Internet-Delivered Cognitive Behavioral Therapy Offers Cost-Effective Alternative for Depression and Anxiety Treatment, Study Finds

Internet-Delivered Cognitive Behavioral Therapy Offers Cost-Effective Alternative for Depression and Anxiety Treatment, Study Finds

(IN BRIEF) A study conducted by the University of York, in collaboration with ieso Digital Health Ltd and Dorset HealthCare University NHS Trust, has found that internet-delivered cognitive behavioral therapy (CBT) offers greater cost-effectiveness and comparable clinical effectiveness compared to standard care for depression and anxiety. The study focused on text-based online therapy, where patients type responses to questions and communicate with a therapist online. The research also highlighted that text-based therapies have shorter waiting and treatment times. By analyzing data from over 27,000 patients using NHS services in England, the study revealed that treatment effectiveness, time from referral to end of treatment, and associated costs were the primary factors driving costs. The study’s authors suggest that implementing effective internet-delivered therapies could lead to significant cost savings and improved treatment outcomes.

(PRESS RELEASE) YORK, 1-Sep-2023 — /EuropaWire/ — Text-based therapies are delivered online and require a patient to type their answers to a series of questions, with a professional therapist at the other end of the communication to assist. These therapies are available both privately and through the NHS.

Most studies evaluating the costs of mental health care have focused on generalised anxiety and major depression, but there is a lack of understanding around the cost-effectiveness for different treatment methods for these conditions, which includes both in-person care and digital interventions.

Cost drivers

The team analysed data from 27,540 patients using NHS services in England, with a primary diagnosis of depression or anxiety, to evaluate the main cost drivers for different treatment options for depression and generalised anxiety disorders.

They constructed health economic models that captured a range of costs associated with different severities of the conditions. The authors found that the main cost drivers are treatment effectiveness, time from referral to end of treatment, and treatment-associated costs.

Financial burden

Sam Harper, Research Consultant at York Health Economics Consortium at the University of York said: “Shortening treatment and waiting times, and in some cases cutting it by half, could reduce the financial burden on the NHS and improve treatment outcomes and therefore quality of lives for millions of people across the UK.

“The right therapy delivered in a timely manner can increase quality of life for people and reduce costs to the NHS by utilising real, anonymised patient data to examine how people’s treatment outcomes are related to the therapy they received.”

The researchers point out that there is no ‘one size fits all’ approach to mental health treatment, but having the data available that shows whether internet-delivered text therapies are effective for an individual, could mean an annual saving of around £600 million on average for people with all levels of anxiety and depression severities.

Policy

The research, published in the journal Nature Mental Health, suggests that the cost savings were higher for depression than anxiety, and for more severe cases owing to the increased background costs associated with these conditions.

Researchers hope that their findings could inform policymaking for mental health services and access to care, but acknowledge that more research is needed to understand services in different parts of the UK to get a more fulsome picture of cost-effectiveness.

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SOURCE: University of York