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increasing access to psychological therapies - Coggle Diagram
increasing access to psychological therapies
barriers to accessing support
stigma and embarrassment
help-seeking seen as a weakness
lack of trust in mental health system
previous negative experiences prevent people from going back and seeking help again
limited mental health knowledge
wanting to deal with issues alone
not recognising need for help
systemic and structural barriers
financial costs
limited availability of professional help
difficulty seeing a doctor
time and travel commitments
role of parents
driver of their children being able to access mental health support
time limits of being able to participate in treatment
brief, parent-led CBT
online delivery - more efficient, engaging and accessible
altering ways parents respond to children to interrupt reinforcement cycles of anxiety
non-inferior to standard CBT treatments - high levels of improvements in symptoms seen
clinicians are able to see more clients as they spend less time with each individual client - parent delivers majority of the support to their child
OSI - online support and intervention for children with anxiety
cost-effective but maintains quality and satisfaction
stepped care approach
begin with lower intensity treatments and move up to higher intensity treatments if these are not successful
common practice for adults, less well established for children and young people
stepped care is only as good as the treatments that are in it
should consider different types of treatments as well - just offering different intensities of CBT will never work for someone who isn't responsive to CBT
increasing mental health awareness
double-edged sword - risk with young people of misinterpreting transient distress as a mental health problem, and changes in behaviours become a self-fulfilling prophecy
useful and necessary for increasing access
increasing burden of services before changes have been made for them to be equipped to deal with a greater number of people
evaluation of the literature
limitations
samples not representative - high socioeconomic status, white
how is improvements with treatment measured - free of primary diagnosis, reduction in severity of symptoms - limitations of different methods
implications
importance of therapeutic alliance for positive treatment outcomes - how is this impacted
strengths
future research
practical information
small percentages of children actually access evidence based treatment - different proportions estimated depending on study
Reardon - 2/3 tried to access support but only 15% were successful, only 2% accessed evidence-based treatment
less than 2/3 young people with mental health problems access help
school-based approaches
brief screening tools implemented in schools
iCATS
currently there is a lack of evidence that school-based interventions are effective as there is a lack of quality research
2 key questionnaire items that were most informative - does the child get distressed by their worries, and does it interfere with family life