cCBT Other Mental Health Conditions

This is for those with specific mental health problems, in ADDITION to anxiety or depression. It uses the SilverCloud approach and requires a cCBT referral through SCI Gateway. Patients can see detail on the SilverCloud patient information leaflet opens a new window.

The cCBT modules currently available are:

There are 4 other approaches to help with mental health conditions. For patients with:

Pure anxiety or depression – please use SilverCloud
Anxiety or insomnia – please see Daylight opens a new window and Sleepio opens a new window
An additional (physical) Long-Term Condition refer to the LTCs cCBT page opens a new window
needing a brief psychoeducational approach there are wellbeing self-referral modules opens a new window.

Reviews:

These are conducted by the Digital Interventions Team every 3 weeks to review progress
Patients can move at their own pace, but at each review they will be asked to complete:
- PHQ9 and GAD7
- A clinical questionnaire relevant to their condition
- A RISK questionnaire (please see Suicidal thoughts and Alerts opens a new window for details of action taken when these reach a certain threshold.)

C.M & M.McK 23-08-23

Referral Guidelines
Resources and Links

Who to refer:

A reading age of 10 to 11 years is needed to complete cCBT programmes; much of the material is audio and video based for those who have lower levels of literacy.

Home User Technical Requirements

Patients completing the programme require:

An internet enabled device (PC/Laptop, smartphone or tablet)
A stable internet connection

Silvercloud Long Term Conditions cCBT is suitable for patients:

With mild to moderate depression and/or anxiety, associated with:
- Health anxiety
- Social anxiety
- OCD
- Panic
- Phobia

Willing to be pro-active in their treatment recovery and to use an online treatment
With a personal email address to receive a link to access the treatment provided with referral
Who are currently undertaking another cCBT treatment: patients must please complete ‘Beating the Blues’ cCBT treatment before starting any Silvercloud cCBT programme.

How to refer:

Please refer through SCI Gateway via:

Lothian >
Lothian Non-GP >
Royal Edinburgh >
General Psychiatry
Protocol: cCBT Referral

Please select the appropriate Silvercloud treatment from the dropdown list available on SCI Gateway
Please note that patients can only undertake one cCBT treatment at a time
Please include an email address with consent for this to be passed on, and there are reminders on the SCI Gateway protocol to do this. Please avoid any shared (work/family) email address wherever possible. Patients who do not have a personal email address will be contacted by telephone.
If it is not possible to refer via SCI Gateway, referrals should be made by completing the appropriate Silvercloud cCBT referral form opens a new window. These should be emailed from any @nhslothian.scot.nhs.uk email address to silvercloudcbt@nhslothian.scot.nhs.uk opens a new window

If you have any queries about which treatments or how/where to refer, please contact the team by phone: 0131 537 1247.