talkingsense.org mental health e-clinic. what is an e-clinic?
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Talkingsense.org
Mental health e-clinic
What is an E-Clinic?
Who
Appropriate Not-Appropriate
•Cant get into the clinic?
•Problems with travel/mobility
•Work commitments
•Childcare issues
•Do they have basic computer skills
•Access to the internet?
•Prefer using the computer
•Difficulties reading and writing
•If the individual prefers another option
•Severe symptoms/pathology and risk behaviour e.g. high suicidality
•Borderline personality disorder
•Currently no translation tools so may be a language barrier
How
• How to refer-We need the *patients name, *date of birth, *NHS number & *email
address
-The referrers’ name and date of referral
• How the patient uses it– They log onto www.talkingsense.org and choose an appointment that’s convenient– They then log in for the appointment, complete the measures (either by themselves
or while chatting to the clinician) and click to join conversation
• How we work with the patient– We then use either chat or audio/video and work using the same methods we
would in a face-to-face meeting: guided self-help based on CBT– We have self-help materials available on the website which the patient can
download; alternatively we can email or send a link to material via the live-chat
e-clinic benefits patients
Convenient access to therapy at the click of a mouse from any computer or device with internet accessIncreased access to psychological therapies (e.g. LTC and children)Reduced waiting timesImproved comfort and safety (research supports this)
e-clinic benefits organisations
No other tool like this in NHS Reduction in cost of space for clinics Increased recruitment potential More time focused on treatment/increased capacity Reduced waits Reduction in staff travel costs Increased job satisfaction
Some of the ResearchName of Study Method Findings
Kessler et al. (2009)
Lancet 374: 628-634
Multi-centre RCT
297 Ps primary care
BDI 14+
-2/3 of Ps were ‘severely’ depressed
-BDI and QoL significantly improved at 4 and 8 month follow up
Preschl et al. (2011)
BMC Psychiatry 11: 189
RCT
Online therapy Vs face-to-face CBT
Aim: is the therapeutic r’ship effected?
(therapeutic r’ship is widely recognised as a predictor of clinical outcome in many psychotherapies)
-no significant difference between online and face to face
-significant correlations between clients’ perception of therapeutic relationship and clinical outcome in online group
Ruwaard et al. (2012)
Non-controlled
1500 adults patients
Manualised web-based cbt for depression and anxiety disorders
-as effective as face-to-face clinical practice (about 50% of patients recovered and progress was maintained at follow up)
-low drop out rate (29% drop out)
Examples
Extended working hours- appointments in work time
Limited language
End of Step 4 appointments
Other Information
The most important point to mention is that although the E-Clinic has been specifically developed within the Mental Health arena the e-clinic can be utilised within any setting, for example to reduce out patient appointments, conduct other appointments via this portal. We are developing a children’s e-clinic, and looking to use it in schools, and our community staff (Health visitors, stop smoking)
Further Information
If anyone would like further information please contact;
Michelle Larkin
Business Development & Marketing Director
01302 821432
Or
07769135557