title: The implementation of computerized cognitive behavioural therapies in a service user-led, third sector self help clinic.
abstract: OBJECTIVE
  The efficacy and effectiveness of a computerized cognitive behavioural therapy (CCBT) package, Beating the Blues, has been demonstrated in a large randomized controlled trial and several pragmatic studies in the National Health Service (NHS). The current study tests the generalizability of this finding to the implementation of CCBT in a service user-led, third sector Self Help Clinic.
  
  
  METHODS
  510 referrals for the Beating the Blues program were received over a 16 month period in routine care. The Patient Health Questionnaire Depression (PHQ-9) and Anxiety (GAD-7) Scales were administered pre-treatment and during each treatment session. The 10-item Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM), Work and Social Adjustment Scale and Patient Experience Questionnaire were also administered pre-treatment and immediately on completing treatment.
  
  
  RESULTS
  More than two-thirds of referrals were suitable for treatment and completed a baseline assessment; 84% of these started the Beating the Blues program. Two-hundred and twenty-six people meeting caseness criteria at baseline completed at least two sessions of CCBT. Of these, 50% met recovery criteria at their final point of measurement. Completer and intention-to-treat analysis also demonstrated statistically and clinically significant improvements on key outcome measures.
  
  
  CONCLUSIONS
  CCBT can be effectively implemented in a service user-led, third sector Self Help Clinic, increasing access to psychological therapies to meet local needs for tier two interventions for depression and anxiety.
authors.affiliation: School of Psychology, University of Sussex, UK. kate.cavanagh@sussex.ac.uk
authors.forename: Kate
authors.initials: K
authors.lastname: Cavanagh
authors.forename: Nick
authors.initials: N
authors.lastname: Seccombe
authors.forename: Nicky
authors.initials: N
authors.lastname: Lidbetter
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods / Q000458:organization & administration*; D003156:Community Mental Health Services; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010342:Patient Acceptance of Health Care; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D012648:Self Care / Q000379:methods*; D012917:Social Adjustment; D012984:Software; D013813:Therapy, Computer-Assisted / Q000379:methods / Q000458:organization & administration*; D014837:Voluntary Health Agencies; D055815:Young Adult