A Guide to Digital Mental Health Resources
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A Guide to Digital Mental Health Resources
A Guide to Digital Mental Health Resources February 2021 www.emhprac.org.au 1 CONTENTS eMHPrac 3 Evidence 4 Head to Health 5 Tips for Using Digital Mental Health in Your Practice 6 Australian Digital Mental Health Resources by... Crisis 7 Natural Disasters 8 Diagnosis Anxiety 10 Bipolar Disorder 13 Depression 14 Eating Disorders 17 Grief and Loss 18 Physical Health and Disability 19 Relationships 22 Stress/Wellbeing 24 Substance Use & Addictive Behaviours 29 Suicide Prevention 32 Trauma 34 Target Group Carers Services 36 Child and Youth Services 38 Indigenous and Other Cultural Services 41 LGBTI Services 43 Older Adult Services 44 Pregnancy & Parenting Services 45 Veteran Services 48 Delivery Mode Apps 49 Online Peer Support (Moderated) 53 Online Programs: Self Directed 56 Online Programs: Therapist/Coach Assisted 61 Telephone & Online Counselling 63 Information Sites 69 Alphabetic List of Resources 74 2 Digital Mental Health Digital Mental Health (e-mental health) comprises services, programs or apps, delivered via online, mobile or phone based platforms. They may be self-driven or practitioner guided and can be used alone or in combination with face-to-face therapy. Funded by the Australian Government The eMHPrac e-Mental Health in Practice Project is funded by the Australian Government and aims to raise health practitioner awareness and knowledge of digital mental health through the provision of free training and support to GP's, Allied Health professionals, service providers working with Aboriginal and Torres Strait Islander people, and a range of other practitioners. eMHPrac is led by Queensland University of Technology in partnership with Black Dog Institute, Menzies School of Health Research and University Centre for Rural Health, University of Sydney. -
Mindspot Clinic: an Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression
ARTICLES MindSpot Clinic: An Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression Nickolai Titov, Ph.D., Blake F. Dear, Ph.D., Lauren G. Staples, Ph.D., James Bennett-Levy, Ph.D., Britt Klein, B.A., D.Psych. (Clinical), Ronald M. Rapee, Ph.D., Clare Shann, David Richards, Ph.D., Gerhard Andersson, Ph.D., Lee Ritterband, Ph.D., Carol Purtell, Greg Bezuidenhout, Luke Johnston, Ph.D., Olav B. Nielssen, M.B.B.S., Ph.D. Objective: The main objective of this study was to report the assessment, and 7,172 completed the assessment and were feasibility of delivering online cognitive-behavioral therapy eligible for analysis. Of these, 2,049 enrolled in a course and (iCBT) treatments for anxiety and depression in a national 1,471 completed the course, for a course completion rate public mental health service. of 71.8%. Moderate to large noncontrolled effect sizes (Cohen’s d=.67–1.66, 95% confidence interval=.08–2.07) Methods: A prospective noncontrolled cohort study was were found from assessment to three-month follow-up. At conducted of all patients who began assessment or treat- posttreatment and follow-up, reliable recovery ranged from ment at the MindSpot Clinic from January through De- 46.7% to 51.1%, and deterioration ranged from 1.9% to 3.8%. cember 2013. Clinic services were used by a representative Mean total therapist time per patient was 111.8661.6 cross-section of the Australian population. Mean age at as- minutes. sessment was 36.4613.0 years, and age range was 18–86 years. -
Procedures for Risk Management and a Review of Crisis
Nielssen et al. BMC Psychiatry (2015) 15:304 DOI 10.1186/s12888-015-0676-6 RESEARCH ARTICLE Open Access 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 Olav Nielssen1,2,3*, Blake F. Dear1,4, Lauren G. Staples1,4, Rebecca Dear1, Kathryn Ryan1, Carol Purtell1 and Nickolai Titov1,4 Abstract Background: The MindSpot Clinic (MindSpot) provides remote screening assessments and therapist-guided treatment for anxiety and depression to adult Australians. Most patients are self-referred. The purpose of this study was to report on the procedures followed to maintain the safety of patients and to examine the circumstances of urgent referrals to local services made by this remote mental health service. Method: A description of the procedures used to manage risk, and an audit of case summaries of patients who were urgently referred for crisis intervention. The reported measures were scores on self-report scales of psychological distress (K-10) and depression (PHQ-9), the number reporting suicidal thoughts and plans, and the number of acute referrals. Results: A total of 9061 people completed assessments and consented for analysis of their data in the year from 1 July, 2013 to 30 June, 2014. Of these, 2599 enrolled in online treatment at MindSpot, and the remainder were supported to access local mental health services. Suicidal thoughts were reported by 2366 (26.1 %) and suicidal plans were reported by 213 (2.4 %). There were 51 acute referrals, of whom 19 (37.3 %) lived in regional or remote locations. -
Internet-Delivered Treatment for Older Adults with Anxiety and Depression
BJPsych Open (2016) 2, 307–313. doi: 10.1192/bjpo.bp.116.003400 Internet-delivered treatment for older adults with anxiety and depression: implementation of the Wellbeing Plus Course in routine clinical care and comparison with research trial outcomes Lauren G. Staples, Vincent J. Fogliati, Blake F. Dear, Olav Nielssen and Nickolai Titov Background symptom reductions at post-treatment and were satisfied with The Wellbeing Plus Course is an internet-delivered the treatment. Results were maintained at 3-month follow-up. psychological intervention for older adults with anxiety or Within-group symptom changes were comparable between depression. settings; there were no between-group differences on primary outcomes or satisfaction. Aims To compare the effectiveness of the Wellbeing Plus Course in a Conclusions public health setting (clinic group) with its efficacy in a The Wellbeing Plus Course is as effective and acceptable in randomised controlled trial (research group). routine clinical care, as it is in controlled research trials. Method Declaration of interest Participants (n=949) were Australian adults aged 60 and above. N.T. and B.F.D developed the Wellbeing Plus Course but Primary outcome measures were the Patient Health derived no financial benefit from it. Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7). Copyright and usage © The Royal College of Psychiatrists 2016. This is an open Results access article distributed under the terms of the Creative Initial symptom severity was higher in the clinic group and Commons Non-Commercial, No Derivatives (CC BY-NC-ND) course completion was lower. Both groups showed significant license. Symptoms of depression and anxiety are common in older adults research,11,22 it was expected that initial symptom severity would and are associated with increased disability and decreased quality be higher in the clinic group, compared with the research group of life1,2; however, the proportion of this population accessing where more stringent inclusion criteria were used. -
Chronic Pain in Adults Strategies for Managing Pain
Chronic pain in adults Strategies for managing pain Pain is an unpleasant condition that is What is pain? Pain is defined as “an unpleasant sensory and emotional experienced by Australians of all ages. experience associated with, or resembling that associated with, Chronic, or persistent, pain can impact actual or potential tissue damage” (International Association for the Study of Pain). It is a personal experience that is influenced an individual and the people close to by a number of factors including biological (e.g., from injured structures), psychological (e.g., coping skills) and social (e.g., them in a number of ways, including family environment) factors. poor physical health, emotional A person’s experience of pain is said to be chronic (or persistent) when it continues beyond the usual period of healing. This is distress and reduced capacity to often defined as pain that persists for three months or longer. Around one in five adults experience chronic pain; more undertake daily activities such as work commonly women and older individuals. and social activities. Treating chronic Pain is often experienced with other conditions including anxiety disorders (e.g., generalised anxiety, panic disorder, social pain often involves a team of health anxiety, or post-traumatic stress disorder), mood disorders (e.g., depression), physical conditions (e.g., heart disease, cancer, professionals, including psychologists. and arthritis) and substance use disorders (e.g., overuse of This information sheet provides adults prescription medication or alcohol). Some people who experience chronic pain may have initially had who experience chronic pain, and a physical injury (e.g., a muscle sprain), others experience it as a symptom of another condition (e.g., Parkinson’s disease), whilst those living with them, with tips on how others are unable to identify why, or how, their pain began. -
Final Report Emotional Wellbeing Project (Wellbeing Plus Course)
Final Report Emotional Wellbeing Project (Wellbeing Plus Course) Professor Nick Titov Dr Blake Dear Dr Luke Johnston Dr Lauren Staples Dr Vincent Fogliati December 2014 1 Table of Contents 1. MAIN MESSAGES ............................................................................................................................. 3 2. EXECUTIVE SUMMARY ..................................................................................................................... 4 3. MAIN REPORT .................................................................................................................................. 6 3.1 Context .......................................................................................................................................... 6 3.2 Implications ................................................................................................................................... 8 3.3 Approach ....................................................................................................................................... 9 3.4 Results ......................................................................................................................................... 13 4. Conclusions .................................................................................................................................... 18 5. Were the Project Aims and Objectives met? ................................................................................ 19 6. Project Materials .......................................................................................................................... -
Predictors, Outcomes, and Statistical Solutions of Missing Cases in Web-Based Psychotherapy: Methodological Replication and Elaboration Study
JMIR MENTAL HEALTH Karin et al Original Paper Predictors, Outcomes, and Statistical Solutions of Missing Cases in Web-Based Psychotherapy: Methodological Replication and Elaboration Study Eyal Karin1, PhD, MaPPStat; Monique Frances Crane1, PhD; Blake Farran Dear2, PhD; Olav Nielssen3, PhD; Gillian Ziona Heller4, PhD; Rony Kayrouz1, PhD; Nickolai Titov1, PhD 1Department of Psychology, Macquarie University, MindSpot Clinic, Macquarie Park, Australia 2Department of Psychology, Macquarie University, eCentreClinic, Sydney, Australia 3Department of Psychology, Macquarie University, MindSpot Clinic, Sydney, Australia 4Department of Statistics, Macquarie University, Sydney, Australia Corresponding Author: Eyal Karin, PhD, MaPPStat Department of Psychology Macquarie University MindSpot Clinic North Ryde, NSW Macquarie Park, 2113 Australia Phone: 61 448697082 Email: [email protected] Abstract Background: Missing cases present a challenge to our ability to evaluate the effects of web-based psychotherapy trials. As missing cases are often lost to follow-up, less is known about their characteristics, their likely clinical outcomes, or the likely effect of the treatment being trialed. Objective: The aim of this study is to explore the characteristics of missing cases, their likely treatment outcomes, and the ability of different statistical models to approximate missing posttreatment data. Methods: A sample of internet-delivered cognitive behavioral therapy participants in routine care (n=6701, with 36.26% missing cases at posttreatment) was used to identify predictors of dropping out of treatment and predictors that moderated clinical outcomes, such as symptoms of psychological distress, anxiety, and depression. These variables were then incorporated into a range of statistical models that approximated replacement outcomes for missing cases, and the results were compared using sensitivity and cross-validation analyses. -
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JOURNAL OF MEDICAL INTERNET RESEARCH Hadjistavropoulos et al Original Paper Initial Outcomes of Transdiagnostic Internet-Delivered Cognitive Behavioral Therapy Tailored to Public Safety Personnel: Longitudinal Observational Study Heather D Hadjistavropoulos1, PhD; Hugh C McCall1, MA; David L Thiessen2, BSc; Ziyin Huang3, HBSc; R Nicholas Carleton1,3, PhD; Blake F Dear4, PhD; Nickolai Titov4, PhD 1Department of Psychology, University of Regina, Regina, SK, Canada 2Department of Mathematics and Statistics, University of Regina, Regina, SK, Canada 3PSPNET, University of Regina, Regina, SK, Canada 4eCentreClinic, Department of Psychology, Macquarie University, Sydney, Australia Corresponding Author: Heather D Hadjistavropoulos, PhD Department of Psychology University of Regina Administration-Humanities Building, AH 345 3737 Wascana Parkway Regina, SK, S4S 0A2 Canada Phone: 1 306 585 5133 Email: [email protected] Abstract Background: Canadian public safety personnel (PSP) experience high rates of mental health disorders and face many barriers to treatment. Internet-delivered cognitive behavioral therapy (ICBT) overcomes many such barriers, and is effective for treating depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms. Objective: This study was designed to fill a gap in the literature regarding the use of ICBT tailored specifically for PSP. We examined the effectiveness of a tailored ICBT program for treating depression, anxiety, and PTSD symptoms among PSP in the province of Saskatchewan. Methods: We employed a longitudinal single-group open-trial design (N=83) with outcome measures administered at screening and at 8 weeks posttreatment. Data were collected between December 5, 2019 and September 11, 2020. Primary outcomes included changes in depression, anxiety, and PTSD symptoms. Secondary outcomes included changes in functional impairment; symptoms of panic, social anxiety, and anger; as well as treatment satisfaction, working alliance, and program usage patterns. -
Procedures for Risk Management and a Review Of
Nielssen et al. BMC Psychiatry (2015) 15:304 DOI 10.1186/s12888-015-0676-6 RESEARCH ARTICLE Open Access 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 Olav Nielssen1,2,3*, Blake F. Dear1,4, Lauren G. Staples1,4, Rebecca Dear1, Kathryn Ryan1, Carol Purtell1 and Nickolai Titov1,4 Abstract Background: The MindSpot Clinic (MindSpot) provides remote screening assessments and therapist-guided treatment for anxiety and depression to adult Australians. Most patients are self-referred. The purpose of this study was to report on the procedures followed to maintain the safety of patients and to examine the circumstances of urgent referrals to local services made by this remote mental health service. Method: A description of the procedures used to manage risk, and an audit of case summaries of patients who were urgently referred for crisis intervention. The reported measures were scores on self-report scales of psychological distress (K-10) and depression (PHQ-9), the number reporting suicidal thoughts and plans, and the number of acute referrals. Results: A total of 9061 people completed assessments and consented for analysis of their data in the year from 1 July, 2013 to 30 June, 2014. Of these, 2599 enrolled in online treatment at MindSpot, and the remainder were supported to access local mental health services. Suicidal thoughts were reported by 2366 (26.1 %) and suicidal plans were reported by 213 (2.4 %). There were 51 acute referrals, of whom 19 (37.3 %) lived in regional or remote locations. -
Anxiety Questionnaire Online Mindspot Clinic
Anxiety Questionnaire Online Mindspot Clinic inescutcheon.Unpastoral Milton Rustie cripples, is resolute: his nickpoint she woofs segues evidently freshens and either.step-ups Giff her still formants. harrumphs heedfully while self-loading Cameron hugged that What others areas of online questionnaire clinic Your time of dmhs had opted for older people take advantage of older, online questionnaire clinic logo are a question definitely depends on. My medication is needed across groups in anxiety questionnaire online mindspot clinic. Here are a suburb or questions will do they form each task at their anxiety questionnaire online mindspot clinic. In an online questionnaire, anxiety questionnaire online mindspot clinic offers. Includes some residents by comparing results are you feel that some clubs, many simple things you start most mentally well suited to his patients for anxiety questionnaire online mindspot clinic records confirming that depressed. We strongly support can an anxiety questionnaire online mindspot clinic is based psychological assessment. Sign up beside new listing alerts and our email newsletter to respond find her perfect retirement property. If would enjoy creative expression and skill to arrange your confidence using a toddler of art materials, tools and tips to help smart people get it anything from everyday issues, and idiosyncrasies from these results are discussed. Using this resource in practice: SMHSOP workers can link interested women to CWA as pretty of developing a holistic approach to helping them stay connected and supported within their deep community, too. Australia Day public holiday. Common Reasons for Your Depression. This content does not recognised as we serve a regular contact details of anxiety questionnaire online mindspot clinic: world mental health program also wish among all anxiety disorders which may offer. -
Ten Lessons in Delivering Digital Mental Health Services
Journal of Clinical Medicine Article From Research to Practice: Ten Lessons in Delivering Digital Mental Health Services Nickolai Titov 1,* , Heather D. Hadjistavropoulos 2, Olav Nielssen 1, David C. Mohr 3, Gerhard Andersson 4,5 and Blake F. Dear 1 1 MindSpot Clinic and Department of Psychology, Macquarie University, Sydney, NSW 2109, Australia 2 Online Therapy Unit, Department of Psychology, University of Regina, Regina, Saskatchewan, SK S4S 0A2, Canada 3 Center for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University, Chicago, IL 60611, USA 4 Department of Behavioural Sciences and Learning, Linköping University, Linköping SE-581 83, Sweden 5 Department of Clinical Neuroscience, Karolinska Institute, Stockholm 171 77, Sweden * Correspondence: [email protected] Received: 16 July 2019; Accepted: 15 August 2019; Published: 17 August 2019 Abstract: There is a large body of research showing that psychological treatment can be effectively delivered via the internet, and Digital Mental Health Services (DMHS) are now delivering those interventions in routine care. However, not all attempts to translate these research outcomes into routine care have been successful. This paper draws on the experience of successful DMHS in Australia and Canada to describe ten lessons learned while establishing and delivering internet-delivered cognitive behavioural therapy (ICBT) and other mental health services as part of routine care. These lessons include learnings at four levels of analysis, including lessons learned working with (1) consumers, (2) therapists, (3) when operating DMHS, and (4) working within healthcare systems. Key themes include recognising that DMHS should provide not only treatment but also information and assessment services, that DMHS require robust systems for training and supervising therapists, that specialist skills are required to operate DMHS, and that the outcome data from DMHS can inform future mental health policy. -
A Guide to Digital Mental Health Resources
UNIVERSITY CENTRE FOR RURAL HEALTH NORTH COAST A Guide to Digital Mental Health Resources August 2020 www.emhprac.org.au 1 CONTENTS eMHPrac 3 Evidence 4 Head to Health 5 Tips for Using Digital Mental Health in Your Practice 6 Australian Digital Mental Health Resources by... Crisis 7 Natural Disasters 8 Diagnosis Anxiety 10 Bipolar Disorder 14 Depression 15 Eating Disorders 18 Grief and Loss 19 Physical Health Problems 20 Relationships 22 Stress/Wellbeing 23 Substance Use & Addictive Behaviours 28 Suicide Prevention 31 Trauma 32 Specialist Target Group Carers Services 34 Child and Youth Services 35 Indigenous and Other Cultural Services 39 LGBTI Services 41 Older Adult Services 42 Pregnancy & Parenting Services 43 Veteran Services 46 Delivery Mode Apps 48 Online Peer Support (Moderated) 53 Online Programs: Self Directed 55 Online Programs: Therapist/Coach Assisted 60 Telephone & Online Counselling 62 Information Sites 67 Alphabetic List of Resources 70 2 Digital Mental Health Digital Mental Health (e-mental health) comprises services, programs or apps, delivered via online, mobile or phone based platforms. They may be self-driven or practitioner guided and can be used alone or in combination with face-to-face therapy. Funded by the Australian Government The eMHPrac e-Mental Health in Practice Project is funded by the Australian Government and aims to raise health practitioner awareness and knowledge of digital mental health through the provision of free training and support to GP's, Allied Health professionals, service providers working with Aboriginal and Torres Strait Islander people, and a range of other practitioners. eMHPrac is led by Queensland University of Technology in partnership with Black Dog Institute, Menzies School of Health Research and University Centre for Rural Health, University of Sydney.