Implementation of psychological therapies for anxiety and depression in routine practice

Journal of Affective DisordersThis research assessed the impact of implementing stepped care empirically supported psychological therapies by measuring the prospective outcomes of patients referred over a two year period to one Improving Access to Psychological Therapies service in the UK.

This is the very first report to include outcomes and final dispositions of 100% of all patients treated. In other reports of this kind outcomes of between 15-33% are the norm. Previous evaluations of IAPT present final outcomes on around 62% of patients accepted into treatment since the remainder are still being treated due to the cross-sectional nature of these evaluations. As such, this paper is the first to tell us where all patients go and how all patients do clinically.

The article concludes that recovery rates for patients receiving stepped care empirically supported treatments for anxiety and depression in routine practice are 40 to 46%. Only half of all patients referred go on to receive treatment. Further work is needed to improve routine engagement of patients with anxiety and depression.

Full Reference

Richards, D.A. and Borglin, G. (2011), ‘Implementation of Psychological Therapies for Anxiety and Depression in Routine Practice: Two Year Prospective Cohort Study’, Journal of Affective Disorders, Volume 133, Issue 1, Pages 51-60, September 2011.