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An evaluation of the 'IPS in IAPT' Psychological Wellbeing and Work Feasibility pilot
- Authors:
- STEADMAN Karen, THOMAS Rosemary
- Publisher:
- The Work Foundation
- Publication year:
- 2015
- Pagination:
- 68
- Place of publication:
- London
Report on the pilot of a scheme to help people with mental health problems, who are claiming Employment Support Allowance, find paid work. The scheme provided employment support based on the Individual Placement and Support (IPS) model, alongside the Improving Access to Psychological Therapies (IAPT) programme. The evaluation shows that across the different participant groups, and across the pilot sites, there was considerable positivity about the IPS and IAPT service, including in those sites that did not already have a similar service in place. The report outlines a series of recommendations, including: enhancing the partnership relationship between IPS and IAPT providers; enhancing parallel provision of IPS and IAPT services; enhancing partnership working with Jobcentre Plus; and considering broadening of eligibility criteria. (Edited publisher abstract)
Horses for courses
- Author:
- ANDREWS Crispin
- Journal article citation:
- Mental Health Today, January/February 2015, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Equine-assisted psychotherapy can help people with mental ill health to develop and understanding of their condition and the issues that may have triggered it. A horse handler and psychotherapist who run equine-assisted psychotherapy sessions talk about how the therapy works in practice. (Edited publisher abstract)
Outcomes of cognitive analytic therapy delivered by trainees
- Authors:
- DARONGKAMAS Jural, et al
- Journal article citation:
- Mental Health Today, July/August 2015, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Cognitive analytical therapy (CAT) can be used as an alternative form of psychotherapy for patients who do not respond to cognitive behavioural therapy, especially where personality difficulties and disorders contribute to symptoms. CAT is also in guidelines such as the NICE Guidelines for Eating Disorders. This evaluation aimed to assess the effectiveness of cognitive analytical therapy (CAT) delivered by 15 trainees in their usual work setting. All trainees were qualified mental health professionals with training and experience in conducting psychological therapy. Trainees attended an introductory two day workshop and then attended a course involving 20 training days over two years. Outcome measures were taken before the start and at the end of the therapy using CORE OM and IIP 32. Forty-seven patients completed pre- and post- CORE 34 questionnaires and 39 completed pre- and post-IIP 32 questionnaires. Patients showed significantly significant post-treatment improvement on the CORE OM and IIP 32 outcome measures. The evaluation found that cognitive analytic therapy delivered by trainees can provide significant benefits to people with mental health problems. (Edited publisher abstract)
Psychological wellbeing and work: improving outcomes for people with common mental health problems
- Authors:
- van STOLK Christian, et al
- Publisher:
- Rand Europe
- Publication year:
- 2015
- Pagination:
- 2
- Place of publication:
- Cambridge
This brief summarises key findings and recommendations from a report that explores proposals to improve employment and health outcomes for people with common mental health problems. The study, based on used targeted literature reviews, key informant interviews and stakeholder consultations, has developed policy options for the Government to consider, including: embed vocational support based on the individual placement and support model in the improving access to psychological therapies programme; use the jobs II model of group-work to build resilience to setbacks that benefit claimants face when job-seeking; provide access to online mental health and work assessments and support; and combine telephone-based psychological and employment-related support. (Edited publisher abstract)
Online emotional support delivered by trained volunteers: users’ satisfaction and their perception of the service compared to psychotherapy
- Author:
- BAUMEL Amit
- Journal article citation:
- Journal of Mental Health, 24(5), 2015, pp.313-320.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Technology could answer the substantial need in human resources available for supporting those who suffer from mental illness, by providing scalable methods to train and engage non-professionals to those who need their support. 7 Cups of Tea (7COT) platform was chosen for this study, because it provides a good case study for examining this kind of solution. Aim: The aim of this paper was to provide empirical findings regarding users’ satisfaction with online emotional support provided by trained volunteers and how it is perceived in comparison to psychotherapy. Methods: An online survey was conducted among a convenience sample of 7COT users. Results: The findings showed high user satisfaction with the support provided by 7COT listeners and, on average, users who indicated to receive psychotherapy in their past marked the listeners’ support to be as helpful as psychotherapy. Relating to psychotherapy and online emotional support advantages, different advantages were found. The findings suggest that receiving support from volunteers makes users feel that the support is more genuine. Conclusion: The paper provides preliminary evidence that people in emotional distress may find non-professionals support delivered through the use of technology to be helpful. Limitations and implications are discussed. (Publisher abstract)
Psychological therapies: next steps towards parity of care
- Author:
- JMC PARTNERS
- Publisher:
- JMC Partners
- Publication year:
- 2015
- Pagination:
- 31
- Place of publication:
- London
This report begins by looking at case for mental health improvement and the importance of giving mental health care the same priority as physical health, both in funding and in access to services. It then looks at the progress made by the Improving Access to Psychological Therapies (IAPT) programme in improving access to evidence-based psychological therapies across England and delivering improved outcomes for patients.The report found that more needs to be done to improve access to psychological therapies and make the most of available resources. It identifies variation in IAPT performance between different CCGs around the country and found that 66 per cent of GPs cite waiting times for psychological therapy as the biggest barrier to treatment. Challenges are also identified in relation to patient choice of therapy. Key areas for improvement of the programme are then highlighted, with a view to maximising the value of investment in psychological therapies. Recommendations include: clearer routes to treatment, with improved scope for self-referral to services; better management of waiting lists and widening of therapies available; better use of data collected to identify what works best and to drive the improvement of performance nationwide; and investigating new models of care, including the use of digitally supported therapies. The report draws on findings from GP focus group, interviews with service providers and commissioners, and a survey of 1,000 GPs across England, Scotland and Northern Ireland (Edited publisher abstract)
Child maltreatment and adult psychopathology in an Irish context
- Author:
- FITZHENRY Mark
- Journal article citation:
- Child Abuse and Neglect, 45, 2015, pp.101-107.
- Publisher:
- Elsevier
One-hundred-ninety-nine adult mental health service users were interviewed with a protocol that included the Childhood Trauma Questionnaire, the Structured Clinical Interviews for Axis I and II DSM-IV disorders, the Global Assessment of Functioning scale, the SCORE family assessment measure, the Camberwell Assessment of Need Short Appraisal Schedule, and the Readiness for Psychotherapy Index. Compared to a U.S. normative sample, Irish clinical cases had higher levels of maltreatment. Cases with comorbid axis I and II disorders reported more child maltreatment than those with axis I disorders only. There was no association between types of CM and types of psychopathology. Current family adjustment and service needs (but not global functioning and motivation for psychotherapy) were correlated with a CM history. It was concluded that child maltreatment may contribute to the development of adult psychopathology, and higher levels of trauma are associated with co-morbid personality disorder, greater service needs and poorer family adjustment. A history of child maltreatment should routinely be determined when assessing adult mental health service users, especially those with personality disorders and where appropriate evidence-based psychotherapy which addresses childhood trauma should be offered (Publisher abstract)
Setting measurable goals with young people: qualitative feedback from the Goal Attainment Scale in youth mental health
- Authors:
- CAIRNS Alice, et al
- Journal article citation:
- British Journal of Occupational Therapy, 78(4), 2015, pp.253-259.
- Publisher:
- Sage
Introduction: Measuring occupational performance is an essential part of clinical practice; however, there is little research on service user perceptions of measures. The aim of this investigation was to explore the acceptability and utility of one occupational performance outcome measure, Goal Attainment Scaling, with young people (12–25 years old) seeking psychological help. Method: Semi-structured interviews were conducted with ten young people seeking help from a youth mental health clinic. Interviews were audio taped and a field diary kept. Interviews were transcribed verbatim and analysed using content analysis. Results were verified by member checking. Results: All participants were able to engage in using Goal Attainment Scaling to set goals for therapy, and reported the process to be useful. The participants identified the physical location and ownership of the scale was important to help motivate them to work on their goals. Conclusion: Young help-seekers see Goal Attainment Scaling as an acceptable tool to facilitate the establishment of functional goals. Young service users were particularly keen to maintain control over the physical location of completed forms. (Publisher abstract)
Recovery and reliable change rates for patients scoring severe on depression, anxiety or impaired functioning in a psychological therapies service: IAPT
- Authors:
- GRIFFITHS Christopher Alan, GRIFFITHS Laura Jayne
- Journal article citation:
- Mental Health Review Journal, 20(1), 2015, pp.28-35.
- Publisher:
- Emerald
Purpose: The NHS Improving Access to Psychological Therapies (IAPT) programme provides access to psychotherapy in England through a stepped care approach for adults with depression and anxiety disorders. This evaluation sought to investigate IAPT recovery and reliable change rates of those who scored severe on depression (PHQ-9), anxiety (GAD-7) or impaired functioning (WASA). Design/methodology/approach: This evaluation employed a within groups design: a single case evaluation follow-up. Routine service data (from services set-up in 2008-2009 to February 2012) from 25,034 patients treated at four IAPT services was analysed. Findings: The analysis revealed that 29 per cent (n=7,059) of patients were assessed as being in the WASA severe range, 41 per cent (n=10,208) in the PHQ severe range, and 57 per cent (n=14,612) in the GAD-7 severe range; with 14 per cent (n=3,548) in the severe range on all three measures combined. There were significant falls on all three measures and a large effect size. The percentage of patients who recovered to a point below the recovery threshold was 30 per cent for depression, 34 per cent for anxiety, 18 per cent for impaired functioning, and for those presenting severe on all measures: recovery rates were 21 per cent for anxiety, 26 per cent for depression, and 15 per cent for impaired functioning. Reliable change for anxiety was found to be greater than IAPT patients overall. Originality/value: The results show that IAPT enables approximately a third of people scoring severe to recover, lower than IAPT recovery rates overall. Reliable change may be a more effective measure of patient progress. (Edited publisher abstract)
Parent-infant psychotherapy for improving parental and infant mental health (review)
- Authors:
- BARLOW Jane, et al
- Publisher:
- John Wiley & Sons, Ltd
- Publication year:
- 2015
- Pagination:
- 166
- Place of publication:
- Hoboken, NJ
This review examined whether parent-infant psychotherapy (PIP) is effective in improving the parent-infant relationship, or other aspects of parent or infant functioning, and sought to identify the programme components that appear to be associated with more effective outcomes and factors that modify intervention effectiveness (e.g. programme duration, programme focus). It identified eight studies with 846 randomised participants comparing either PIP with a no-treatment control group (four studies) or comparing PIP with other types of treatment (four studies). The review concludes that although PIP appears to be a promising method of improving infant attachment security, there is no evidence about its benefits in terms of other outcomes, and no evidence to show that it is more effective than other types of treatment for parents and infants. (Edited publisher abstract)