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  • 1.
    Stanton, Josephine
    et al.
    Auckland Healthcare, New Zealand.
    Drake af Hagelsrum, Emma
    Stasiak, Karolina
    University of Auckland, New Zealand.
    Letter: Access to the internet in an acute child and adolescent mental health inpatient unit in AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, vol 49, issue 5, pp 487-4882015In: Australian and New Zealand journal of psychiatry (Print), ISSN 0004-8674, E-ISSN 1440-1614, Vol. 49, no 5, p. 487-488Article in journal (Other academic)
    Abstract [en]

    n/a

  • 2.
    Titov, Nickolai
    et al.
    Macquarie University, Australia; MindSpot Clin, Australia; Macquarie University, Australia.
    Dear, Blake F.
    Macquarie University, Australia; MindSpot Clin, Australia.
    Staples, Lauren G.
    Macquarie University, Australia; MindSpot Clin, Australia.
    Bennett-Levy, James
    University of Sydney, Australia.
    Klein, Britt
    Federat University of Australia, Australia.
    Rapee, Ronald M.
    Macquarie University, Australia.
    Andersson, Gerhard
    Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.
    Purtell, Carol
    MindSpot Clin, Australia.
    Bezuidenhout, Greg
    MindSpot Clin, Australia.
    Nielssen, Olav B.
    MindSpot Clin, Australia.
    The first 30 months of the MindSpot Clinic: Evaluation of a national e-mental health service against project objectives2017In: Australian and New Zealand journal of psychiatry (Print), ISSN 0004-8674, E-ISSN 1440-1614, Vol. 51, no 12, p. 1227-1239Article in journal (Refereed)
    Abstract [en]

    Objective: The MindSpot Clinic provides online mental health services to Australian adults with anxiety and depression. This paper describes users of MindSpot between January 2013 and June 2015. Outcomes are considered against three key objectives: improving access to mental health services, improving public awareness of how to access services and providing evidence-based treatments. Method: Website traffic data were examined to determine patterns of use. Demographic characteristics, past service utilisation and reasons for contacting MindSpot were analysed. Outcomes for patients enrolled in a MindSpot treatment course were also analysed. Primary outcomes were scores on the 9-Item Patient Health Questionnaire, Generalised Anxiety Disorder 7-Item, Yale-Brown Obsessive Compulsive Scale and Post-Traumatic Stress Disorder Checklist-Civilian Version, administered at assessment, post-treatment and 3-month follow-up. Results: The website was visited by almost 500,000 Australians, of which 33,990 adults started assessments, and 25,469 people completed assessment and were eligible for analysis. Mean age was 36.4 years (standard deviation = 13.3 years; range = 18-94 years), and 72% were female. The proportion living in rural or remote regions and who identified as Aboriginal and Torres Strait Islander closely matched national statistics. The majority (82%) reported that they were not currently in contact with mental health services. Most patients sought an assessment, information about treatment options, or referral to another service, and only 24% of those completing an assessment commenced a MindSpot treatment course. Of these, large clinical effects (d: 0.7-2.4; average symptom reductions: 25.5% to 61.6%) were found from assessment to follow-up on all outcome measures. Deterioration ranged from 1.0% to 4.3%. Conclusion: Based on the number of website visits, completed assessments and treatment outcomes, MindSpot achieved its three programme objectives. This model of service provision has considerable value as a complement to existing services, and is proving particularly important for improving access for people not using existing services.

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