IAPT Revolving Door Data Casts Doubt on Recovery Rate

following a Freedom of Information Request from Dr Elisabeth Cotton last year, it appears that 1.5 million people were referred to IAPT between 2 and 10 or more occasions in a 6 year period (2012-2018), with 3.2 million people referred just once. A re-referral indicates that treatment had no enduring effect. Further IAPTs claim is for a 50% recovery rate,  thus at face value 1.6 million would have recovered, but this is only a third (34.5%) of those referred, not a half! Thus even within IAPT’s own terms its’ claims are dubious. 

The staff of my local coffee shop always say ‘see you soon’ as I depart, perhaps this is what IAPT ought to say to clients albeit that in low intensity they won’t actually ‘see’ them, such hospitality. 

IAPT’s Bonfire Night

Yesterday Pulse published its’ investigation of IAPT, it was the effigy on the bonfire despite NHS England’s protestations, see link below:


It follows close on the heels of the BBC investigation., see link http://www.bbc.co.uk/news/health-45895541

What is still not properly recognised is that despite over £1billion being spent on IAPT there has been no independent assessment and my work suggests just a 15% recovery, it is a scandal.


Dr Mike Scott


Is Aggressive Management Endemic in the Mental Health Field?

This week the demise of the construction Company, Carillion was laid at the door of aggressive management – hiding the true nature of performance. Isn’t this what IAPT have done with claims of a 50% recovery rate, when the actual recovery rate was 10% [ Jounal of Health Psychology, ‘IAPT- The Need for Radical Reform ‘http://journals.sagepub.com/doi/pdf/10.1177/1359105318755264  http://journals.sagepub.com/doi/full/10.1177/1359105318755264.  With two thirds of IAPT low intensity workers suffering burnout, as well as half of those in high intensity it looks suspicious.



My experience yesterday  giving a talk ‘From Disaster to Functioning’ [ slides here https://www.dropbox.com/s/0jgvhhz0bva81s2/From%20Disaster%20to%20Functioning.pptx?dl=0 and http://www.cbtwatch.com/from-disaster-to-functioning/ ] at the Health and Wellbieng Conference held at the NEC, Birmingham suggests that misrepresentation is not confined to IAPT, I heard of mental health wares such as suicide prevention packages and the Critical incident Stress Debriefing  variant TRIM, being promoted despite a dirth of evidence supporting them. I began writing this blog on the train yesterday coming home from the Conference, as I was getting off the attendant announced “if you see anything suspicious see it, report it sort it”,  it  may be an important dictum for the whole mental health  field.


Dr Mike Scott