Wednesday, March 28, 2007

Computer therapy access 'for all'

According to the BBC our esteemed Health Secretary Patricia Hewitt said:

"On 1 April, we will reach the first milestone in our drive to provide choice - namely quicker access to computer-based self-help services to stop mild mental health problems becoming worse.

"Clinical evidence confirms that counselling and therapy are just as effective as medication in helping to treat most cases of depression."
Now what she knows about clinical evidence could be written on the back of a stamp. In fact what she knows about anything could be written in a large font on the back of stamp.

I thought for a moment this was a joke for April 1 just being released a bit earlier by error as is normal by Patricia (Best year so far) Hewitt. This is not so much about choice as about cost and lack of resources. I have no doubt that the computer therapy may be a somewhat useful tool in the box but it is no replacement for face to face therapy. A few others have much the same opinion and they should know better than me.

Paul Farmer, chief executive of Mind, said computerised CBT was an important addition to the range of treatment options available for people who suffer from mild depression or anxiety.

But he added:
"This method of delivery will not suit everyone.

"Some people will prefer face-to-face contact and this electronic therapy must not be a replacement for CBT."
Dr Richard Vautrey, GP negotiator for the British Medical Association, said it was helpful to have a range of options for treating depression and computerised CBT had proven to be useful in some areas of the country.

But he added:
"Many patients still struggle to get an appointment with a therapist and it is key that it doesn't replace the pressure to invest in trained therapists."
Marjorie Wallace, chief executive of the mental health charity Sane, said:
"Evidence from several hundred thousand of our callers shows that of those reporting depression or anxiety, while 83% are being treated with medication, only 2% are receiving cognitive behavioural therapy.

"While we applaud the secretary of state's announcement, we urge her to match it with a funding commitment to ensure that CBT can be a real choice, as she intends, for everyone who could benefit."
So whilst, it my be of some use, it is really just another case of Patricia trying to dumb down the NHS as usual. Medicine by Protocol, Medicine by numbers, Medicine by the untrained.

BBC NEWS | Health | Computer therapy access 'for all'

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