The DOI matches its Crossref record; 16 of the 17 references it cites were found in a registry or an index.
MULTIPLE ACCESS POINTS AND LEVELS OF ENTRY (MAPLE): ENSURING CHOICE, ACCESSIBILITY AND EQUITY FOR CBT SERVICES
Abstract
Mental health problems contribute 23% to the global burden of disease in developed countries (WHO, 1999). In the U.K., recent legislation attempts to address this by modernizing mental health services so that they provide evidence based, accessible and non-discriminatory services for both serious and common mental health problems. Cognitive behaviour therapy (CBT) has a robust evidence base that fits very well with the thrust of policy. However, CBT's delivery systems are rooted in traditional service models, which pay little attention to the growing evidence base for brief and single-strand treatments over complex or multi-strand interventions. Services characterized by 9-5 working, hourly appointments and face-to-face therapy disenfranchise the majority of people who would benefit from CBT. In this paper we argue that the evidence exists for service protocols that promote equity, accessibility and choice and that CBT services should be organized around multiple levels of entry and service delivery rather than the more usual secondary care referral systems.
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In the citing paper
“Therefore, treatment costs tend to be higher compared to primary care (Spijker et al., 2013) in combination with long waiting lists due to treatment duration and limited financial resources (Bower and Gilbody, 2005, Lovell and Richards, 2000).”
From Development and initial evaluation of blended cognitive behavioural treatment for major depression in routine specialized mental health care (2016) · cites this paper as Lovell and Richards, 2000
In the citing paper
“However, many patients do not access these treatments for a number of reasons, such as concerns over side effects (Weisberg, Dyck, Culpepper, & Keller, 2007), patient or therapist unwillingness to engage in exposure therapy, lack of trained therapists (Gunter & Whittal, 2010), and scheduling difficulties (Lovell & Richards, 2000).”
From Socially anxious primary care patients' attitudes toward cognitive bias modification (CBM): A qualitative study (2012) · cites this paper as Lovell & Richards, 2000
In the citing paper
“Organising services with multiple levels of entry and service delivery, rather than the more traditional single referral gateway at the level of primary care into secondary care services, may help to increase access to psychological therapies.3”
From Can a self-referral system help improve access to psychological treatments? (2010) · cites this paper as [3]
In the citing paper
“However, because of their low capacity, access to psychological treatment services for individuals with these difficulties has often been variable and limited, with long waiting lists for these services.3”
From Can a self-referral system help improve access to psychological treatments? (2010) · cites this paper as [3]
In the citing paper
“necessitating alternatives to one-to-one treatment delivery (Lovell & Richards, 2000) beyond the existing adjunctive use of self-help materials (Keeley et al , 2002).”
From Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: Randomised controlled trial (2004) · cites this paper as Lovell & Richards, 2000
Citations
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Cited by
Sorted by citations
Bower, P., & Gilbody, S. (2005) · British Journal of Psychiatry · doi:10.1192/bjp.186.1.11 · Cited by 1,084
“There is a general perception that minimal interventions are best restricted to less severe disorders, although the evidence for this is not definitive (Lovell & Richards, 2000).”
BackgroundInfluentialUsing the Internet to provide cognitive behaviour therapy
Andersson, G. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.01.010 · Cited by 560
“Given the lack of trained CBT practitioners and low uptake of evidence-based treatments (Lovell & Richards, 2000), it would be inappropriate not to use Internet treatment at least as a complement to our other treatments.”
BackgroundProudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., Tylee, A., Marks, I., & Gray, J. A. (2004) · British Journal of Psychiatry · doi:10.1192/bjp.185.1.46 · Cited by 516
“…treatments (Tylee, 2001); however, therapist shortages engender unacceptable waiting times (Clinical Standards Advisory Group, 1999), necessitating alternatives to one-to-one treatment delivery (Lovell & Richards, 2000) beyond the existing adjunctive use of self-help materials (Keeley et al, 2002).”
BackgroundBehavioral activation treatments for depression in adults: A meta-analysis and review.
Mazzucchelli, T., Kane, R., & Rees, C. (2009) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2009.01178.x · Cited by 438
Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review
Cuijpers, P., Marks, I. M., van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070802694776 · Cited by 429
“When they do, they are commonly put on long wait lists (Lovell & Richards, 2000), and the treatment that they eventually receive is often not evidence-based (Andrews, Issakidis, Sanderson, Corry, & Lapsley, 2004).”
Background
Metadata
- Authors
- Lovell, K., & Richards, D.
- Affiliations
- University of Manchester (GB)
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2000-10
- Volume
- 28
- Issue
- 4
- Pages
- 379-391
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2155900414
- Cited by
- 216
- References
- 17
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 9 · 2018: 3 · 2017: 8 · 2016: 7 · 2015: 9 · 2014: 8 · 2013: 12 · 2012: 12
- FWCI
- 9.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- cognitive behavioral therapy, mental health services, service organizations, accessibility, equity, choice, brief intervention, secondary care referral, service delivery models, mental health policy
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