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https://www.readbyqxmd.com/read/29224931/transparency-about-the-outcomes-of-mental-health-services-iapt-approach-an-analysis-of-public-data
#1
David M Clark, Lauren Canvin, John Green, Richard Layard, Stephen Pilling, Magdalena Janecka
BACKGROUND: Internationally, the clinical outcomes of routine mental health services are rarely recorded or reported; however, an exception is the English Improving Access to Psychological Therapies (IAPT) service, which delivers psychological therapies recommended by the National Institute for Health and Care Excellence for depression and anxiety disorders to more than 537 000 patients in the UK each year. A session-by-session outcome monitoring system ensures that IAPT obtains symptom scores before and after treatment for 98% of patients...
December 7, 2017: Lancet
https://www.readbyqxmd.com/read/29205325/couple-based-intervention-for-depression-an-effectiveness-study-in-the-national-health-service-in-england
#2
Donald H Baucom, Melanie S Fischer, Michael Worrell, Sarah Corrie, Jennifer M Belus, Efthymia Molyva, Sara E Boeding
This study represents an effectiveness study and service evaluation of a cognitive behavioral, couple-based treatment for depression (BCT-D) provided in London services that are part of the "Improving Access to Psychological Therapies" (IAPT) program in England. Twenty-three therapists in community clinics were trained in BCT-D during a 5-day workshop, followed by monthly group supervision for 1 year. The BCT-D treatment outcome findings are based on 63 couples in which at least one partner was depressed and elected to receive BCT-D...
December 4, 2017: Family Process
https://www.readbyqxmd.com/read/29152833/training-therapists-to-work-with-people-with-intellectual-disability-in-improving-access-to-psychological-therapies-iapt-services
#3
Dave Dagnan, John Masson, Richard Thwaites, Amy James, Chris Hatton
BACKGROUND: Current policy in the England suggests that people with intellectual disabilities should, where possible, access mainstream mental health services; this should include access to mainstream therapy services. It is likely that mainstream therapists will need training and support to work with people with intellectual disabilities. METHOD: Sixty-eight therapists working in an English Improving Access to Psychological Therapies (IAPT) service received one- or 2-day training on working with people with intellectual disabilities...
November 20, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/29117458/telephone-based-cbt-and-the-therapeutic-relationship-the-views-and-experiences-of-iapt-practitioners-in-a-low-intensity-service
#4
J Turner, J C Brown, D T Carpenter
INTRODUCTION: Over-the-Telephone (OTT) delivered psychological therapies as an alternative method to face-to-face (F2F) are becoming more prevalent in mental healthcare. Research suggests a range of benefits of OTT use in therapy but there are growing concerns about its consequences for the therapeutic relationship. This paper presents new knowledge regarding psychological practitioners' experience and views of OTT work and its potential effects on the therapeutic relationship in the context of the UK's Increasing Access to Psychological Therapy (IAPT) programme...
November 8, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29081328/experiences-of-improving-access-to-psychological-therapy-services-for-perinatal-mental-health-difficulties-a-qualitative-study-of-women-s-and-therapists-views
#5
Lottie Millett, Billie Lever Taylor, Louise M Howard, Debra Bick, Nicky Stanley, Sonia Johnson
BACKGROUND: Perinatal mental health difficulties are highly prevalent. In England, the Improving Access to Psychological Therapy (IAPT) programme provides evidence-based psychological treatment, predominantly in the form of brief manualized cognitive behavioural therapy (CBT), to people with mild to moderate depression or anxiety. Yet little is known about the experiences of women referred to IAPT with perinatal mental health difficulties. AIMS: The aim of this qualitative study was to investigate how women view IAPT support for perinatal mental health...
October 30, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28978366/comparison-of-treatment-outcomes-between-lesbian-gay-bisexual-and-heterosexual-individuals-receiving-a-primary-care-psychological-intervention
#6
Katharine A Rimes, Matthew Broadbent, Rachel Holden, Qazi Rahman, David Hambrook, Stephani L Hatch, Janet Wingrove
BACKGROUND: Lesbian, gay and bisexual individuals experience more anxiety and depression than heterosexual people. Little is known about their comparative treatment response to psychological interventions. AIMS: To compare sociodemographic/clinical characteristics and treatment outcomes across sexual orientation groups, for adults receiving primary care psychological interventions from Improving Access to Psychological Therapies (IAPT) services in London, adjusting for possible confounders...
October 5, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28903792/the-relationship-between-competence-and-patient-outcome-with-low-intensity-cognitive-behavioural-interventions
#7
Amanda Branson, Pamela Myles, Mishka Mahdi, Roz Shafran
BACKGROUND: Little is understood about the relationship between therapist competence and the outcomes of patients treated for common mental health disorders. Furthermore, the evidence is yet to extend to competence in the delivery of low-intensity cognitive behavioural interventions. Understanding this relationship is essential to the dissemination and implementation of low-intensity cognitive behavioural interventions. AIMS: The aim of this study was to explore the relationship between Psychological Well-being Practitioner (PWP) competence and patient outcome within the framework of the British government's Improving Access to Psychological Therapies (IAPT) initiative...
September 14, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28853392/pilot-of-a-randomised-controlled-trial-of-the-selective-serotonin-reuptake-inhibitor-sertraline-versus-cognitive-behavioural-therapy-for-anxiety-symptoms-in-people-with-generalised-anxiety-disorder-who-have-failed-to-respond-to-low-intensity-psychological-treatments
#8
Marta Buszewicz, John Cape, Marc Serfaty, Roz Shafran, Thomas Kabir, Peter Tyrer, Caroline S Clarke, Irwin Nazareth
BACKGROUND: Generalised anxiety disorder (GAD) is common, causing unpleasant symptoms and impaired functioning. The National Institute for Health and Care Excellence (NICE) guidelines have established good evidence for low-intensity psychological interventions, but a significant number of patients will not respond and require more intensive step 3 interventions, recommended as either high-intensity cognitive behavioural therapy (CBT) or a pharmacological treatment such as sertraline. However, there are no head-to-head comparisons evaluating which is more clinically effective and cost-effective, and current guidelines suggest that treatment choice at step 3 is based mainly on patient preference...
August 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28729322/feasibility-of-a-uk-community-based-etherapy-mental-health-service-in-greater-manchester-repeated-measures-and-between-groups-study-of-living-life-to-the-full-interactive-sleepio-and-breaking-free-online-at-self-help-services
#9
Sarah Elison, Jonathan Ward, Chris Williams, Colin Espie, Glyn Davies, Stephanie Dugdale, Kathryn Ragan, Leanne Chisnall, Nicky Lidbetter, Keith Smith
OBJECTIVES: There is increasing evidence to support the effectiveness of eTherapies for mental health, although limited data have been reported from community-based services. Therefore, this service evaluation reports on feasibility and outcomes from an eTherapy mental health service. SETTING: 'Self Help Services', an Increasing Access to Psychological Therapies (IAPT) eTherapy service in Greater Manchester. PARTICIPANTS: 1068 service users referred to the service for secondary care for their mental health difficulties...
July 20, 2017: BMJ Open
https://www.readbyqxmd.com/read/28599621/the-comparative-effectiveness-and-efficiency-of-cognitive-behaviour-therapy-and-generic-counselling-in-the-treatment-of-depression-evidence-from-the-2-nd-uk-national-audit-of-psychological-therapies
#10
Jo Pybis, David Saxon, Andy Hill, Michael Barkham
BACKGROUND: Cognitive Behaviour Therapy (CBT) is the front-line psychological intervention for step 3 within UK psychological therapy services. Counselling is recommended only when other interventions have failed and its effectiveness has been questioned. METHOD: A secondary data analysis was conducted of data collected from 33,243 patients across 103 Improving Access to Psychological Therapies (IAPT) services as part of the second round of the National Audit of Psychological Therapies (NAPT)...
June 9, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28583944/variation-in-referral-and-access-to-new-psychological-therapy-services-by-age-an-empirical-quantitative-study
#11
Sophie Pettit, Adam Qureshi, William Lee, Alex Stirzaker, Alex Gibson, William Henley, Richard Byng
BACKGROUND: Older people with common mental health problems (CMHPs) are known to have reduced rates of referral to psychological therapy. AIM: To assess referral rates to the Improving Access to Psychological Therapies (IAPT) services, contact with a therapist, and clinical outcome by age. DESIGN AND SETTING: Empirical research study using patient episodes of care from South West of England IAPT services. METHOD: By analysing 82 513 episodes of care (2010-2011), referral rates and clinical improvement were compared with both total population and estimated prevalence in each age group using IAPT data...
July 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28509391/common-mental-disorder-including-psychotic-experiences-trailblazing-a-new-recovery-pathway-within-the-improving-access-to-psychological-therapies-programme-in-england
#12
Jesus Perez, Debra A Russo, Jan Stochl, James Clarke, Zoe Martin, Christina Jassi, Paul French, David Fowler, Peter B Jones
Psychotic experiences, depressive and anxiety symptoms may be manifestations of a latent continuum of common mental distress. The Improving Access to Psychological Therapies (IAPT) programme has increased the reach of psychological treatments to people with common mental disorders in England. However, psychotic experiences are neither measured nor considered in therapy. We aimed to confirm the presence of psychotic experiences among IAPT service-users and determine whether these experiences are associated with higher depression/anxiety levels and poorer recovery...
May 16, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28506333/-home-etherapy-service-for-people-with-common-mental-health-problems-an-evaluation
#13
Judith Gellatly, Leanne Chisnall, Nic Seccombe, Kathryn Ragan, Nicola Lidbetter, Kate Cavanagh
BACKGROUND: Ensuring rapid access to psychological interventions is a priority of mental health services. The involvement of peer workers to support the delivery of more accessible treatment options such as computerized cognitive behaviour therapy (CCBT) is recognized. AIMS: To evaluate the implementation of a third sector remote CCBT @Home eTherapy service for people experiencing common mental health problems supported by individuals with lived experience. METHOD: Supported CCBT packages with telephone support were delivered over a 30-month period...
May 16, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28493592/experiences-of-outcome-monitoring-in-service-users-with-psychosis-findings-from-an-improving-access-to-psychological-therapies-for-people-with-severe-mental-illness-iapt-smi-demonstration-site
#14
Miriam Fornells-Ambrojo, Louise Johns, Juliana Onwumere, Philippa Garety, Craig Milosh, Catherine Iredale, Emmanuelle Peters, Adrian Webster, Suzanne Jolley
OBJECTIVES: Psychological therapy services are increasingly required to instate routine outcome monitoring (ROM), to demonstrate the clinical and economic impact of interventions. Professionals' views of ROM are an acknowledged barrier to implementation. Service user perspectives have rarely been examined, but acceptability and perceptions of ROM are critical to successful implementation. We investigated service users' experiences of ROM in an Improving Access to Psychological Therapies for people with Severe Mental Illness psychosis demonstration site...
May 11, 2017: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28478779/do-symptoms-of-irritable-bowel-syndrome-improve-when-patients-receive-cognitive-behavioural-therapy-for-co-morbid-anxiety-disorders-in-a-primary-care-psychological-therapy-iapt-service
#15
Mark Kenwright, Jason McDonald, Jo Talbot, Kinza Janjua
BACKGROUND: Irritable bowel syndrome (IBS) is a common co-morbid condition with anxiety disorders, and patients often report a fear of incontinence in public places. This type of bowel control anxiety (BCA) can be conceptualized as a phobic syndrome. Yet little evidence exists on the prevalence or outcomes of these co-morbidities in routine primary care psychological therapy (Improving Access to Psychological Therapies, IAPT) services. AIMS: To examine the prevalence and outcomes of IBS and BCA patients treated with cognitive behavioural therapy (CBT) for anxiety disorders within a routine IAPT service...
May 8, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28347379/evaluation-of-a-trauma-focused-cbt-training-programme-for-iapt-services
#16
Hannah Murray
BACKGROUND: Therapists in Improving Access to Psychological Therapies (IAPT) services are often expected to treat complex presentations of post-traumatic stress disorder (PTSD), such as individuals with multiple, prolonged or early life trauma histories and significant co-morbidity, for which they have received minimal training. Although high recovery rates for PTSD have been demonstrated in randomized controlled trials, these are not always replicated in routine practice, suggesting that training interventions are required to fill the research-practice gap...
March 28, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28325165/development-and-evaluation-of-cognitive-analytic-guided-self-help-cat-sh-for-use-in-iapt-services
#17
Jo Meadows, Stephen Kellett
BACKGROUND: There is a lack of treatment plurality at step 2 of Improving Access to Psychological Therapies (IAPT) services. This project therefore sought to develop and pilot a cognitive analytic informed guided self-help treatment for mild-to-moderate anxiety for delivery by Psychological Wellbeing Practitioners (PWPs). METHOD: Medical Research Council treatment development guidelines were used. Phase I included development of the six-session treatment manual using practice guidelines, small-scale modelling (n = 3) and indicated manual iterations...
March 22, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28287065/effectiveness-of-group-behavioural-activation-for-depression-a-pilot-study
#18
Stephen Kellett, Mel Simmonds-Buckley, Paul Bliss, Glenn Waller
BACKGROUND: The evidence base for behavioural activation (BA) is mainly grounded in the individual delivery method, with much less known about the impact of group delivery. AIMS: To conduct a pilot study of behavioural activation in groups (BAG) for depression delivered in a routine service setting, in order to explore acceptability, effectiveness and predictors of outcome. METHODS: The manualized group treatment format was delivered in a Primary Care mental health setting, at step three of an Improving Access to Psychological Therapies (IAPT) service...
March 13, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28249592/a-pragmatic-randomised-controlled-trial-assessing-the-non-inferiority-of-counselling-for-depression-versus-cognitive-behaviour-therapy-for-patients-in-primary-care-meeting-a-diagnosis-of-moderate-or-severe-depression-practiced-study-protocol-for-a-randomised
#19
David Saxon, Kate Ashley, Lindsey Bishop-Edwards, Janice Connell, Phillippa Harrison, Sally Ohlsen, Gillian E Hardy, Stephen Kellett, Clara Mukuria, Toni Mank, Peter Bower, Mike Bradburn, John Brazier, Robert Elliott, Lynne Gabriel, Michael King, Stephen Pilling, Sue Shaw, Glenn Waller, Michael Barkham
BACKGROUND: NICE guidelines state cognitive behavioural therapy (CBT) is a front-line psychological treatment for people presenting with depression in primary care. Counselling for Depression (CfD), a form of Person-Centred Experiential therapy, is also offered within Improving Access to Psychological Therapies (IAPT) services for moderate depression but its effectiveness for severe depression has not been investigated. A full-scale randomised controlled trial to determine the efficacy and cost-effectiveness of CfD is required...
March 1, 2017: Trials
https://www.readbyqxmd.com/read/28222706/low-intensity-interventions-for-obsessive-compulsive-disorder-ocd-a-qualitative-study-of-mental-health-practitioner-experiences
#20
Judith Gellatly, Rebecca Pedley, Christine Molloy, Jennifer Butler, Karina Lovell, Penny Bee
BACKGROUND: Obsessive-compulsive disorder (OCD) is a debilitating mental health disorder that can substantially impact upon quality of life and everyday functioning. Guidelines recommend pharmacological and psychological treatments, using a cognitive behaviour therapy approach (CBT) including exposure and response prevention, but access has generally been poor. Low intensity psychological interventions have been advocated. The evidence base for these interventions is emerging but there is a paucity of information regarding practitioners' perceptions and experiences of supporting individuals with OCD using this approach...
February 22, 2017: BMC Psychiatry
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