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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Clinical outcomes and differences in clinical recoveries are also explored. Recovery varied between different PCTs. These changes could represent regression to the mean or natural resolution of symptoms.

Journal of Anxiety Disorders. This needs to be addressed. The British Journal of Psychiatry: This included information on socio-demographics, attendance, source and date of referral, date of appointment, primary diagnosis iaptt treatment outcomes.

Recovery here is defined as being below the clinical cut-off for each scale, and showing reliable improvement during treatment. It probably reflects how these services were set up but, given the outcome data presented above, this limited access needs attention in order to address age discrimination in service access. This survey only included households, and excluded hospitalised and institutionalised subjects, suggesting that the true-estimate of CMDs in overs may be higher.

IAPT MDS – IAPT MDS Minimum Data Set and Key Performance Indicator KPI links

Anxiety disorders in primary care: Finally, to investigate the role of confounding variables, we modelled potential factors associated with recovery using logistic regression. Referrals were declined for individuals Further research investigating different forms of psychotherapies between different age groups are therefore warranted, and also the investigation of factors that limit CBT effectiveness in diverse groups.

Given the close proximity and the high number of sessions, a problem with test-retest bias, where scales are administered on multiple occasions in a short time period, could also arise. Future research will need to address what type of treatments work better for different groups of older adults in varying settings, as not everything offered by IAPT services may work well in older age.


In order to investigate factors associated with recovery, multivariate logistic regression models were run. Access to the IAPT services for older adults is lower than expected, given household survey estimates of the prevalence of depression. The type of treatment offered for common mental disorders is similar for both younger and older adults, with pharmacological and psychological interventions being the most common.

Differences in waiting times for both treatment and assessment were also found between various age groups. Anxiety and depression are two highly prevalent mental conditions in adults. Can a self-referral system help improve access to psychological treatments?

When recovery was assessed across both scales i. A systematic quantitative review.

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

Better awareness among GPs of psychological problems in later life, including dementia should be raised and be on future agendas. British Journal of General Practice.

Emotional experience improves with age: Symptom severity was assessed using two different scales. Measuring depression outcome with a brief self-report instrument: Health-related quality of life across the anxiety disorders: In this initial evaluation, these services were shown to be beneficial to older patients. Interpretation of findings A very small percentage of older subjects accessed the IAPT services in mdd Eastern region.

Referrals made by general practitioners were lower for older people. The major aim of Iaptt was to reduce waiting times and mdds access to psychological therapies in its target population of working-age adults.

Another problem with short symptom rating scales is that they are not often able to incorporate the clinical spectrum of symptoms seen in older adults Baldwin, Prevalence of anxiety and its correlates among older adults in Latin America, India and China: Jonesb, c Carol Braynea, b and Tom Dening b, d.


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

Cognitive-behavioural therapy for late-life anxiety disorders: Journal of Iapf Disorders. Five of the 12 Primary Care Trusts Mdx 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 One of the PCTs included in our evaluation did not allow for self-referrals, and it is likely that similar exclusions are present across the country.

Of all the people who had their referrals accepted Fig. This is probably due to the fact that GPs are generally less attuned to identifying mental health problems and needs in older patients. Support Center Support Center. One of the potential sources of referrals in the IAPT programme is via self-referral. Mean and median times were calculated with their respective standard deviations SDs and interquartile ranges IRQs.

Mmds PCTs were represented covering a major part of this region.

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Indirect cost savings related to hospitals and carers could be used to argue for better recognition and treatment of common mental disorders in older age. Is group mxs effective in older adults with depression? Is psychotherapy for depression equally effective in younger and older adults?

Handbook of the clinical psychology of mdw. Odds ratios of recovery adjusted for gender, age, primary care trust, max number of sessions and ethnicity. Low intensity interventions are delivered during Step 2 by a mix of workers with a wide range of backgrounds who have trained as Psychological Wellbeing Practitioners PWPs. The sources of referrals were grouped in the following categories: