{"id":4097,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/longtermconditionssilvercloud\/"},"modified":"2026-07-13T11:05:27","modified_gmt":"2026-07-13T10:05:27","slug":"ccbtlongtermcondition","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/mentalhealthpsychologyotherservices\/computerised-cognitive-behavioural-therapy-cbt\/ccbtlongtermcondition\/","title":{"rendered":"cCBT Long Term Conditions"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">cCBT for Long Term Conditions (LTCs) is for those who have mild to moderate depression or anxiety (including phobias or panic) and a qualifying LTC.&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is an online cognitive behavioural therapy (cCBT) programme addressing the psychological impact of several common Long-Term Conditions (LTCs) outlined below. The programmes are provided via email-generated links sent to the patient. More details are available on the <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/computerised-cognitive-behavioural-therapy-cbt\/\" target=\"_blank\" rel=\"noreferrer noopener\">cCBT welcome page<\/a> including its evidence base for high improvement rates. There is a <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SilverCloud-Patient-Information-Leaflet.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">SilverCloud patient information leaflet<\/a>. It is accessible from any internet enabled device \u2013 including Smartphones\/tablets.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\">cCBT Programmes for LTCs.<br><\/span>These consist of 10 weekly core modules, each lasting around 40 minutes and spread over 6-8 weeks.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Available modules can be selected from the dropdown list on the SCI Gateway protocol \u2013 see referral guidance below for details.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is a <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-Silvercloud-ALL-TREATMENTS-SUMMARY.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">useful summary infographic<\/a> about the programme and how to refer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please also see details of <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-suicidal-thoughts-and-alerts-March-2023.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">suicidal thoughts and suicide alerts<\/a>, giving details of when the GP will be contacted by the cCBT team.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.M. &amp; M.McK &#8211; 13-7-26<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Anyone referred must be aged 18 or over.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\">Home User Technical Requirements<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients completing the programme require:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An internet enabled device (PC\/Laptop, smartphone or tablet)<\/li>\n\n\n\n<li>A stable internet connection.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\">Long Term Conditions cCBT is suitable for patients:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>With mild to moderate depression and\/or anxiety, including phobias and panics, associated with:\n<ul class=\"wp-block-list\">\n<li>Chronic Pain<\/li>\n\n\n\n<li>Coronary Heart Disease (CHD)<\/li>\n\n\n\n<li>Diabetes (Type 1 and Type 2) \u2013 please indicate which type in the referral<\/li>\n\n\n\n<li>Lung Conditions (including COPD)\n<ul class=\"wp-block-list\">\n<li>Rheumatoid Arthritis (RA)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Willing to be pro-active in their treatment recovery and to use an online treatment<\/li>\n\n\n\n<li>With a personal email address to receive a link to access the treatment provided with referral<\/li>\n\n\n\n<li>Who are currently undertaking another cCBT treatment \u2013 they need to complete any existing programmes before starting a new one.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Please refer through&nbsp;SCI Gateway&nbsp;via: Royal Edinburgh&#8211;&gt;General Psychiatry&#8211;&gt;Protocol: cCBT Referral<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please select the appropriate SilverCloud treatment from the dropdown list available on SCI Gateway<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Please note that patients can only undertake one cCBT treatment at a time<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Please include an email address&nbsp;with consent&nbsp;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.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If it is not possible to refer via SCI Gateway, referrals should be made by completing the appropriate\u00a0<a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-Silvercloud-Standard-Referral-Form-2024.docx\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-Silvercloud-Standard-Referral-Form-2024.docx\" target=\"_blank\" rel=\"noreferrer noopener\">SilverCloud referral form<\/a>.\u00a0 This should be emailed from any @nhs.scot \u00a0email address to loth.silvercloudcbt@nhs.scot<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have any queries about which treatments or how\/where to refer, please contact the team by phone:&nbsp;0131 537 1247.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-LTC-Silvercloud-Key-Questions-for-patients.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">cCBT &#8211; LTC- Silvercloud &#8211; Key Questions for patients.pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-Silvercloud-Long-Term-Conditions-A3-poster.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">cCBT- Silvercloud Long Term Conditions A3 poster.pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SilverCloud-Patient-Information-Leaflet.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/SilverCloud-Patient-Information-Leaflet.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">cCBT-LTC- Silvercloud&nbsp;Patient_Leaflet.pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-LTC-Silvercloud-programmes-A4-patient-leaflet.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-LTC-Silvercloud-programmes-A4-patient-leaflet.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">cCBT-LTC-Silvercloud programmes A4 patient leaflet.pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-Silvercloud-ALL-TREATMENTS-SUMMARY.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">cCBT &#8211; Silvercloud ALL TREATMENTS &#8211; SUMMARY.pdf<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-Silvercloud-Standard-Referral-Form-2024.docx\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/cCBT-Silvercloud-Standard-Referral-Form-2024.docx\" target=\"_blank\" rel=\"noreferrer noopener\">cCBT &#8211; Silvercloud &#8211; Standard Referral Form<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>cCBT for Long Term Conditions (LTCs) is for those who have mild to moderate depression or anxiety (including phobias or panic) and a qualifying LTC.&nbsp;&nbsp;&nbsp; This is an online cognitive behavioural therapy (cCBT) programme addressing the psychological impact of several common Long-Term Conditions (LTCs) outlined below. The programmes are provided via email-generated links sent to<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3815,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[360],"class_list":["post-4097","page","type-page","status-publish","hentry","category-ccbt-long-term-conditions"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mental-health-psychology-other-services\/computerised-cbt\/ccbt-long-term-conditions\/\" rel=\"tag\">cCBT Long Term Conditions<\/a>","rttpg_excerpt":"cCBT for Long Term Conditions (LTCs) is for those who have mild to moderate depression or anxiety (including phobias or panic) and a qualifying LTC.&nbsp;&nbsp;&nbsp; This is an online cognitive behavioural therapy (cCBT) programme addressing the psychological impact of several common Long-Term Conditions (LTCs) outlined below. The programmes are provided via email-generated links sent to","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4097","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4097"}],"version-history":[{"count":14,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4097\/revisions"}],"predecessor-version":[{"id":28909,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4097\/revisions\/28909"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3815"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4097"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}