Pulse: "Revealed: How patients referred to mental health services end up back with their GP"

Andy

Andy

Retired committee member
A Pulse analysis of NHS Digital data has shown that 30% of people referred to IAPT never begin treatment, with 42% of those who do start the programme only ever completing one session. And of those who do go beyond one session, more than 50% are now having to wait longer than a month between their first and second appointments, which is contrary to NICE guidelines.

NHS Digital’s data on why referrals end do not include a specific breakdown showing the reasons why treatment stops, so these figures are likely to be attributable at least in part to patients choosing to drop out or being referred to another service deemed more appropriate than IAPT.
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http://www.pulsetoday.co.uk/clinica...es-end-up-back-with-their-gp/20037700.article
 
And yet we have this nonsense:



So, half of half is a success story that is just about the same as 50% success (hardly a glowing success when you're at random chance levels). As long as you massage this half and don't bother looking too deeply about what it means to be recovered, which likely includes people who simply don't come back because it was utterly useless to their case.

Reminds me of when Trump lost a critical vote in Congress. He argued that if you don't count the votes against, they nearly had 100% of the votes.

Galactic brains here.
 
rvallee said:
And yet we have this nonsense:



So, half of half is a success story that is
just about the same as 50% success (hardly a glowing success when you're at random chance levels). As long as you massage this half and don't bother looking
too deeply about what it means to be recovered, which likely includes people who simply don't come back because it was utterly useless to their case.

Reminds me of when Trump lost a critical vote in Congress. He argued that if you
don't count the votes against, they nearly
had 100% of the votes.

Galactic brains here.
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Thanks for your analysis, @rvallee.

Seems to be the new, new math these institutions are using.
 
rvallee said:
And yet we have this nonsense:



So, half of half is a success story that is just about the same as 50% success (hardly a glowing success when you're at random chance levels). As long as you massage this half and don't bother looking too deeply about what it means to be recovered, which likely includes people who simply don't come back because it was utterly useless to their case.

Reminds me of when Trump lost a critical vote in Congress. He argued that if you don't count the votes against, they nearly had 100% of the votes.

Galactic brains here.
Click to expand...

The Mental Elf sees it all through special BPS rose tinted spectacles
 
For those who missed this thread
https://www.s4me.info/threads/bake-off-kim-joy-experience-of-working-in-nhs-mental-health.6918/

The wisdom of Kim Joy, of the British Bake-off competition, seems worth repeating here in relation to the idea that 'more than 50%' of people who finished IAPT recover:

She is always careful not to come across as critical, and never more so than when she talks about her work. “I love the NHS. I really want to work in the NHS, but I’m at a point where the clinical side of mental health isn’t for me.

You do a questionnaire with each person when they come in. So they tell you how many times that week they’ve felt low, which is a really weird question. It’s not real. Professionals need it for their data, to see who’s recovering.

A lot of people just make up their answers, because they want to sound like they’re feeling better.”
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rvallee said:
And yet we have this nonsense:
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Yes.
30% of people referred to IAPT never begin treatment.

Of the 70% of people who do start, it seems that 42% only do one session. So that's essentially another 30% of people doing only one session and then dropping out. Together, that's 60% of people referred who don't start or do just one session.

So, we have a maximum of 40% of people referred for treatment finishing the treatment, but the drop out rate after the second session onwards is probably pretty significant too. The percentage of people referred actually finishing therapy could very easily be only around 20%.

And then, of that small minority who actually finish the treatment, Kim-Joy tells us that 'a lot of people' are just making up their answers to questions about recovery.

It's hardly impressive.
 
Some reasons people might overstate feeling less depressed, anxious etc., after counseling: they want to be done with the treatment, want to move on, their counselor might be a twit, they have found the treatment completely useless, aggravating, upsetting, harmful, their employer, family members, wanted them to get counseling, it's a condition of qualifying for disability assistance, they want to please the therapist, avoid conflict, etc.
 
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