Sly Saint
Senior Member (Voting Rights)
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Blog on current state of IAPT
https://survivingwork.org/after-quarantine/
Blog on current state of IAPT
infographic from our survey of 650 IAPT workers, looking at what people working in the service think should happen to the largest public mental health service in this country.
There were some common themes on what macro and micro measures could improve mental health services:
- stop using recovery and patient number targets
- de-linking IAPT from disability and unemployment benefits systems
- use IAPT appropriately for mild/moderate depression
- look at how to support primary care services that are failing
- investment in high intensity and high skilled therapists in the NHS so that complex cases can be treated and IAPT be reserved only for low intensity needs.
- capping the number of clients per day
- stop gaming data and misrepresenting the service
- change the measurements so that they are measuring something meaningful
- flexibility in the modality and therapeutic process
“IAPT should be scrapped. I think this kind of business model in health is doomed. We need to accept that a thin scraping of care for more people isn’t care. Yes we would go back to huge waiting lists but at least those who were seen would get good care. Staff would be retained then as well and expertise would stay within the NHS.”
Firstly, on a policy level, mental health services deserve a public inquiry into the current regime of performance management and the IAPT model – to be run by a group of people who are not financially invested in the outcome.
There is an emerging leadership in the campaign against the IAPT model and the co-option of therapies to deliver welfare cuts – which, unsurprisingly, is led by disability and mental health service user networks. The most radical challenge to the current mental health system has not come from workers or their collective institutions, but rather from disability and mental health networks such as DPAC, NSUN, Recovery in the Bin, Mental Health Resistance Network and the Mental Wealth Alliance. These networks are uniquely placed to provide political direction combined with data and information about what is happening to service users, particularly those on benefits.
https://survivingwork.org/after-quarantine/
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