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NHS and Health

News and stories about NHS and health.

Low intensity interventions do not have clinical treatment benefits

Researchers at the University of Manchester have concluded that low intensity interventions in the treatment of OCD (prior to CBT), as recommended by NICE, do not have any clinical treatment benefits. 

It’s already known that the NICE (National Institute of Health and Clinical Excellence) guidelines for the treatment of Obsessive-Compulsive Disorder (OCD) recommend CBT (including exposure and response prevention) for the treatment and management of OCD using a stepped care approach.

Low intensity psychological interventions are proposed at lower steps (including brief individual CBT using structured self-help materials, brief individual CBT by telephone and group CBT), moving up to more intensive psychological and pharmacological interventions at higher steps, which in reality is what OCD-UK believe the majority of patients presenting for OCD treatment should be offered. There is some preliminary evidence that self-managed therapy packages for OCD can be effective, but the NICE guidelines highlighted the need for research in to the use of low intensity therapy for the treatment of OCD.

The OCTET (Obsessive–Compulsive Treatment Efficacy Trial), led by Professor Karina Lovell at the University of Manchester, emerged from a research recommendation in NICE guidelines, which specified the need to evaluate CBT treatment intensity formats.

Attendees of our 2015 OCD-UK conference in York may remember Professor Lovell explained that the study aimed to see if using a self-help approach (either a book or a computer program), supported for a short time by a mental health practitioner, would be better than waiting for CBT.

The key objectives of the OCTET research was:

Article posted on: Sun, 16/07/2017 - 3:07pm Read more...

LIVE webinar with Prof Salkovskis - Tue 9th May

Last month we launched our inaugural LIVE webinar with Canadian OCD specialist Professor Adam Radomsky, which received fantastic feedback and reviews.

Our online webinars use modern technology to bring international OCD specialists and people affected by Obsessive-Compulsive Disorder (OCD) together. The webinar is open to anybody with an interest in learning more about OCD, all you need is a good internet connection to watch and listen to the webinar straight from your internet browser on your computer or via an app on mobile devices.

Our second live webinar will take place from 6pm on Tuesday 9th May with OCD specialist Professor Paul Salkovskis.

The webinars will offer people affected by OCD the opportunity to learn from these specialists and even the ability to ask questions. We had over 60 people register for our inaugural webinar, our audience included people with OCD, family members and health professionals.

Access is once again completely free of charge for OCD-UK members, but there is a small nominal charge of just £5 for non-members. Due to limited space members still need to register to reserve their spot, but will not be charged. To register and for further details please visit the webinar website at: http://www.ocdwebinar.org

Article posted on: Wed, 12/04/2017 - 7:21pm Read more...

World Book Day and Books on Prescription

Today is #WorldBookDay and with so many fantastic OCD books available we invited our OCD forum and Twitter users to share their OCD book recommendations. Two of our favourite OCD book recommendations are 'Break free from OCD' written by three of the leading NHS specialists in the treatment of OCD here in the UK and 'Pulling the Trigger', both compliment CBT well and can be used during and post therapy.

A golden oldie recommendation for #WorldBookDay is the Twentieth Anniversary Edition publication of Brain Lock which was republished recently with new material from the author, a great book that's stood the test of time and is still sold today, 20 years later. 

With today being all about the promotion of reading, it's also the perfect time to remind you about the Reading Well Books on Prescription scheme. The Reading Well Books on Prescription scheme objective is to help you to understand and manage your health and well-being through helpful reading. The scheme is run by the Reading Agency in partnership with the Society of Chief Librarians with funding from Arts Council England and the Wellcome Trust. It is endorsed by health organisations, including NHS England and Public Health England, and delivered through public libraries. The programme has reached 635,000 people in its first three years since it launched in 2013.

Article posted on: Thu, 02/03/2017 - 11:48am Read more...

Three month wait between therapy

During the last year or so we have plenty of anecdotal evidence that following a course of OCD treatment with an IAPT service (usually just 6-8 sessions), people are often told they have to wait 3+ months before they can have further treatment, the usual excuse is that it 'gives the patient opportunity to put into practice what they have learned'.

This is absolutely not the case, it is not a NICE recommendation and to ensure we have factual evidence behind our advice we confirmed this with NHS England who told us in October that:

Article posted on: Thu, 23/02/2017 - 12:59pm Read more...

Weekly or Intensive CBT treatment?

OCD researchers Josie Millar and Paul Salkovskis from the University of Bath need your feedback and help in determining your views on the prospect of undertaking Cognitive Behavioural Therapy (CBT) in either the usual 'weekly' format or in a more time 'intensive' format.

They are interested in finding out your views on this and whether both of these treatment formats are viewed as acceptable to people and which one people would prefer if given a choice. This information is important to find out, as it will help them think about how treatment should be delivered and the options that should be available to people who have OCD and are considering seeking treatment.

Both Josie and Paul have always been incredibly supportive of OCD-UK and we would very much welcome your time in taking part in their online research survey.
Participation in this study is completely voluntary, it is up to you to decide if you would like to take part. Even if you decide to participate, you are free to withdraw from the study at any time and without having to give a reason.

For further details and to participate please visit their website at: https://bathpsychology.eu.qualtrics.com/jfe/form/SV_54OLMa98eNx5XpP

 

Article posted on: Thu, 23/02/2017 - 12:44pm Read more...

Podcast with Professor Paul Salkovskis

Danny Whittaker from the My Own Worst Enemy website, an online support community for anyone battling with depression or anxiety related mental health issues, recently interviewed our patron, Professor Paul Salkovskis. The result was this fascinating insight into OCD and Paul's views on everything from how he likes to refer to OCD, to views on causes and family involvement.

Article posted on: Wed, 02/11/2016 - 11:21am Read more...

IAPT Annual Report Summary - 2015/2016

NHS England

In our April members magazine, Compulsive Reading we published our summary of the 'Health and Social Care Information Centre (HSCIC)' annual report of IAPT data for the year 2014/15. In our summary we reported that the data showed big differences in recovery rates for people seeking treatment for OCD with local IAPT services across England.

For those that don’t know what IAPT is, the Improving Access to Psychological Therapies initiative was introduced across England to improve access to psychological therapies, such as Cognitive Behavioural Therapy (CBT). Each region has its own local IAPT service commissioned by local Clinical Commissioning Groups (CCG) and all with their own local name (i.e. Let’s Talk, Healthy Minds, Talk Liverpool).

The ‘Psychological Therapies Annual Report on the use of IAPT services’ is published annually and presents a picture of activity in IAPT services and of the people that used them. The report published both national data and local CCG data broken down to reports on recovery data per condition, including OCD.

Last week NHS Digital (the new name for the Health and Social Care Information Centre (HSCIC)l) published the new and their fourth annual report of IAPT data for the 2015/16 period. We will once again review it and summarise on it in our next OCD-UK members magazine and on this website, however for those interested in stats, here is the top line from the report ( for all conditions treated, not just OCD):

Article posted on: Mon, 24/10/2016 - 10:32pm Read more...

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