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
access
Increased access to psychological
therapies (e.g. LTC and children)
Reduced waiting times
Improved comfort and safety
(research supports this)
e-clinic benefits organisations
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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 Research
Name of Study
Method
Findings
Kessler et al. (2009) Multi-centre RCT
Lancet 374: 628297 Ps primary care
634
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 faceto-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
Michelle.larkin@rdash.nhs.uk
01302 821432
Or
07769135557