‘IAPT Talking Therapies All Glitz and No Substance?’ is the title of a Press Release from the Editor of the Journal of Health Psychology, Dr David Marks, The Press release reads:
‘The Journal of Health Psychology is calling for an urgent independent review of patient recovery rates
with the NHS ‘Improving Access to Psychological Therapies’ (IAPT) talking therapies programme.
A recent study by Dr. Michael Scott revealed that only one in ten mental health patients actually
Now JHP editor, Dr David F Marks, is calling for IAPT recovery rates to be closely scrutinized. He
wants solid evidence that patients who have recovered stay well over the long term.
Michael Scott’s study found that overall just 9.2% of patients recovered with IAPT therapies. There is
an enormous gap of 40% between these findings and IAPT’s claimed recovery figure.
The study’s recovery rates were: Post-Traumatic Stress Disorder – 16.2%, depression – 14.9%, other
mental disorders including anxiety – 2.2%.
Dr Scott, Consultant Psychologist and Expert Witness to the Courts, suggested “a pressing need to reexamine…the service”. IAPT’s economic model hinges on good recovery rates and high recruitment.
The contributors to this Special Issue of the journal, “IAPT Under the Microscope”, have all expressed
doubts about the veracity of IAPT’s recovery claims. They agree that there’s a need for an independent
assessment of the type that a drug treatment would require before being approved for use.
The theory is that better mental health will lead to fewer physical health problems so that patients will
need less care. High recovery rates should then yield the promised hefty ‘efficiency’ savings to the
physical healthcare budget that will pay for the IAPT service.
The IAPT spotlight is on patients with ‘medically unexplained symptoms’ (MUS) and ‘long-term
conditions’ (LTCs) such as diabetes and COPD. This expansion into areas beyond its already
questionable expertise is likely to be clinically risky. Experts and patients are worried about the motives behind this and concerned that a mental health diagnosis will allow providers to restrict access to healthcare and other benefits. Can these therapies really reduce patients’ physical problems and their need for care, or is this an NHS version of a ‘hostile environment’?
The programme continues to grow as more local therapy services are rolled out across England. IAPT
aims to enrol over a million patients per year but the system is already creaking under the strain.
In his Editorial, Dr Marks proposes an open debate about England’s flagship IAPT project that has so
far cost the taxpayer around £1 billion. He calls for an independent, expert review to determine if IAPT
is likely to reap the promised rewards or asks if is it all glitz and no substance?
Notes to editors
Marks, D.F. (Ed.) (2018). “IAPT Under the Microscope” published online and in print on 26 July 2018.
http://journals.sagepub.com/home/hpq [see copy attached to email]
Scott, M.J. (2018). Improving Access to Psychological Therapies (IAPT) – The Need for Radical
Reform. Journal of Health Psychology, http://journals.sagepub.com/doi/full/10.1177/1359105318755264
Dr Michael J Scott, author of the IAPT study, is available at: 07580 644 038
Dr David F Marks, Editor of the Journal of Health Psychology, is available at: 07930 753 206 ;
Dr Mike Scott