Outcomes from the beyondblue NewAccess program

    Research output: Contribution to journalMeeting Abstract

    Abstract

    Background: The Doncaster trial had shown the efficacy
    of low-intensity cognitive behavioural therapy (CBT) for
    mild to moderate depression in the United Kingdom. In
    2008, together with funding from ‘Movember’, beyondblue
    embarked on a program to examine the fit of the successful
    Doncaster model, then adapt it for Australia, and to test
    the effectiveness of its low-intensity CBT therapy approach
    in the Australian community.
    Objectives: Establish if a place existed for a low-intensity
    psychological treatment service in Australia, and if so, to
    test its suitability for the Australian community.
    Methods: Beginning with a feasibility study and then
    a national seminar, three Australian sites were chosen
    to establish pilot programs in the community. A new
    workforce of low-intensity coaches who had no prior
    mental health professional experience was trained in
    interventions based on CBT for anxiety and depression,
    social prescribing and community signposting. Under close
    supervision within a web-based outcome Patient Case
    Management Information System (PC-MIS), the three
    varied sites successfully established themselves and clinical
    and cost outcomes were evaluated.
    Findings: Over the first 20 months of the trial, 1571
    consented to participate in the trial and 1096 completed
    at least three sessions. Of those who were defined as
    ‘cases’ at the start, 67.5% recovered. The average number
    of sessions was 4.8. The cost–benefit ratio was 1.5, and
    the cost per treatment service for mild to moderate
    depression and anxiety was significantly less than the
    estimated costs of treatment with the better outcomes
    system.
    Conclusions: NewAccess was a successful and highly
    cost-effective service and Australian adaptation of the UK
    low-intensity model.
    Original languageEnglish
    Pages (from-to)40
    Number of pages1
    JournalAustralian and New Zealand Journal of Psychiatry
    Volume51
    Issue numberS1
    DOIs
    Publication statusPublished - 2017
    EventRANZCP 2017 Congress, 'Speaking our minds. Telling our stories' -
    Duration: 30 Apr 2017 → …

    Keywords

    • Newaccess Program
    • cognitive behavioural therapy
    • psychological treatment
    • low-intensity

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