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Youth Work Service Providers' Attitudes Towards Computerized CBT for Adolescents

Published online by Cambridge University Press:  17 May 2012

Theresa Fleming*
Affiliation:
University of Auckland, New Zealand
Sally Merry
Affiliation:
University of Auckland, New Zealand
*
Reprint requests to Theresa Fleming, The University of Auckland, Department of Psychological Medicine, Private Bag 92019, Auckland 1142, New Zealand. E-mail: t.fleming@auckland.ac.nz

Abstract

Background: Attitudes of social service providers towards computerized CBT (cCBT) might affect use of cCBT by their clients and may provide important insights that should be considered in dissemination. There is no literature exploring the attitudes of providers of youth work services towards cCBT despite the likelihood of them having close relationships with young people at high risk of mental ill-health. Method: Focus groups and semi-structured interviews were undertaken with a total of 40 providers (21 youth workers and social service staff providing alternative schooling, justice or other intensive youth work programmes to adolescents, 6 youth service managers, 2 trainers, 5 peer leaders and 6 trainees). Results: Participants considered supporting young people who were distressed to be an important part of their role. They were generally interested in cCBT, especially those who were more mental health oriented and those who saw a cCBT programme in action. Their greatest concerns regarding cCBT related to it possibly displacing human contact, while advantages were seen as its appeal to young people and its potential therapeutic power. They would utilize cCBT in a range of ways, with many wishing to offer it in group settings. Training and resources would be required for them to use cCBT. Conclusions: Many providers of youth work services would like to be involved in the use of cCBT; this might extend the reach of cCBT to vulnerable young people. They would wish to utilize cCBT in ways that fit their current approaches. Providers’ opinions need to be considered in the dissemination of cCBT.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

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References

Aarons, G. A. and Palinkas, L. I. (2007). Implementation of evidence-based practice in child welfare: service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34, 411419.Google Scholar
Aarons, G. A., Wells, R. S., Zagursky, K., Fettes, D. L. and Palinkas, L. A. (2009). Implementing evidence-based practice in community mental health agencies: a multiple stakeholder analysis. American Journal of Public Health, 99, 20872095.CrossRefGoogle ScholarPubMed
Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P. and Titov, N. (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS ONE, 5, e13196.Google Scholar
Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., et al. (1996). Childhood and adolescent depression: a review of the past 10 years. Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 14271439.Google Scholar
Cavanagh, K., Seccombe, N. and Lidbetter, N. (2011). The implementation of computerized cognitive behavioural therapies in a service user-led, third sector self help clinic. Behavioural and Cognitive Psychotherapy, 39, 427442.Google Scholar
Clark, T. C., Smith, J., Raphael, D., Jackson, C., Denny, S., Fleming, T., et al. (2010). Kicked out of school and suffering: the health needs of youth attending Alternative Education in New Zealand. Youth Studies Australia, 29, 1017.Google Scholar
Clark, T. C., Smith, J. M., Raphael, D., Jackson, C., Fleming, T., Denny, S., et al. (2010). Youth’09: the health and wellbeing of young people in Alternative Education. Auckland: The University of Auckland.Google Scholar
Denny, S., Clark, T., Fleming, T. and Wall, M. (2004). Emotional resilience: risk and protective factors for depression among alternative education students in New Zealand. The American Journal of Orthopsychiatry, 74, 137149.Google Scholar
Farrand, P., Confue, P., Byng, R. and Shaw, S. (2009). Guided self-help supported by paraprofessional mental health workers: an uncontrolled before–after cohort study. Health and Social Care in the Community, 17, 917.CrossRefGoogle ScholarPubMed
Freudenberg, N. and Ruglis, J. (2007). Reframing school dropout as a public health issue. Preventing Chronic Disease, 4, A107.Google Scholar
Gun, S. Y., Titov, N. and Andrews, G. (2011). Acceptability of Internet treatment of anxiety and depression. Australasian Psychiatry, 19, 259264.Google Scholar
Horowitz, J. L. and Garber, J. (2006). The prevention of depressive symptoms in children and adolescents: a meta-analytic review. Journal of Consulting and Clinical Psychology, 74, 401–415.CrossRefGoogle ScholarPubMed
Krueger, M. (2005). Four themes in youth work practice. Journal of Community Psychology, 33, 2129.Google Scholar
MacLeod, M., Martinez, R. and Williams, C. (2009). Cognitive behaviour therapy self-help: who does it help and what are its drawbacks? Behavioural and Cognitive Psychotherapy, 37, 6172.Google Scholar
Marks, I. and Cavanagh, K. (2009). Computer-aided psychological treatments: evolving issues. Annual Review of Clinical Psychology, 5, 121141.Google Scholar
Marks, I., Cavanagh, K. and Gega, L. (2007). Computer-aided psychotherapy: revolution or bubble? The British Journal of Psychiatry, 191, 471473.CrossRefGoogle ScholarPubMed
Mitchell, N. and Gordon, P. K. (2007). Attitudes towards computerized CBT for depression amongst a student population. Behavioural and Cognitive Psychotherapy, 35, 421430.Google Scholar
Mitchell, P. (2009a). A discourse analysis on how service providers in non-medical primary health and social care services understand their roles in mental health care. Social Science and Medicine, 68, 12131220.Google Scholar
Mitchell, P. (2009b). Mental health care roles of non-medical primary health and social care services. Health and Social Care in the Community, 17, 7182.Google Scholar
Mitchell, P. (2011). Evidence-based practice in real-world services for young people with complex needs: new opportunities suggested by recent implementation science. Children and Youth Services Review, 33, 207216.Google Scholar
National Institute for Health and Clinical Excellence (2009). Depression: the treatment and management of depression in adults (partial update of NICE clinical guideline 23). Retrieved from http://www.nice.org.uk/nicemedia/live/12329/45888/45888.pdf.Google Scholar
NHMRC (1997). Depression in Young People: clinical practice guidelines. Canberra: National Health and Medical Research Council.Google Scholar
O'Kearney, R., Gibson, M., Christensen, H. and Griffiths, K. M. (2006). Effects of a cognitive-behavioural internet program on depression, vulnerability to depression and stigma in adolescent males: a school-based controlled trial. Cognitive Behaviour Therapy, 35, 4354.Google Scholar
O'Kearney, R., Kang, K., Christensen, H. and Griffiths, K. (2009). A controlled trial of a school-based Internet program for reducing depressive symptoms in adolescent girls. Depression and Anxiety, 26, 6572.Google Scholar
Palpant, R. G., Steimnitz, R., Bornemann, T. H. and Hawkins, K. (2006). The Carter Center Mental Health Program: addressing the public health crisis in the field of mental health through policy change and stigma reduction. Preventing Chronic Disease, 3, 16. Retrieved from http://www.cdc.gov/pcd/issues/2006/apr/05_0175.htmGoogle ScholarPubMed
Quinn Patton, M. (2002). Qualitative Research and Evaluation Methods (3rd ed.). Thousand Oaks: SAGE.Google Scholar
Richard, D. C. S. and Gloster, A. (2006). Technology integration and behavioral assessment. In Hersen, M. (Ed.), Clinican's Handbook of Adult Behavioral Assessment (pp. 461495). San Diego: Elsevier Academic Press.Google Scholar
Richardson, T., Stallard, P. and Velleman, S. (2010). Computerized cognitive behavioural therapy for the prevention and treatment of depression and anxiety in children and adolescents: a systematic review. Clinical Child and Family Psychology Review, 13, 275290.Google Scholar
Rickwood, D., Deane, F. and Wilson, C. (2007). When and how do young people seek professional help for mental health problems? Medical Journal of Australia, 187 (7 Suppl), S3539.Google Scholar
Rickwood, D., Deane, F., Wilson, C. and Ciarrochi, J. (2005). Young people's help-seeking for mental health problems. AeJAMH (Australian e-Journal for the Advancement of Mental Health), 4 (3), Supplement.Google Scholar
Stallard, P., Richardson, T. and Velleman, S. (2010). Clinicians’ attitudes towards the use of Computerized Cognitive Behaviour Therapy (cCBT) with children and adolescents. Behavioural and Cognitive Psychotherapy, 38, 545560.CrossRefGoogle ScholarPubMed
Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27, 237246.Google Scholar
Townsend, E., Walker, D.-M., Sargeant, S., Vostanis, P., Hawton, K., Stocker, O., et al. (2010). Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm. Journal of Adolescence, 33, 920.Google Scholar
Waller, R. and Gilbody, S. (2009). Barriers to the uptake of computerized cognitive behavioural therapy: a systematic review of the quantitative and qualitative evidence. Psychological Medicine, 39, 705712.Google Scholar
Whitfield, G. and Williams, C. J. (2004). If the evidence is so good why doesn't anyone use them? Current uses of computer-based self-help packages. Behavioural and Cognitive Psychotherapy, 32, 5765.Google Scholar
Williams, C. and Martinez, R. (2008). Increasing access to CBT: stepped care and CBT self-help models in practice. Behavioural and Cognitive Psychotherapy, 36(Special Issue 06), 675683.CrossRefGoogle Scholar
Zachrisson, H., Rodje, K. and Mykletun, A. (2006). Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC Public Health, 6, 34.CrossRefGoogle ScholarPubMed
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