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The 2018 UK NHS Digital annual report on the Improving Access to Psychological Therapies programme: a brief commentary, 2019, Moller et al

Discussion in 'PsychoSocial ME/CFS Research' started by Hutan, Nov 8, 2020.

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  1. Hutan

    Hutan Moderator Staff Member

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    https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-019-2235-z

    Naomi Petra Moller, Gemma Ryan, Jasmine Rollings & Michael Barkham

    Abstract
    This commentary examines publicly available information on 2017–2018 outcomes in the UK government’s Improving Access to Psychological Therapies (IAPT) programme, a National Health Service (NHS) primary care mental health programme in England. In that year there were 1.4 million referrals into IAPT and over 500,000 people completed a course of treatment. The IAPT database collects routine session-by-session outcome monitoring data for this population, including outcomes for depression and anxiety in a stepped care model which includes a range of psychological therapies, among them Cognitive Behavioural Therapy (CBT) and Person-centred Experiential Therapy, known in the IAPT programme as Counselling for Depression (CfD).

    ...The definition of treatment completion is receipt of 2 sessions or more and on this basis 60% of all referrals in 2017–18 did not complete treatment, predominantly because they failed to attend the initial appointment, or ended after only one session

    ...Data on treatment choice and satisfaction was favourable but there were issues with low return rates and invalid data. Information on outcomes for ethnicity, sexual orientation, disability and religion, as well as a measure of local economic deprivation, indicate lower outcomes for a number of patient groups. Data on employment status outcomes suggest little overall change, including for the category of those on benefits payments.
     
    Hutan, Nov 8, 2020
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  2. Invisible Woman

    Invisible Woman Senior Member (Voting Rights)

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    So an extraordinary definition of treatment completion - simply having a behind in a seat for two sessions. Not that the patient found it helpful or discovered something life altering about themselves. Just that they sat there for 2 sessions.

    Still, applying their own definition of treatment completion, 60% did not complete treatment.

    Also known as staying away in droves.....
     
    Invisible Woman, Nov 8, 2020
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  3. rvallee

    rvallee Senior Member (Voting Rights)

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    Quite literally participation trophies.

    And these people would rightfully laugh at alternative medicine practitioners if they made the same claims but they can't see the same issue with what they're doing even though it's even more laughable.
     
    rvallee, Nov 8, 2020
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  4. Sean

    Sean Senior Member (Voting Rights)

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    That looks to me like a pattern.
     
    Sean, Nov 9, 2020
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  5. Arnie Pye

    Arnie Pye Senior Member (Voting Rights)

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    Arnie Pye, Nov 9, 2020
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  6. Arnie Pye

    Arnie Pye Senior Member (Voting Rights)

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    I've just taken another look at cbtwatch, and realised that the person who runs the blog appears to have stopped categorising his blogs. There are so many of them which mention IAPT but don't appear in the second link I gave. Anyone interested in the site might want to start from the present and work backwards because IAPT is mentioned a LOT!
     
    Arnie Pye, Nov 9, 2020
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