You can't get anything perfect: "User perspectives on the delivery of cognitive behavioural therapy by telephone"

Penny Elizabeth Bee, Karina Lovell, Nicola Lidbetter, Katherine Easton and Linda Gask

Social Science & Medicine, 2010, vol. 71, issue 7, 1308-1315

Abstract: Remote psychotherapy services such as telephone-administered cognitive behavioural therapy (T-CBT) have the potential to provide effective psychological treatment whilst simultaneously maximising efficiency, lowering costs and improving access to care. However, a lack of research examining the acceptability of non face-to-face psychotherapy means that little is known about users' perceptions of these delivery models. This paper reports data from two qualitative evaluations of T-CBT delivered in the voluntary and occupational health sectors in the UK. It explores users' acceptance of T-CBT, contrasting initial socially-construed expectations with more positive regard derived from experiential norms. User satisfaction with T-CBT was mixed. However, the relative ease with which most participants adapted to telephone-based care was suggestive of a shared construct of mental health service provision that prioritised the accessibility and availability of services over the social, professional and medico-legal perspectives that conventionally promote the co-location of practitioner and client.

Keywords: UK; Acceptability; Telephone; Cognitive; behavioural; therapy; Telemedicine; Mental; health; care (search for similar items in EconPapers)
Date: 2010
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