Two year prospective cohort study. Journal of Affective Disorders 133: 51–60.
39. Ruwaard J, Lange A, Schrieken B. (2012) The effectiveness of online cognitive behavioral treatment in routine clinical practice. PLoS ONE 7: e40089.
40. Spence J, Titov N, Johnston L. (2014) Internet-based trauma-focused cognitive behavioural therapy for PTSD with and without exposure components: A randomised controlled trial. Journal of Affective Disorders 162: 73–80.
41. Spitzer RL, Kroenke K, Williams JB. (2006) A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine 166: 1092–1097.
42. Stewart RE, Chambless DL, (2009) Cognitive-behavioral therapy for adult anxiety disorders in clinical practice: A meta-analysis of effectiveness studies. Journal of Consulting and Clinical Psychology 77: 595.
43. Titov N, Dear BF, Johnston L. (2013) Improving adherence and clinical outcomes in self-guided Internet treatment for anxiety and depression: Randomised controlled trial. PLoS ONE 8: e62873.
44. Titov N, Dear BF, Staples LG. (2015a) Disorder-specific versus transdiagnostic and clinician-guided versus self-guided treatment for major depressive disorder and comorbid anxiety disorders: A randomized controlled trial. Journal of Anxiety Disorders 35: 88–102.
45. Titov N, Dear BF, Staples LG. (2015b) MindSpot Clinic: An accessible, efficient and effective online treatment service for anxiety and depression. Psychiatric Services 66: 1043–1050.
46. Titov N, Fogliati VJ, Staples LG. (2016) Treating anxiety and depression in older adults: Randomised controlled trial comparing guided v. self-guided Internet-delivered cognitive-behavioural therapy. British Journal of Psychiatry Open 2: 50–58.
47. Wang P, Aguilar-Gaxiola S, Alonso J. (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. The Lancet 370: 841–850.
48. Whiteford HA, Buckingham W, Harris M. (2014) Estimating treatment rates for mental disorders in Australia. Australian Health Review 38: 80–85.
49. Whiteford HA, Degenhardt L, Rehm J. (2013) Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of disease study 2010. The Lancet 382: 1575–1586.
50. Wootton B, Dear B, Johnston L. (2013) Remote treatment of obsessive-compulsive disorder: A randomized controlled trial. Journal of Obsessive-Compulsive and Related Disorders 2: 375–384.