Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysis
<strong>Background:</strong> Cognitive therapy, based on the Clark & Wells (1995) model, is a first-line treatment for adults with social anxiety disorder (SAD), and findings from research settings suggest it has promise for use with adolescents (Cognitive Therapy for Social Anxiety...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Cambridge University Press
2021
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| _version_ | 1797104841077555200 |
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| author | Leigh, EC Creswell, C Stallard, P Waite, P Violato, M Pearcey, S Brooks, E Taylor, L Warnock-Parkes, E Clark, D |
| author_facet | Leigh, EC Creswell, C Stallard, P Waite, P Violato, M Pearcey, S Brooks, E Taylor, L Warnock-Parkes, E Clark, D |
| author_sort | Leigh, EC |
| collection | OXFORD |
| description | <strong>Background:</strong> Cognitive therapy, based on the Clark & Wells (1995) model, is a first-line treatment for adults with social anxiety disorder (SAD), and findings from research settings suggest it has promise for use with adolescents (Cognitive Therapy for Social Anxiety disorder in Adolescents; CT-SAD-A). However, for the treatment to be suitable for delivery in routine clinical care, two questions need to be addressed.
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<strong>Aims:</strong> Can therapists be trained to achieve good outcomes in routine Child and Adolescent Mental Health Services (CAMHS), and what are the costs associated with training and treatment.
<br>
<strong>Methods:</strong> CAMHS therapists working in two NHS trusts received training in CT-SAD-A. They delivered the treatment to adolescents with SAD during a period of supervised practice. We examined the clinical outcomes for the 12 patients treated during this period, and estimated costs associated with treatment and training.
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<strong>Results:</strong> Treatment produced significant improvements in social anxiety symptoms, general anxiety and depression symptoms, and reductions in putative process measures. 75% (9 out of 12) patients showed a reliable and clinically significant improvement in social anxiety symptoms and 64% (7/11) lost their primary diagnosis of SAD. The total cost to the NHS of the CT-SAD-A treatment was £4047 (SD=1003) per adolescent treated, of which £1861 (SD=£358) referred to the specific estimated cost of face-to-face delivery; the remaining cost was for training and supervising therapists who were not previously familiar with the treatment.
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<strong>Conclusions:</strong> This study provides preliminary evidence that clinicians can deliver good patient outcomes for adolescents with SAD in routine CAMHS during a period of supervised practice after receiving a two-day training workshop. Furthermore, the cost of delivering CT-SAD-A with adolescents appeared to be no more than the cost of delivering CT-SAD with adults. |
| first_indexed | 2024-03-07T06:39:12Z |
| format | Journal article |
| id | oxford-uuid:f8b22630-d571-424a-98b4-8dcafcbd0483 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:39:12Z |
| publishDate | 2021 |
| publisher | Cambridge University Press |
| record_format | dspace |
| spelling | oxford-uuid:f8b22630-d571-424a-98b4-8dcafcbd04832022-03-27T12:52:21ZDelivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f8b22630-d571-424a-98b4-8dcafcbd0483EnglishSymplectic ElementsCambridge University Press2021Leigh, ECCreswell, CStallard, PWaite, PViolato, MPearcey, SBrooks, ETaylor, LWarnock-Parkes, EClark, D<strong>Background:</strong> Cognitive therapy, based on the Clark & Wells (1995) model, is a first-line treatment for adults with social anxiety disorder (SAD), and findings from research settings suggest it has promise for use with adolescents (Cognitive Therapy for Social Anxiety disorder in Adolescents; CT-SAD-A). However, for the treatment to be suitable for delivery in routine clinical care, two questions need to be addressed. <br> <strong>Aims:</strong> Can therapists be trained to achieve good outcomes in routine Child and Adolescent Mental Health Services (CAMHS), and what are the costs associated with training and treatment. <br> <strong>Methods:</strong> CAMHS therapists working in two NHS trusts received training in CT-SAD-A. They delivered the treatment to adolescents with SAD during a period of supervised practice. We examined the clinical outcomes for the 12 patients treated during this period, and estimated costs associated with treatment and training. <br> <strong>Results:</strong> Treatment produced significant improvements in social anxiety symptoms, general anxiety and depression symptoms, and reductions in putative process measures. 75% (9 out of 12) patients showed a reliable and clinically significant improvement in social anxiety symptoms and 64% (7/11) lost their primary diagnosis of SAD. The total cost to the NHS of the CT-SAD-A treatment was £4047 (SD=1003) per adolescent treated, of which £1861 (SD=£358) referred to the specific estimated cost of face-to-face delivery; the remaining cost was for training and supervising therapists who were not previously familiar with the treatment. <br> <strong>Conclusions:</strong> This study provides preliminary evidence that clinicians can deliver good patient outcomes for adolescents with SAD in routine CAMHS during a period of supervised practice after receiving a two-day training workshop. Furthermore, the cost of delivering CT-SAD-A with adolescents appeared to be no more than the cost of delivering CT-SAD with adults. |
| spellingShingle | Leigh, EC Creswell, C Stallard, P Waite, P Violato, M Pearcey, S Brooks, E Taylor, L Warnock-Parkes, E Clark, D Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysis |
| title | Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysis |
| title_full | Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysis |
| title_fullStr | Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysis |
| title_full_unstemmed | Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysis |
| title_short | Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a clinical and cost analysis |
| title_sort | delivering cognitive therapy for adolescent social anxiety disorder in nhs camhs a clinical and cost analysis |
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