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IAPT in London

Improving Access to Psychological Therapies (IAPT) in London - Implementing NICE Guidance Professor Stephen Pilling PhD Director, National Collaborating Centre for Mental Health Research Department of Clinical, Educational and Health Psychology University College London. IAPT in London.

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IAPT in London

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  1. Improving Access to Psychological Therapies (IAPT) in London -Implementing NICE Guidance Professor Stephen Pilling PhD Director, National Collaborating Centre for Mental Health Research Department of Clinical, Educational and Health Psychology University College London

  2. IAPT in London • IAPT is NICE’s largest and most successful implementation programme • Initial focus on depression and anxiety disorders (IAPT-DA) • In London • 100,000 people accessed IAPT since 2008 • Recovery rate of 42% (50% in RCTs) • 600 new clinicians recruited and trained by HEIs • Range of NICE recommended treatments (GSH, CBT, IPT, BA, CT, Counselling, DIT) • 31 services established based on stepped care model (LI and HI) • Outcomes available http://www.ic.nhs.uk/pubs/psychologicaltherapies1112 • New developments • IAPT-DA – focus on LTCs and MUS • IAPT-Chd – depression, anxiety and parent training for children (in CAMHS) • IAPT-SMI – for schizophrenia and bipolar disorder (in secondary care services) • IAPT-PD – for personality disorders (in specialist services)

  3. The key ingredients of IAPT • A strong commitment to the delivery of evidence based interventions to defined populations • Effective systems for the efficient delivery of care • The stepped care system • Case identification and assessment • Least intrusive most effective interventions first (LI and HI interventions) • A self-correcting mechanism • Strong links with primary care • Accessibility (self-referral and multiple routes of entry) • A competent and skilled workforce • High quality training in psychological interventions • High quality training in supervision • Delivery of high quality supervision • Routine outcome monitoring • Sessional outcome measurement • Robust electronic systems for data collection • Transparency about outcomes

  4. Maintaining quality • Maintain focus on effective service delivery • The stepped care system (balance of LI and HI) • Effective progression through the system • Ensuring the right balance of effective treatments are provided • Strengthen links with primary care • Develop new models of working (LTCs, MUS, Comorbidities – D&A Misuse) • Strengthen links with public mental health • A competent and skilled workforce • Continued training • Replenishing the workforce • Developing existing staff skills • Continued supervision • Use outcome monitoring to improve • Service targeting and quality • Individual staff performance • Meeting national benchmarks (resource dependent)

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