Jake Grange and Sarah Watts summarise a study using observational retrospective cohort data to investigate factors associated with access and engagement with NHS Talking Therapies services before, during, and after lockdown.
[read the full story...]Stratified care versus stepped care for depression: which is more effective?
Sarah Watts reviews a cluster randomised clinical trial investigating the effectiveness of stratified care compared to stepped care for depression, which has implications for IAPT services.
[read the full story...]‘Did not attend’: what are the barriers to attending initial psychotherapy appointments?
Laurence Palfreyman explores a mixed methods systematic review, which brings together research from across the world looking at why people fail to attend their first psychotherapy appointment.
[read the full story...]Could a decision support tool help to guide mental health treatment in primary care?
Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.
[read the full story...]NHS-recommended e-therapies for depression, anxiety and stress: promising but limited
Natalie Berry summarises a meta-analysis which finds a limited body of research exists to support the use of NHS e-therapies for depression, anxiety and stress.
[read the full story...]NHS England’s new framework for community mental health services
Andy Bell reviews NHS England’s recently published Community Mental Health Framework for Adults and Older Adults, which sets out the changes it expects to see in community mental health services over the next five years.
[read the full story...]Guided self help and cCBT for OCD: OCTET finds low adherence and uncertain fidelity
Alan Underwood reports on the new OCTET trial published last week, which fails to find any support for the use of low-intensity guided self-help or computerised CBT for people with obsessive compulsive disorder (OCD).
[read the full story...]Cost effectiveness analysis finds stepped care to be cheaper and more effective than CBT for bulimia nervosa
Bulimia nervosa (BN) is an eating disorder; the diagnosis of which requires: persistent preoccupation with eating and an irresistible craving for food, episodes of overeating in which large amounts of food are consumed over a short period of time and potentially attempts to counteract the “fattening” effects of food by self-induced vomiting or laxative abuse. [read the full story…]
Stepped care is no better than usual care in treating depression and anxiety in primary care
There are increasing levels of interest in stepped care models to treat mental health problems in primary care. This randomised controlled trial investigated the effectiveness of a stepped care programme for treating depression and anxiety in 120 adults (aged 18-65 years with minor or major DSM-IV depressive and/or anxiety disorders) in general practice. Patients were [read the full story…]