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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
https://www.readbyqxmd.com/read/28120547/the-experiences-of-high-intensity-therapists-delivering-cognitive-behavioural-therapy-to-people-with-intellectual-disabilities
#10
Hayley Marwood, Deborah Chinn, Kenneth Gannon, Katrina Scior
BACKGROUND: People with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear. METHOD: Ten high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT...
January 24, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28115865/a-9-year-follow-up-of-a-self-management-group-intervention-for-persistent-neck-pain-in-primary-health-care-a-randomized-controlled-trial
#11
Catharina Gustavsson, Lena von Koch
BACKGROUND AND OBJECTIVE: In previous short-term and 2-year follow-ups, a pain and stress self-management group intervention (PASS) had better effect on pain-related disability, self-efficacy, catastrophizing, and perceived pain control than individually administered physiotherapy (IAPT) for patients with persistent tension-type neck pain. Studies that have evaluated long-term effects of self-management approaches toward persistent neck pain are sparse. The objective of this study was to compare pain-related disability, self-efficacy for activities of daily living (ADL), catastrophizing, pain, pain control, use of analgesics, and health care utilization in people with persistent tension-type neck pain 9 years after they received the PASS or IAPT...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28115336/e-therapies-in-england-for-stress-anxiety-or-depression-what-is-being-used-in-the-nhs-a-survey-of-mental-health-services
#12
M R Bennion, G Hardy, R K Moore, A Millings
OBJECTIVE: To document the range of web and smartphone apps used and recommended for stress, anxiety or depression by the National Health Service (NHS) in England. DESIGN: The study was conducted using Freedom of Information (FOI) requests and systematic website searches. DATA SOURCES: Data were collected via FOI requests to NHS services between 13 February 2015 and 31 March 2015, and searches conducted on NHS apps library websites between 26 March 2015 and 2 November 2015...
January 23, 2017: BMJ Open
https://www.readbyqxmd.com/read/28110673/-points-of-light
#13
S Rachman
Important developments took place during the past decade. Two major nationwide treatment/training programmes were initiated: IAPT and the US Army Resiliency Program. Work on the psychological immune system presages a major advance in scientific knowledge. The reformulation of human actions, moving the emphasis from retrospection to prospection has wide implications. The concept of wellbeing has had a major impact on health psychology. The topics covered include the U.K. scheme for improving access to psychological therapies, resilience training in the military, wellbeing, the psychological immune system, the concept of prospection, some recent trends in psychopathology, mental contamination...
January 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27809821/the-theoretical-and-practical-determination-of-clinical-cut-offs-for-the-british-sign-language-versions-of-phq-9-and-gad-7
#14
Rachel A Belk, Mark Pilling, Katherine D Rogers, Karina Lovell, Alys Young
BACKGROUND: The PHQ-9 and the GAD-7 assess depression and anxiety respectively. There are standardised, reliability-tested versions in BSL (British Sign Language) that are used with Deaf users of the IAPT service. The aim of this study is to determine their appropriate clinical cut-offs when used with Deaf people who sign and to examine the operating characteristics for PHQ-9 BSL and GAD-7 BSL with a clinical Deaf population. METHODS: Two datasets were compared: (i) dataset (nā€‰=ā€‰502) from a specialist IAPT service for Deaf people; and (ii) dataset (nā€‰=ā€‰85) from our existing study of Deaf people who self-reported having no mental health difficulties...
November 3, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27708834/outcomes-from-a-pilot-psychological-therapies-service-for-uk-military-veterans
#15
Paul Clarkson, Clarissa M Giebel, David Challis, Paul Duthie, Alan Barrett, Helen Lambert
AIM: To evaluate the outcomes of participants attending a psychological therapies service for military veterans. BACKGROUND: The UK Military Veterans' Improving Access to Psychological Therapies Service (North West) (MV IAPT) provided a clinical psychological therapies service for military veterans. Outcomes of depression, anxiety and social adjustment were assessed after treatment in the service's pilot phase. DESIGN: An observational, prospective cohort study examined changes in depression, anxiety and social adjustment during receipt of the service...
October 2016: Nursing Open
https://www.readbyqxmd.com/read/27559469/richmond-wellbeing-service-access-strategy-for-older-adults
#16
Sarah Gowling, Jennie Persson, Genevieve Holt, Sue Ashbourne, James Bloomfield, Hannah Shortland, Clare Bate
IAPT (Improving Access to Psychological Therapies) is a national programme aimed at increasing availability of evidence based psychological therapies in the NHS. IAPT is primarily for people who have mild to moderate, common mental health difficulties such as depression, anxiety, phobias and post traumatic stress disorder (PTSD). The programme seeks to use the least intrusive method of care possible to treat people at the time when it will be of most help to them. Individuals are able to self-refer into most IAPT services or alternatively can request to be referred by their GP or other services in the community...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27465233/what-iapt-cbt-high-intensity-trainees-do-after-training
#17
Sheena Liness, Susan Lea, Steffen Nestler, Hannah Parker, David M Clark
BACKGROUND: The UK Department of Health Improving Access to Psychological Therapies (IAPT) initiative set out to train a large number of therapists in cognitive behaviour therapies (CBT) for depression and anxiety disorders. Little is currently known about the retention of IAPT CBT trainees, or the use of CBT skills acquired on the course in the workplace after training has finished. AIMS: This study set out to conduct a follow-up survey of past CBT trainees on the IAPT High Intensity CBT Course at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London (KCL), one of the largest IAPT High Intensity courses in the UK...
January 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/27456542/treating-depression-and-anxiety-with-digital-cognitive-behavioural-therapy-for-insomnia-a-real-world-nhs-evaluation-using-standardized-outcome-measures
#18
Annemarie I Luik, Sophie Bostock, Leanne Chisnall, Simon D Kyle, Nicky Lidbetter, Nick Baldwin, Colin A Espie
BACKGROUND: Evidence suggests that insomnia may be an important therapeutic target to improve mental health. AIMS: Evaluating changes in symptoms of depression and anxiety after supported digital cognitive behavioural therapy (dCBT) for insomnia delivered via a community-based provider (Self Help Manchester) of the Improving Access to Psychological Therapies (IAPT) service. METHOD: Supported dCBT for insomnia was delivered to 98 clients (mean age 44...
January 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/27439751/could-the-substance-misuse-of-a-relative-be-an-important-factor-for-those-seeking-help-for-anxiety-and-depression-a-preliminary-prevalence-study-within-improving-access-to-psychological-therapies-iapt
#19
Elizabeth Newton, Nicola Shepherd, Jim Orford, Alex Copello
BACKGROUND: The psychological difficulties and emotional impacts resulting from the substance use of close relatives constitute a large, underestimated and frequently unidentified health burden. The development of primary care mental health services in response to the Improving Access to Psychological Therapies initiative provides an opportunity to investigate this in more depth. AIMS: A preliminary exploration of prevalence of IAPT service-users being treated for moderate-severe depression and/or anxiety who report that they have relatives with alcohol and/or drug problems...
November 2016: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/27197567/developing-services-for-patients-with-depression-or-anxiety-in-the-context-of-long-term-physical-health-conditions-and-medically-unexplained-symptoms-evaluation-of-an-iapt-pathfinder-site
#20
Stephen Kellett, Kimberley Webb, Nic Wilkinson, Paul Bliss, Tom Ayers, Gillian Hardy
BACKGROUND: There are national policy drivers for mental health services to demonstrate that they are effectively meeting the psychological needs of people with long-term health conditions/medically unexplained symptoms (LTC/MUS). AIMS: To evaluate the implementation of a stepped-care service delivery model within an Improving Access to Psychological Therapies (IAPT) service for patients with depression or anxiety in the context of their LTC/MUS. METHOD: A stepped-care model was designed and implemented...
September 2016: Behavioural and Cognitive Psychotherapy
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