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Around the UK, a number of strategies are being employed to expand the availability and increase the accessibility of psychological treatments for anxiety and depression. Recommended interventions include supported self‐help programs based on CBT principles such as computerised cognitive behavioural therapies (CCBT) for mild‐to‐moderate depression, phobia, and panic. This paper seeks to describe innovative third sector, service‐user led CCBT clinics commissioned within Greater Manchester.

The paper describes how the project was initially set up, how the services are managed, how they work, and the impact of these services on the population they serve.

The CCBT clinic achieves a high throughput of service‐users, including more than one‐third accessing the service through self‐referral. Intake and outcome measures suggest that CCBT service users are representative of both the local population and those accessing increasing access to psychological therapies (IAPT) services for common mental health problems. For those engaging with the CCBT service, outcomes are equivalent to those reported in NHS‐based demonstration IAPT services. Service users highly value the service offered including the computer‐based programs and the support offered by paid and voluntary staff.

Roll out of this effective service model is recommended.

This paper has described a successful third‐sector, user‐led, CCBT self‐help clinic offering a Tier‐2 service for anxiety and depression that meets local needs. This will be of interest to service users, providers, and commissioners who want to develop similar services.

This paper aims to enhance the current understanding of digital self-services (computerized cognitive behavioral therapy [cCBT]) and how they could be better incorporated into integrated mental health care from the physician’s perspective. Service marketing and information systems literature are combined in the context of mental health-care delivery.

An online survey of 412 Finnish physicians was undertaken to understand physicians’ acceptance of cCBT. The study applies thematic analysis and structural equation modeling to answer its research questions.

Adopting a service marketing perspective helps understand how digital self-services can be incorporated in health-care delivery. The findings suggest that value creation within this context should be seen as an intertwined process where value co-creation and self-creation should occur seamlessly at different stages. Furthermore, the usefulness of having a value self-creation supervisor was identified. These value creation logic changes should be understood and enabled to incorporate digital self-services into integrated mental health-care delivery.

Because health-care systems vary across countries, strengthening understanding through exploring different contexts is crucial.

Assistance should be provided to physicians to enable better understanding of the application and suitability of digital self-service as a treatment option (such as cCBT) within their profession. Additionally, supportive facilitating conditions should be created to incorporate them as part of integrated care chain.

Digital self-services have the potential to serve goals beyond routine activities in a health-care setting.

This study demonstrates the relevance of service theories within the health-care context and improves understanding of value creation in digital self-services. It also offers a profound depiction of the barriers to acceptance.

A computer‐based programme, Beating the Blues, has been approved for use in the NHS for treating people with mild to moderate depression. It has been welcomed as an important addition to the range of treatment options available. However, some people have expressed reservations about whether this method of delivery would be appropriate for everyone. This article describes the Volunteer‐aided Computerised Cognitive Behavioural Therapy (cCBT) Project, an innovative way to make Beating the Blues more accessible to individuals. This project is being developed by Making Space, in partnership with other public and third sector organisations, and is funded by the Department of Health.

Phobias and panic disorder are commonly treated within primary care settings. Cognitive behavioural therapy (CBT) is a recommended treatment for these disorders but access is limited due to too few therapists, expense and patients' reluctance to enter therapy. Computerised CBT (CCBT) is a self‐help option designed to offer patients the potential benefits of CBT with less therapist involvement. The review described here sought to identify studies evaluating the effectiveness of CCBT for phobias and panic disorders.

The purpose of this paper is to focus upon the challenges faced by a research team when conducting a computerised cognitive behaviour therapy (CCBT) trial for adolescents with low mood/depression and how solutions were sought to eliminate these difficulties in future child and adolescent mental health clinical research.

The authors have presented a number of problems faced by the research team when conducting a randomised controlled trial (RCT) concerning adolescents with low mood/depression.

From examining the problems faced by the research team, the authors have provided key pieces of advice for prospective adolescent mental health RCTs. This advice includes developing clear project plans, setting strategies to encourage and maintain study information in the community and support recruitment, and keeping your organisation appraised of study needs and network and involve governance departments, IT and finance departments in these discussions early.

RCTs, particularly those focusing on child and adolescent mental health, can face a number of difficulties throughout its stages of completion (from protocol development to follow-up analysis). Studies involving the use of technologies add a layer of complexity to this. This review will be of value to researchers aiming to run a high-quality RCT concerning child and adolescent mental health.

The purpose of this paper is to evaluate the impact of guided self‐help cognitive behavioural therapy (CBT) for mothers with depression and/or anxiety undertaken in two Sure Start children's centres in the London Borough of Bexley.

A quantitative study was carried out involving 23 participants who attended an initial appointment with a Psychological Well‐being Practitioner and who were assessed and allocated to a guided self‐help CBT intervention (either workbooks or computer‐based). In addition, in‐depth interviews were undertaken with nine participants who had completed the programme.

The study finds that guided self‐help CBT produced a significant clinical benefit for participants with mild to moderate depression and/or anxiety. Narratives with participants also highlighted improved confidence and self‐esteem, positive thinking and better coping strategies, which may have a positive impact on their children and families. This research also demonstrated the importance of a partnership approach to providing therapeutic interventions for vulnerable groups such as those in this study.

The findings represent a “snap‐shot” of the positive effects of guided self‐help CBT for those suffering maternal depression. They demonstrate the need to recognise and support the therapeutic social milieu, particularly in settings that are familiar and accessible. In addition, psychological interventions that include facilitative holistic working and inter‐agency working can be particularly effective.

Self Help Services is a pioneering charity in how it champions personal experience of mental health and uses these experiences in the treatment of people living with common mental health problems – anxiety, depression, phobias, and low self‐esteem issues. This paper aims to describe how the charity grew from one individual's journey with agoraphobia to being the main provider of primary care mental health services in the North West of England.

The paper charts the growth of Self Help Services over time, with a particular focus on its employment of people with personal mental health problems. It describes the experiences of its founder and Chief Officer and includes case studies of a user of its e‐therapy services and the charity's Informatics and Governance Lead.

The case studies illustrate how the charity has grown in both size and success as a result of harnessing the skills and experience of large numbers of staff and volunteers living with a mental health problem. The case studies illustrate that, rather than being an issue, these personal experiences are vital tools in helping others work through their own difficulties.

The paper provides a detailed overview of a charity which was unique when it was formed and now thrives as a result of its uniqueness. It provides other similar organisations with advice on lessons learnt along the way, and advice for individuals or groups looking to establish similar organisations.

The purpose of this paper is to highlight some initial efforts within Her Majesty’s Prison and Probation Service (HMPPS) to develop digitally enabled services supporting the rehabilitation of service users. It is not designed to set out either HMPPS policy on digital rehabilitative services or the position of HMPPS Interventions Services on this subject. Rather, it is a short exposition of the authors’ views on the potential of digitally enabled strategies to enhance interventions in forensic settings. In this context, the authors will also describe the development of the first digitally enabled rehabilitation service accessed via HMPPS in-room computer terminals.

The authors have reviewed current literature and outlined how the authors have and are aiming to add to this area of work.

This general review outlines the authors’ views on the potential of digitally enabled strategies for improving interventions in forensic settings.

This paper is a short exposition of the authors’ views on the potential of digitally enabled strategies to enhance interventions in forensic settings. In this context, the authors will also describe the development of the first digitally enabled rehabilitation service accessed via HMPPS in-room computer terminals.

This paper seeks to describe a new service developed by national debt charity Consumer Credit Counselling Service (CCCS) aimed at identifying clients within its online debt counselling tool who may be suffering from stress and anxiety and then referring them for advice and support, including computer‐based cognitive behavioural therapy (CCBT).

Since December 2010, clients using CCCS Debt Remedy, the charity's online debt counselling tool, have been asked four trigger questions which indicate whether the user is suffering from depression and/or anxiety. Clients who show these signs, after they receive a recommendation about how to deal with their debt, are offered the opportunity to complete a more comprehensive assessment known as CCCS Wellbeing. The CCCS Wellbeing assessment consists of 16 questions, nine relating to depression and seven to anxiety. The depression questions are based on the medically endorsed depression screener, PHQ‐9, and the anxiety questions are based on the similarly medically endorsed anxiety screener, GAD‐7. These two screeners are also the source of the four original trigger questions.

Of the 36,618 clients who were counselled by CCCS Debt Remedy between the launch of the new service in December 2010 and the end of May 2011, 65 percent obtained a recommendation to undertake CCCS Wellbeing. The vast majority of clients who obtained a CCCS Wellbeing recommendation through the online debt counselling tool were showing signs of both depression and anxiety (74 percent).

The high propensity for people to be recommended to CCCS Wellbeing demonstrates the need for the service. This will inform future service development by CCCS, which is studying new ways to further identify and refer for help its clients who are struggling with their mental health.