How many cognitive therapists in Sacramento do phone therapy instead of group or individual therapy in the therapist’s office or other healthcare-related building location in order to improve access of patients to their therapists and possibly lower the costs of therapy for the patient?
Or how many use videoconferencing or web camera approaches such as Skype to do group therapy? See, Sacramento Therapists & Marriage Counselors, Psychologists. If you were unable to leave your home, would you prefer phone therapy with a licensed health care professional or cognitive therapist — after you’ve been checked out by a physician for medical/physical origins of your cognitive issue?
When it comes to cognitive therapy over the phone is just as effective as being with a face-to-face instructor, therapist, or counselor, according to a new study comparing over the phone therapy with face-to-face therapy. After all, some light workers and intuitive counselors have used the phone to do personal readings, but therapy is different.
You’re dealing with licensed practitioners in counseling and/or psychology doing therapy rather than ‘readings’ or informational referrals to resources. And when does life coaching stop or support groups start? Or when do therapeutics begin?
Check out, Therapist Phone Numbers – Welcome to Psych Pages in Sacramento. You won’t find a listing locally for phone therapy, but you might ask your therapist when you choose one whether the person does therapy by phone and whether he or she is licensed to do therapy by phone which is based on only conversation with or without a web camera to see your facial expressions and emotional reactions to the therapy or just by telephone.
This opens the door to not only phone therapy but also to DVDs or audio recordings and chat rooms or video conferences where the person receiving therapy has an interactive relationship with the therapist as opposed to watching a DVD or listening to a recording. The new study from the University of Cambridge also shows that phone therapy also increases access and potentially decreases costs.
Someone can talk on the phone from home for much less money than it costs to travel to a therapist’s office, buy appropriate clothes for the meeting and/or traveling in public to the destination, and other costs involved in a commute such as gasoline expenses or fare for public transportation.
A person seeking help no longer has to find the money for transportation or find public transportation or drive to a therapist’s office, according to the paper, “Comparative Effectiveness of Cognitive Therapies Delivered Face-to Face or Over the Telephone: An Observational Study Using Propensity Methods.” The journal PLoS ONE published the paper on 28 September 2012, according to the news release, “Therapy over the phone as effective as face-to-face.” This new study reveals that cognitive therapy over the phone is just as effective as meeting face-to-face.
Researchers at the University of Cambridge together with the National Institute for Health Research Collaboration for Leadership in Applied Health Research & Care (NIHR CLAHRC) and NHS Midlands & East also found that providing talking therapy over the phone increases access to psychological therapies for people with common mental disorders and potentially saves the NHS money.
For the study, data from 39,000 patients in seven established Improving Access to Psychological Therapies (IAPT) services (an initiative which aims to expand the availability of psychological therapies) in the East of England were used to compare Cognitive Behavioural Therapy (CBT) delivered face-to-face versus over the phone. For all but an infrequent, identifiable clinical group with more severe illness, therapy over the phone was as effective as face to face, and the cost per session was 36.2% lower.
Patients may be unable to access health services due to transport problems, work commitments and physical disability, among many reasons. So increasing availability of talking therapies over the phone will make mental health services more accessible to patients. On the back of the study results, NHS Midlands & East has instigated a regional training program to standardize service delivery and ensure therapists are competent at phone contacts. The training programme has recently been extended into a partnership with a third party organization.
Professor Peter Jones, Principal Investigator of the study from the University of Cambridge, said, according to the September 28, 2012 news release, Therapy over the phone as effective as face-to-face, “Providing therapy over the phone will not only help individuals gain much-needed access to mental health treatment, it will provide a more cost effective way of providing these services at a time when everyone is concerned about cutting costs.”
Mental health illnesses affect one in four adults in Britain every year. Additionally, the NHS spends more on mental health than it does on cancer, heart disease, stroke and asthma put together (a total of £9.95 billion in 2010-2011), with general practitioners spending more than a third of their time on mental health issues.
The IAPT program arose from a national desire to improve access to talking therapies for common mental health problems. It targets mild to moderate depression and anxiety which are the commonest mental health problems seen in general practice, causing an enormous health burden at the population level. People with common mental health problems have been subject to a long and uncertain wait for treatment via the NHS and so the introduction of IAPT services takes a significant step towards widening access to mental health services.
Professor Jones added, according to the news release: “The beauty of the IAPT program is that it places the patient at the centre of their care and enables research to be used as a tool to support this.” In the IAPT program, patients complete a number of disorder-specific questionnaires at every contact with the therapist, which provide accurate information that is used to their individual treatment and a platform of routine outcomes data to inform service improvements.
Throughout the implementation of IAPT in the European region noted in the study, the CLAHRC (a collaboration between the University of Cambridge and the Cambridgeshire and Peterborough NHS Foundation Trust) and NHS Midlands & East have worked in close partnership to ensure the program meets local population need and improves patient care by effectively translating research into practice.
Monthly meetings between researchers, commissioners, managers and clinicians meant that all relevant groups were involved in defining the research questions and interpreting the data, enabling them to share best practice and “pull through” the findings into service provision. Moreover, the work of the CLAHRC has shown the power of sharing routine health data by enabling the outcome data to be looked at in a meaningful way to provide feedback to local services on how they can see patients more effectively and achieve better value for money.
The new approach is in applied health research
For further information check out the site, NIHR CLAHRC-CP. This is a new approach to applied health research whereby researchers and those in the NHS and social care who will consume the new knowledge produced work closely throughout the process.
They jointly define the questions to be answered so that these fit the questions relevant to the NHS; regular discussions during the research process ensure the work stays on track and that the relevant managers, commissioners and services are ready to “pull-through” the research once the results are clear. This process of co-production aims to close the translational gap between research and clinical practice – the Type 2 gap as defined by the Cooksey Report. Check out the PDF file article on the Cooksey Report.
Improving access to psychological therapies (IAPT) is a massive expansion in the availability of psychological therapies through self-referral, primary care and other routes. IAPT uses evidence-based therapies, largely cognitive behavioral therapy (CBT). It was originally aimed at the common mental disorders of depression and anxiety, but is being expanded to encompass the psychological needs of people with long-term physical conditions, and is being orientated to include children and young people.
NHS Midlands & East and CLAHRC-CP worked in partnership with Relate to develop a bespoke Telephone Intervention Skills Training course which has been specifically designed around the key skills identified by experienced Talking Therapists as paramount to the safe and effective delivery of psychological therapies to members of the public over the telephone.
Phone therapy helps the housebound, agoraphobic, those without childcare help, too ill to travel, or without transportation
The course has been specifically designed for therapists who have patients who are housebound; agoraphobic; have childcare or transport difficulties; living long distances from clinical premises; working away from home – even abroad; on shifts; “too busy”; nervous of committing themselves or even unable to attend appointments due to weather conditions. The course broadens the therapist’s skill set, provides a greater variety of service options, and enables a greater throughput of patients and counts towards practitioner CPD hours.
This acclaimed course enables therapists to work from home; work when there isn’t a room free; work at hours to suit themselves and the patients; and keep the continuity of psychological therapy going. The training program has been successfully delivered to over 150 members of staff in the East of England (including Psychological Wellbeing Practitioners, High Intensity Therapists, Counselors, Service Managers and partnership colleagues) with huge success and has attracted extremely positive feedback on the appropriateness of its content, application to practice and overall standard of training delivery.
The National Institute for Health Research (NIHR) is funded by the Department of Health to improve the health and wealth of the nation through research. Since its establishment in April 2006, the NIHR has transformed research in the NHS. It has increased the volume of applied health research for the benefit of patients and the public, driven faster translation of basic science discoveries into tangible benefits for patients and the economy, and developed and supported the people who conduct and contribute to applied health research.
The NIHR plays a key role in the Government’s strategy for economic growth, attracting investment by the life-sciences industries through its world-class infrastructure for health research. Together, the NIHR people, programs, centers of excellence and systems represent the most integrated health research system in the world. For further information, visit the NIHR website.
NHS Midlands and East is made up of the strategic health authorities of NHS East Midlands, NHS East of England and NHS West Midlands. The role of NHS Midlands and East is to ensure that local health systems operate effectively and efficiently and that national standards and priorities are met in order to continually improve services for patients. The organization works in partnership with local NHS trusts and other partners. NHS Midlands and East is ultimately accountable to the Secretary of State for Health. In the U.S.A., more phone therapists would be welcome by those who find traveling to a therapist’s office a problem or too costly.
For the therapists, there’s the issue of how much to charge for someone who speaks to them by phone or even by computer chat room or web camera such as an interactive meeting by Skype or similar videoconferencing that’s interactive with both the therapist responding to the person being counseled and the conversation going two ways during the session with perhaps a video camera if the patient desired or just a phone if the technology wasn’t there for the patient or the counselor.
After all, phone psychics, astrologers, lawyers, career or life coaches, recruiters, human resource personnel, hotline suicide or domestic violence informational counselors on the phone, educators, and other people who talk on the phone or by web camera hookups to help others have been around for decades.
Phone therapists could do counseling in the same way by talking to people in need of talking to a therapist. The question is how much will the therapist charge and how would a patient check the person’s credentials or find out whether the therapist is human or is a computer robot taught to respond to questions? It’s all about the therapist’s personality, credentials, and approach.