Cited by 492Psychotherapy Techniques and ApplicationsMental Health Treatment and AccessPsychiatric care and mental health services

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Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program

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Clark, David M.·2018·Annual Review of Clinical Psychology

DOI 10.1146/annurev-clinpsy-050817-084833PMC PMC5942544

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Abstract

Empirically supported psychological therapies have been developed for many mental health conditions. However, in most countries only a small proportion of the public benefit from these advances. The English Improving Access to Psychological Therapies (IAPT) program aims to bridge the gap between research and practice by training over 10,500 new psychological therapists in empirically supported treatments and deploying them in new services for the treatment of depression and anxiety disorders. Currently IAPT treats over 560,000 patients per year, obtains clinical outcome data on 98.5% of these individuals, and places this information in the public domain. Around 50% of patients treated in IAPT services recover, and two-thirds show worthwhile benefits. The clinical and economic arguments on which IAPT is based are presented, along with details of the service model, how the program was implemented, and recent findings about service organization. Limitations and future directions are outlined.

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Authors: Clark, D. M.
Affiliations: University of Oxford (GB)
Corresponding author: Clark, David M.
ORCID: Clark, David M.
Venue: Annual Review of Clinical Psychology
Publisher: Annual Reviews
Published: 2018-05-07
Volume: 14
Issue: 1
Pages: 159-183
ISSN: 1548-5943 (ISSN-L)
1548-5951
DOI: 10.1146/annurev-clinpsy-050817-084833
PMC: PMC5942544
OpenAlex: W2784464703
Cited by: 492
References: 42
Citations by year: 2026: 52 · 2025: 65 · 2024: 63 · 2023: 68 · 2022: 74 · 2021: 71 · 2020: 48 · 2019: 41 · 2018: 10
FWCI: 7.20
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: public-domain
Locations: Annual Review of Clinical Psychology (publishedVersion, public-domain)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Wellcome Trust (200796/Z/16/Z, 069777)
National Institute for Health and Care Research
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: Improving Access to Psychological Therapies, depression treatment, anxiety disorders, access to mental health care, therapist training, research-practice gap, service organizations, public mental health services
MeSH terms: Anxiety Disorders, Depressive Disorder, England, Health Services Accessibility, Humans, Mental Health Services, Psychotherapy, Program Development, Outcome Assessment, Health Care, Evidence-Based Practice

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Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program

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