IAPT under the microscope, 2018, Marks

[Cheshire]

A cost-benefit analysis of the Improving Access to Psychological Therapies programme using its key defining outcomes
Journal of Health Psychology - Steen (2018)

The economic argument underpinning the Improving Access to Psychological Therapy programme has been a central component in its initial and continued investment. Using open-access data, this article undertook a cost-benefit analysis using the programme’s key defining outcomes to determine its return-on-investment.
It was found that in terms of investment and efficiency gains, the programme was in the higher ends of the cost spectrum for delivering psychological therapies. Although cost-estimates appear promising at first, when set in the context of a lower number of treatment contacts and a high proportion of early disengagement, estimates increased sharply.

http://journals.sagepub.com/doi/abs/10.1177/1359105318803751?journalCode=hpqa#articleShareContainer

 

[Arnie Pye]

Didn't know where to put this; comments on CBT Watch:

".....we do need good quality talking therapies but we have not got them, rather we have a 10% recovery rate for those undergoing treatment with IAPT http://journals.sagepub.com/doi/pdf/10.1177/1359105318755264.
I very much doubt that IAPT or anyone has an evidence based psychological treatment for a person with bipolar disorder and it would be disingenuous to pretend we have.

Not evidence-based, just an anecdote... I've come across quite a few people on thyroid forums who have been diagnosed with bipolar disorder. Then they get treated for their thyroid problems and the condition disappears. Of course, it never disappears from their medical notes and it can be pulled out whenever a doctor wants to blame their mental health for something they don't want to treat.