Professor Nick Titov

Professor Nick Titov

Professor, School of Psychological Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, and Executive Director MindSpot.

Chief Investigator H

Professor Nick Titov’s research led directly to the development of the Australian MindSpot Clinic which has now served more than 200,000 Australians, many of whom would otherwise not have received mental healthcare, as well as the development of similar online clinics in four other countries, which have collectively served an additional 50,000 people.

Career Summary. Professor Nick Titov is a Clinical Psychologist, and a research and service leader who has worked across multiple mental health settings for 30 years including public, private, and non-governmental organisations. He has expertise in working with people with high prevalence mental disorders including anxiety and depressive disorders, low prevalence disorders including psychotic disorders and neurological disorders, and older adults.

Professor Titov currently serves as Executive Director of the MindSpot Clinic a national digital mental health service funded by the Australian Government and by the Western Australian Primary Health Alliance (WAPHA). MindSpot provides psychological assessment and treatment services for Australian adults with anxiety and depressive disorders and chronic health conditions. MindSpot currently serves more than 30,000 Australia adults each year and to date, has provided care to more than 200,000 Australians.

Research contributions in the last 5 years. In the last five years Professor Titov has co-authored 120 peer-reviewed papers (from a career total of >250). He has >10,000 citations (Scopus) and an h -index of >50.

Professor Titov has led national and international efforts to transparently report the outcomes of digital mental health services and to improve safety and quality standards. This has resulted in numerous influential publications with international collaborators as well as other outputs. In 2022-2023, Professor Titov gave invited presentations to more than 30 organisations. He regularly receives invitations to speak at national and local conferences on mental health.

Awards, Fellowships and Grants . Professor Titov has served as a CI or AI on five successful NHMRC Project Grants, one NHMRC Partnership Grant, a Suicide Prevention Australia grant, two Canadian Institutes of Health Research Partnerships grants from Australian Rotary Health, Beyond Blue, the NSW Motor Accident Authority and others. These research grants have a combined value > $8 million. He has also led teams who have secured contract funding from the Australian Government valued > $80 million to develop and operate digital mental health services. He and his teams regular win awards including the Exceptional Contribution Award at the Australian and New Zealand Mental Health Services Awards (2022), the Training Excellence Award (2022) at the Australian Business Awards, and the Outstanding Achievement Award (2021) at the Australian Charity Awards.

Supervision and Mentoring. Professor Titov is committed to the development of the next generation of clinical researchers. He established the MindSpot Academy which currently provides clinical and research training for between 10-15 psychology students and graduates each year. He mentors 7 postdoctoral fellows in Australia and Canada.

Community and Professional Contribution.   As Executive Director of MindSpot Professor Titov has overall responsibility for the strategic directions and safety and quality of a large and high-volume mental health clinic with a staff of > 80 people.

From 2018-2021 Professor Titov served as Chair of the Expert Advisory Group to the Australian Commission for Safety and Quality in Health Care who developed the Australian National Safety and Quality Digital Mental Health (NSQDMH) Standards. From 2014-2020 he served on the NSW Board of the Psychology Board of Australia. Professor Titov currently serves as an advisor to multiple national and international groups.

Contribution to Fields of Research . Professor Titov is a leading international researcher in the field of digital delivered interventions for common mental disorders. In the past 5 years he has conducted more than 40 clinical trials, involving more than 4,500 participants. With funding from an NHMRC Project Grant and from Beyond Blue he pioneered work in the field of transdiagnostic treatment protocols, which are designed to address comorbidity by treating more than one mental disorder at the same time. This body of work has led to collaborative research trials in five countries.

Professor Titov currently serves as Scientific Chair of the 12 th Conference of the International Society for Research into Internet Interventions and serves on the editorial boards of Cognitive Behaviour Therapy and Internet Interventions.

In addition, Professor Titov along with his colleague, Professor Blake Dear, has developed and demonstrated the potential of digital and telehealth tools in the delivery of mental health services. Their widely cited work has informed the development of similar clinics around the world.

5 Most Significant Publications in the Last 5 Years

Titov N, Dear BF, et al. (2022). Measures of daily activities associated with mental health (Things You Do Questionnaire): development of a preliminary psychometric study and replication study. JMIR Formative Research. Using psychometric tool development methodology (n=6,200), this study identified the five most important things people can do to support their mental health and resulted in a simple questionnaire which can be used across multiple settings. 

Mohr DC, … Titov N, et al. (2021). Banbury Forum Consensus Statement on the Path Forward for Digital Mental Health Treatment. Psychiatric Services. This statement by international leaders in digital and telehealth services described how the incoming Biden administration could utilise digital mental health services to address serious gaps in access to mental health services in the United States.

Titov N, Dear BF, et al. (2020). User characteristics and outcomes from a national digital mental health service: an observational study of registrants of the Australian MindSpot Clinic. Lancet Digital Health. This study reports the outcomes of the first seven years of the MindSpot Clinic operations (n >120,000) and demonstrates the ability of internet-delivered treatments to obtain clinically significant outcomes in routine care.

Andersson G, Titov N, Dear BF, et al. (2019). Internet-delivered psychological treatments: from innovation to implementation. World Psychiatry, 18, 20-28. https://doi.org/10.1002/wps.20610 . This influential paper describes key advantages, limitations, and methodological issues in administering internet delivered interventions .

Titov N, Dear BF, et al. (2018). ICBT in routine care: A descriptive analysis of successful clinics in five countries. Internet Interventions; 13, 108-115. This international collaboration between five online mental health services around the world describes the service models, success factors, challenges, and outcomes of best-practice clinics .