This is the IAPT Minimum Data Set (MDS) and should be routinely collected by all sites to support IAPT Key Performance Indicators. The. MDS includes patient. Map of positive practice examples for IAPT. . Useful resources on IAPT background and context. .. measures (minimum data set [MDS] and. ADSMs). The IAPT Programme is a Department of Health initiative to improve access to the IAPT Routine Outcome Measuring Tool (Minimum Data Set) should.

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Finally, recovery rates for both anxiety and depression among older adults were shown to be higher than iapg younger adults, across most PCTs.

Conclusions and future research The major aim of IAPT was to reduce waiting times and improve access to psychological therapies in its target population of working-age adults.

International Journal of Geriatric Psychiatry. Although it is difficult to generalise the findings to other locations across the United Kingdom, fixing the site effects did not lapt the likelihood of the recovery for older adults. Differences in waiting times for both treatment and assessment were also found between various age groups.

The treatment step corresponds to NICE steps 2 and 3 for the treatment as described in the previous section. People aged over 65 were less likely to be referred to IAPT from their GPs, compared with kds of working age, and they were more likely to refer themselves.

Improving access to psychological therapies and older people: Findings from the Eastern Region

Archives of Internal Medicine. Strengths and limitations One of the major strengths of this study lies in its large sample size that included over 16, individuals and data from almostsessions over a two-year period. The case for psychological treatment centres. Partly based on the effectiveness of psychological therapies for the treatment of common mental disorders, a large-scale scheme for Improving Access to Psychological Therapies IAPT for people suffering with mild or moderate anxiety and depression was announced within the English National Health Service in October and piloted in Doncaster and Newham in Greater London.

Prevalence of anxiety and its correlates among older adults in Latin America, India and China: The sum score can range from 0 to Support Center Support Center. The improvement was considered reliable if the change in scores between the initial and the last assessment was above 5. Journal of Anxiety Disorders.


The IAPT services were shown to be beneficial to older patients, however, access to these services in later life has been lower than expected. Primary care psychology and older people. London School of Economics; London: Overall, mixed anxiety and depression The cumulative score on this scale can range from 0 to The cost-benefit assumption that was made at the inception of IAPT is probably more applicable to working-age adults rather than to older adults, a group of people unlikely to re-enter the work market.

The following is the supplementary data related to this article:. The economic argument however may also be valid for older adults.

We compared and contrasted clinical indicator scores PHQ-9 and GAD-7 and outcomes waiting times, source of referrals, recovery. British Journal of General Practice. In order to calculate the expected rate of access in people aged over 65, we estimated the differences in the age structure in the Eastern region based on census data.

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Symptom severity was assessed using two different scales. One of the potential sources of referrals in the IAPT programme is via self-referral.

Of these, 0. Further research may be able to explain why this might be the case. These changes could represent regression to the mean or natural resolution of symptoms.

For example, self-help using existing materials might be problematic in older adults with visual impairments, but these are only small barriers that can be overcome if we want to remove the misperception that psychological therapies do not benefit older people Bhutani,chap. Adult Psychiatric Morbidity Survey in England, Development of other potential points of access to psychological therapies for people in institutions, or other facilities, also need increased exploration.

The type of treatment offered for common mental disorders is similar for both younger mdz older adults, with pharmacological and psychological interventions being the most common.

One further PCT was removed from the analyses as it did not include any adults over the age of The large number of dropouts could have also affected the generalisability of our analysis.


Mean and median times were calculated with their respective standard deviations SDs and interquartile ranges IRQs. Iapg on socio-demographic data was also included in the IAPT minimum data set and included gender, age and ethnicity. Review of community prevalence of depression in later life.

Depression as a risk factor for the onset of type 2 diabetes mellitus. Common mental health disorders: A systematic quantitative review. Is psychotherapy for depression equally effective in younger and older adults? Routinely collected data are often subject to incompleteness, and are very unlikely to reach the low percentages of missing jds seen in some research studies.

Five of the 12 Primary Care Trusts PCTs had been commissioning the service for less than 12 months, so data were used only from the remaining seven PCTs with stable services by September Improving access to psychological therapy: When recovery was assessed across both scales i. It is possible the improvements in symptoms may not be genuine effects.

Translated Outcome Measures – UEA

The differences were not statistically significant in many cases, with the exception of a reliable recovery on the anxiety scale, but this is probably due to the small sample sizes in some of the sites.

In this regard, the results from this study are somewhat encouraging, showing that groups who would not traditionally be captured can be targeted by increasing the type and sources of referrals. National Center for Biotechnology InformationU. Older adults were also shown to be less likely to dropout of treatment, and this could be a feasible suggestion as to why recovery rates are better in this group.

Anxiety disorders in primary care: The prevalence of anxiety in older adults: Interventions for generalized anxiety disorder in older adults: