Categories
l

IAPT’s Below Intensity CBT – Rhetoric vs Reality

 

The Improving Access to Psychological Therapies (IAPT) Service clients receive on average 6 sessions (amongst those who complete 2 or more sessions), compared to the typical 13  sessions in the 29 evidence based, ‘gold standard’, randomised controlled trials, considered by OST (2008) doi:10.1016/j.brat.2007.12.005. The discrepancy in the dosage of treatment creates a suspicion that, in routine practice, clients receive a sub-therapeutic dose of treatment.

In practice the Service haemorrhages clients, with 60% of all referrals not completing treatment in 2017-2018,  Moller et al (2019) https://doi.org/10.1186/s12888-019-2235-z.  In this period a third (35%) of clients were given an unspecified diagnosis making the delivery of a NICE approved evidence based treatment impossible. The IAPT services claim to a 50% recovery rate, comparable to that in randomised controlled trials, is preposterous in this context.

Service providers, such as IAPT, are necessarily opportunistic and overstate the power of a simple and cheap mode of service delivery, thereby doing wonders for their power and bank balance. But clients are the losers, particularly those from disadvantaged backgrounds, Moller et al (2019) https://doi.org/10.1186/s12888-019-2235-z.

The rhetoric was that the Service would pay for itself because of the positive effects on employment but Moller et al (2019) have found no evidence of this https://doi.org/10.1186/s12888-019-2235-z.Employed: Start of treatment 316,604; end of treatment, 302,746; Unemployed and seeking work: Start of Treatment, 54,580; End of Treatment 49,803; Long term sick or disabled or in receipt of benefits; Start of Treatment, 43,275; End of Treatment, 43,671. Using IAPT’s own data for 2017-2018,  there is a 17% difference in recovery rate depending on whether the client was from the most deprived area , with a 41.0% recovery rate compared to a 58.1% recovery rate for the least deprived area.

 

Dr Mike Scott

 

 

345 replies on “IAPT’s Below Intensity CBT – Rhetoric vs Reality”

More than once I’ve been told to discharge when a client has gone into recovery on the questionnaires, regardless of whether the client has met their goals and completely ignoring whether the person themselves actually feels they have made any progress. It all feels a bit mad.

союз вакансии водитель категории е
график работы загса центрального района
спб вакансии воронеж продавец консультант обуви
свежие вакансии работа в интернет магазине график работы на
5 человек чтобы в смене было 4 человека

Good day! This is my first comment here so I just wanted to give a quick shout out and tell you I really enjoy reading your blog posts. Can you recommend any other blogs/websites/forums that deal with the same subjects? Thank you!

I have been exploring for a bit for any high quality articles or blog posts on this kind of area . Exploring in Yahoo I at last stumbled upon this web site. Reading this info So i am happy to convey that I’ve an incredibly good uncanny feeling I discovered just what I needed. I most certainly will make certain to do not forget this web site and give it a glance on a constant basis.

амнистия 2023 рк какие статьи попадают, амнистия 2022 какие статьи попадают orleu-online регистрация, өрлеу онлайн курс жауаптары шынайы сезім деген
не, сезім деген есімнің мағынасы все для праздника алматы, все для праздника барахолка

алматинский заповедник что охраняет, алматинский
заповедник информация сыныптық шен,
әскери шендер қазақстан жақсылық жасап жарысайық мақал, жақсы
өмір туралы мақал как сдать тест в цон, цон тест на госслужбу

кәсіби тәжірибе жетекшісінің қорытындысы, практика есебі қорытынды кірқоймас 2 сынып қмж, тазалық сақтау ережелері 2 сынып әдебиет пульс и давление при панической атаке, до скольки поднимается
давление при панических атаках топи капитан козлов, как царское правительство
нарушала принцип протектората

Leave a Reply

Your email address will not be published. Required fields are marked *