Variation in referral and access to new psychological therapy services by age: an empirical quantitative study

被引:31
|
作者
Pettit, Sophie [1 ]
Qureshi, Adam [2 ]
Lee, William [3 ,4 ,5 ,6 ]
Stirzaker, Alex [8 ]
Gibson, Alex [7 ]
Henley, William [9 ]
Byng, Richard
机构
[1] Univ West London, Coll Nursing Midwifery & Healthcare, London, England
[2] Edge Hill Univ, Dept Psychol, Psychol, Ormskirk, England
[3] Plymouth Univ, Peninsula Sch Med, Psychiat Epidemiol, Plymouth, Devon, England
[4] Plymouth Univ, Peninsula Sch Dent, Psychiat Epidemiol, Plymouth, Devon, England
[5] Plymouth Univ, Peninsula Sch Med, Primary Care Res Clin Trials & Populat Studies, Plymouth, Devon, England
[6] Plymouth Univ, Peninsula Sch Dent, Primary Care Res Clin Trials & Populat Studies, Plymouth, Devon, England
[7] Plymouth Univ, Sch Law Criminol & Govt, Plymouth, Devon, England
[8] Avon & Wiltshire Mental Hlth Partnership NHS Trus, Chippenham, England
[9] Univ Exeter, Med Stat, Exeter, Devon, England
来源
BRITISH JOURNAL OF GENERAL PRACTICE | 2017年 / 67卷 / 660期
关键词
age factors; IAPT; mental health; referral and consultation; therapy; psychological; PRIMARY-CARE; OLDER-PEOPLE; DEPRESSION; DISORDER; ANXIETY;
D O I
10.3399/bjgp17X691361
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Older people with common mental health problems (CMHPs) are known to have reduced rates of referral to psychological therapy. Aim To assess referral rates to the Improving Access to Psychological Therapies (IAPT) services, contact with a therapist, and clinical outcome by age. Design and setting Empirical research study using patient episodes of care from South West of England IAPT services. Method By analysing 82 513 episodes of care (2010-2011), referral rates and clinical improvement were compared with both total population and estimated prevalence in each age group using IAPT data. Probable recovery of those completing treatment was calculated for each group. Results Estimated prevalence of CMHPs peaks in 45-49-year-olds (20.59% of population). The proportions of patients identified with CMHPs being referred peaks at 20-24 years (22.95%) and reduces with increase in age thereafter to 6.00% for 70-74-year-olds. Once referred, the proportion of those attending first treatment increases with age between 20 years (57.34%) and 64 years (76.97%). In addition, the percentage of those having a clinical improvement gradually increases from the age of 18 years (12.94%) to 69 years (20.74%). Conclusion Younger adults are more readily referred to IAPT services. However, as a proportion of those referred, probabilities of attending once, attending more than once, and clinical improvement increase with age. It is uncertain whether optimum levels of referral have been reached for young adults. It is important to establish whether changes to service configuration, treatment options, and GP behaviour can increase referrals for middle-aged and older adults.
引用
收藏
页码:E453 / E459
页数:7
相关论文
共 50 条
  • [1] Patient referral from primary care to psychological therapy services: a cohort study
    Jonker, Leon
    Thwaites, Richard
    Fisher, Stacey J.
    [J]. FAMILY PRACTICE, 2020, 37 (03) : 395 - 400
  • [2] Patient characteristics associated with GP referral to the Access to Allied Psychological Services Program: A case-control study
    Maddock, Gillian R.
    Startup, Mike
    Carter, Gregory L.
    [J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2012, 46 (05): : 435 - 444
  • [3] Predicting treatment outcomes in improving access to psychological therapy (IAPT) services
    Verbist, Irini
    Huey, Dale
    Bennett, Hazel
    [J]. MENTAL HEALTH REVIEW JOURNAL, 2022, 27 (01) : 114 - 131
  • [4] Barriers to Access Formal Financial Services: An Empirical Study from Indonesia
    Jayanti, Ari Dwi
    Agusti, Kemala Sari
    Setiyawati, Yuli
    [J]. JOURNAL OF ASIAN FINANCE ECONOMICS AND BUSINESS, 2021, 8 (11): : 97 - 106
  • [5] Exhausted but not cynical: burnout in therapists working within Improving Access to Psychological Therapy Services
    Steel, Catherine
    Macdonald, James
    Schroeder, Thomas
    Mellor-Clark, John
    [J]. JOURNAL OF MENTAL HEALTH, 2015, 24 (01) : 33 - 37
  • [6] UK speech and language therapy services for Primary Progressive Aphasia (PPA): Referral patterns and barriers to access
    Volkmer, A.
    Warren, J.
    Spector, A.
    Beeke, S.
    [J]. JOURNAL OF NEUROCHEMISTRY, 2016, 138 : 342 - 342
  • [7] Referral for publicly funded aged care services in Indigenous populations: An exploratory cohort study of ethnic variation in Aotearoa New Zealand
    Hikaka, Joanna
    Wu, Zhenqiang
    Bloomfield, Katherine
    Connolly, Martin J.
    Michal, Boyd
    Bramley, Dale
    [J]. AUSTRALASIAN JOURNAL ON AGEING, 2022, 41 (03) : 473 - 478
  • [8] Comparison of access, outcomes and experiences of older adults and working age adults in psychological therapy
    Chaplin, Robert
    Farquharson, Lorna
    Clapp, Melissa
    Crawford, Mike
    [J]. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2015, 30 (02) : 178 - 184
  • [9] Social-Psychological Satiety: Empirical Study of a New Phenomenon
    Drobysheva, Tatiana
    Larionov, Ivan
    [J]. BEHAVIORAL SCIENCES, 2019, 9 (12)
  • [10] Experiences of Improving Access to Psychological Therapy Services for Perinatal Mental Health Difficulties: a Qualitative Study of Women's and Therapists' Views
    Millett, Lottie
    Taylor, Billie Lever
    Howard, Louise M.
    Bick, Debra
    Stanley, Nicky
    Johnson, Sonia
    [J]. BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY, 2018, 46 (04) : 421 - 436