Invited Address 2 - Digital Transformation to Increase Access to Psychological Therapies: What We have Learned from Research in the English Child Mental Health System
Saturday, November 16, 2024
11:00 AM – 12:00 PM EST
Location: Grand Ballroom G/H, Level 5, Downtown Marriott
Earn 1 Credit
Keywords: Anxiety , Child , Early Intervention Level of Familiarity: Basic to moderate Recommended Readings: Hill, C., Reardon, T., Taylor, L., & Creswell, C. (2022). Online Support and Intervention for Child Anxiety (OSI): development and usability testing. JMIR Formative Research, 6(4), e29846.
https://formative.jmir.org/2022/4/e29846/
, Creswell, C., Taylor, L., Giles, S., Howitt, S., Radley, L., Whitaker, E., ... & Yu, L. M. (2024). Digitally augmented, parent-led CBT versus treatment as usual for child anxiety problems in child mental health services in England and Northern Ireland: a pragmatic, non-inferiority, clinical effectiveness and cost-effectiveness randomised controlled trial. The Lancet Psychiatry, 11(3), 193-209.
https://www.thelancet.com/pdfs/journals/lanpsy/PIIS2215-0366(23)00429-7.pdf
, Creswell, C., Chessell, C., & Halliday, G. (2023). Parent-led cognitive behaviour therapy for child anxiety problems: overcoming challenges to increase access to effective treatment. Behavioural and cognitive psychotherapy, 51(6), 512-532.
https://www.cambridge.org/core/services/aop-cambridge-core/content/view/95E025DF1C39213BC65DE31C117DBE55/S1352465822000546a.pdf/parentled_cognitive_behaviour_therapy_for_child_anxiety_problems_overcoming_challenges_to_increase_access_to_effective_treatment.pdf
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Professor of Developmental Clinical Psychology University of Oxford
Across the world demand for effective mental health care, and evidence-based psychological therapies in particular, far exceeds the available supply. Digitally augmented approaches provide a potential mechanism to increase the efficiency of CBT delivery but it is critical that we do this without compromising accessibility, engagement and outcomes. In keeping with the convention focus on opening our doors through innovation to advance CBT, this talk will draw on examples from a programme of mixed method studies to develop, evaluate, and implement digitally-augmented treatment in which parents are supported to help their children overcome anxiety problems. Throughout the talk I will illustrate the potential of digitally augmented approaches, the challenges that they present (in particular in relation to implementation in routine practice) and how we have overcome them so far. While the focus will be on treatments for anxiety in the child mental health settings, the lessons learned will be widely applicable to practitioners in, and researchers focused on, any mental health setting where demand outstrips supply.
Outline:
Introduction: Overview of digital transformation in child mental health The need to balance efficiency with accessibility, engagement, and outcomes Benefits of Digitally Augmented CBT: Enhancing access to therapy Improving efficiency without compromising treatment quality Challenges of Implementation: Barriers in routine practice (clinics, schools) Addressing accessibility and engagement Research Findings: Mixed method studies Case examples of success and lessons learned Future Directions: Application of findings across different mental health settings
Learning Objectives:
At the end of this session, the learner will be able to:
Explain key benefits of integrated digitally augmented treatment approaches into routine mental health care settings.
Identify potential barriers and facilitators for successful implementation of digitally augmented psychological therapies (through clinics and schools)
Describe examples of successful implementation.
Long-term Goal: Participants will learn ways to integrate digitally augmented treatment approaches to increase access to psychological therapies while maintaining treatment efficacy and engagement.
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