Agoraphobia: An Outreach Treatment Programme

Background: Agoraphobia is disabling and clients find it hard to access effective treatment. Aims: This paper describes the development of an inexpensive service, delivered by trained volunteers in or near the client's own home. Method: We describe the development of the service, including sele...

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Bibliographic Details
Published in:Behavioural and cognitive psychotherapy 2013-05, Vol.41 (3), p.359-364
Main Authors: Croft, Alison, Hackmann, Ann
Format: Article
Language:English
Subjects:
Adult
Agoraphobia
Agoraphobia - diagnosis
Agoraphobia - psychology
Agoraphobia - therapy
Behavior therapy. Cognitive therapy
Biological and medical sciences
Brief Clinical Reports
Chronic Disease
Cognitive therapy
Cognitive Therapy - methods
Community-Institutional Relations
Comorbidity
Experiments
Fear & phobias
Female
Follow-Up Studies
Health Services Accessibility
Humans
Inservice Training
Male
Medical sciences
Mental health
Middle Aged
Outcome and Process Assessment (Health Care)
Panic attacks
Panic Disorder - diagnosis
Panic Disorder - psychology
Panic Disorder - therapy
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Supervision
Surveys and Questionnaires
Treatments
Volunteers
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Summary:Background: Agoraphobia is disabling and clients find it hard to access effective treatment. Aims: This paper describes the development of an inexpensive service, delivered by trained volunteers in or near the client's own home. Method: We describe the development of the service, including selection, training and supervision. Outcomes were evaluated over 5 years, and compared with those available from the local psychology service. Results: Effect sizes on all measures were high. Benchmarking indicated that results on comparable measures were not significantly different from the local psychology service. As in many previous studies drop-out rate was fairly high. Conclusions: This model worked well, and was inexpensive and effective. Further research on long term outcome and methods of enhancing engagement is needed.
ISSN:1352-4658
1469-1833
DOI:10.1017/S135246581200077X