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Agoraphobia: an outreach treatment programme
1Oxford Cognitive Therapy Centre, Warneford Hospital, Oxford OX3 7JX, UK. alison.croft@oxfordhealth.nhs.uk
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.
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