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Preliminary Findings of a New Primary and Community Care Psychological Service in Northern Ireland: Low-Intensity Cognitive Behavioural Therapy for Common Mental Health Difficulties

Published online by Cambridge University Press:  13 June 2018

Orla McDevitt-Petrovic ,
Karen Kirby ,
Orla McBride ,
Mark Shevlin ,
Donal McAteer ,
Colin Gorman  and
Jamie Murphy
Orla McDevitt-Petrovic
Affiliation:
Ulster University
Karen Kirby*
Affiliation:
Ulster University
Orla McBride
Affiliation:
Ulster University
Mark Shevlin
Affiliation:
Ulster University
Donal McAteer
Affiliation:
Ulster University
Colin Gorman
Affiliation:
Ulster University
Jamie Murphy
Affiliation:
Ulster University
*
*Correspondence to Karen Kirby, School of Psychology and Psychology Research Institute, Ulster University, Derry BT48 7JL. E-mail: [email protected]
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Abstract

Background: The prevalence of mental health difficulties in Northern Ireland (NI) is significantly higher than in England. In recent years, there have been extensive consultations, and subsequent recommendations made in NI in an effort to address this. Aims: The current study aims to evaluate the effectiveness of an ‘Improving Access to Psychological Therapies’ (IAPT) stepped care service model using low-intensity cognitive behavioural therapy (LI-CBT) in primary and community care settings. Method: A pilot intervention trial design utilized two standardized outcome measures (PHQ-9 and GAD-7) before treatment (at baseline), during treatment (in every session) and at discharge (at final session). Results: Preliminary reliable change outcomes for the pilot cohorts showed a recovery rate of 47.9%, improvement rate of 76.7% and deterioration rate of 6%. Conclusions: These findings suggest that the IAPT service model is clinically effective in the NI population. Data collection for the larger study was completed in December 2017. Future analyses will include follow-up data collected at 4 months post-treatment, and will also aim to identify individual and service level factors that potentially impact treatment effectiveness.

Keywords

effectivenessImproving Access to Psychological Therapies (IAPT)low intensitypsychological wellbeing practitionersstepped care
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 6 , November 2018 , pp. 761 - 767
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

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