Improving access to psychological therapies: Phase IV prospective cohort study
Abstract
Objectives. To determine the effects of implementing stepped care evidence‐based psychological treatments for anxiety and depression in routine practice using a collaborative care implementation model. Design. Observational prospective cohort study/Phase IV field trial. Methods. We collected data on depression and anxiety from a prospective cohort of 3,994 consecutive patients referred to the UK Improving Access to Psychological Therapies demonstration site in Doncaster for 12 months from August 2006 using PHQ‐9 and GAD‐7. We collected demographic and process information including the type and methods of treatments received. We calculated effect sizes, remission, and recovery rates for patients competing treatment and those who dropped out or were considered to be unsuitable. Results. Two thousand seven hundred and ninety‐five patients received an assessment, out of which 2,017 received two or more appointments. Out of these, 869 had completed treatment by the census date, 743 remained in treatment, 319 had dropped out, and 85 had been found to be unsuitable. Pre–post treatment effect sizes for anxiety and depression in those patients completing treatment were 1.39 and 1.41, respectively, with post‐treatment relative risks of depression and anxiety 0.29 and 0.34. The combined remission and recovery rates were 76% for depression and 74% for anxiety. The mean number of treatment sessions was 5.15 in a mean time of 2 h and 45 min. On an average, patients received at least three of these contacts by telephone. Outcomes are comparable with benchmarked trials, reviews, and routine datasets. Conclusions. Combining low‐intensity stepped care psychological treatment with a telephony‐based collaborative care organizational system can deliver good clinical outcomes in routine practice.
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The GAD-7 is increasingly used in large-scale studies as a generic measure of changes in anxiety symptomatology, using a cut-off score of 8.
“The GAD-7 is increasingly used in large-scale studies as a generic measure of changes in anxiety symptomatology, using a cut-off score of 8 [31,58].”
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988 · see citing works
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770 · see citing works
Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-5-200703060-00004 · Cited by 4,741 · see citing works
Happiness: Lessons from a New Science
Cooper, R. N., & Layard, R. (2005) · Foreign Affairs · doi:10.2307/20031793 · Cited by 4,081 · see citing works
Framework for design and evaluation of complex interventions to improve health
Campbell, M. (2000) · BMJ · doi:10.1136/bmj.321.7262.694 · Cited by 3,474 · see citing works
The world health report 2001 - Mental health: new understanding, new hope
Sayers, J. (2001) · Europe PMC (PubMed Central) · doi:10.1590/s0042-96862001001100014 · Cited by 3,307 · see citing works
Defining empirically supported therapies.
Chambless, D. L., & Hollon, S. D. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.1.7 · Cited by 3,067 · see citing works
Defining empirically supported therapies.
Chambless, D. L., & Hollon, S. D. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.1.7 · Cited by 3,067 · see citing works
Developing and Evaluating Complex Interventions: New Guidance
Craig, P., Dieppe, P. A., MacIntyre, S., Michie, S., Nazareth, I., & Petticrew, M. P. (2006) · UCL Discovery (University College London) · Cited by 1,877 · see citing works
Collaborative Care for Depression: A Cumulative Meta-analysis and Review of Longer-term Outcomes
Gilbody, S. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.21.2314 · Cited by 1,340 · see citing works
Bower, P., & Gilbody, S. (2005) · British Journal of Psychiatry · doi:10.1192/bjp.186.1.11 · Cited by 1,084 · see citing works
Wells, K. B., Sherbourne, C., Schoenbaum, M., Duan, N., Meredith, L., Unützer, J., Miranda, J., Carney, M. F., & Rubenstein, L. V. (2000) · JAMA · doi:10.1001/jama.283.2.212 · Cited by 1,021 · see citing works
Andrews, G., Henderson, S., & Hall, W. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.178.2.145 · Cited by 933 · see citing works
Psychiatric morbidity among adults living in private households, 2000
Singleton, N., Bumpstead, R., O'Brien, M. S., Lee, A., & Meltzer, H. (2003) · International Review of Psychiatry · doi:10.1080/0954026021000045967 · Cited by 896 · see citing works
Service utilization and social morbidity associated with depressive symptoms in the community
Johnson, J. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03480110054033 · Cited by 726 · see citing works
Katon, W., Korff, M. V., Lin, E., Simon, G., Walker, E., Unützer, J., Bush, T., Russo, J., & Ludman, E. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.12.1109 · Cited by 697 · see citing works
Treatments of Depression and the Functional Capacity to Work
Mintz, J. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820100005001 · Cited by 561 · see citing works
Internet-based self-help for depression: randomised controlled trial
Andersson, G., Bergström, J., Holländare, F., Carlbring, P., Kaldo, V., & Ekselius, L. (2005) · British Journal of Psychiatry · doi:10.1192/bjp.187.5.456 · Cited by 529 · see citing works
Simon, G. E. (2000) · BMJ · doi:10.1136/bmj.320.7234.550 · Cited by 521 · see citing works
Bower, P., Gilbody, S., Richards, D., Fletcher, J., & Sutton, A. (2006) · British Journal of Psychiatry · doi:10.1192/bjp.bp.106.023655 · Cited by 429 · see citing works
Self-citationGELLATLY, J., BOWER, P., HENNESSY, S., RICHARDS, D., GILBODY, S., & LOVELL, K. (2007) · Psychological Medicine · doi:10.1017/s0033291707000062 · Cited by 419 · see citing works
Self-citationStepped care as a heuristic approach to the treatment of alcohol problems.
Sobell, M. B., & Sobell, L. C. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.4.573 · Cited by 345 · see citing works
The Depression Report: A New Deal for Depression and Anxiety DisordersPreprint
Layard, R. (2006) · RePEc: Research Papers in Economics · Cited by 308 · see citing works
Stiles, W. B., Barkham, M., Mellor-Clark, J., & Connell, J. (2008) · Psychological Medicine · doi:10.1017/s0033291707001511 · Cited by 290 · see citing works
The case for psychological treatment centres
Layard, R. (2006) · BMJ · doi:10.1136/bmj.332.7548.1030 · Cited by 287 · see citing works
The Effect of Peer Support on Postpartum Depression: A Pilot Randomized Controlled Trial
Dennis, C.-L. (2003) · The Canadian Journal of Psychiatry · doi:10.1177/070674370304800209 · Cited by 249 · see citing works
Gilbody, S. M., Richards, D. A., & Barkham, M. (2007) · Europe PMC (PubMed Central) · Cited by 206 · see citing works
Self-citationStepped care: Doing more with less?
Davison, G. C. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.4.580 · Cited by 204 · see citing works
A meta-analytic study of self-help interventions for anxiety problems.
Hirai, M., & Clum, G. (2006) · The Behavior Therapist · doi:10.1016/j.beth.2005.05.002 · Cited by 181 · see citing works
Stiles, W. B., Barkham, M., Twigg, E., Mellor‐Clark, J., & Cooper, M. (2006) · Psychological Medicine · doi:10.1017/s0033291706007136 · Cited by 179 · see citing works
Collaborative care for depression in UK primary care: a randomized controlled trial
Richards, D. A., Lovell, K., Gilbody, S., Gask, L., Torgerson, D., Barkham, M., Bland, M., Bower, P., Lankshear, A. J., Simpson, A., et al. (2008) · Psychological Medicine · doi:10.1017/s0033291707001365 · Cited by 165 · see citing works
Self-citationLawn, S., Smith, A., & Hunter, K. (2008) · Journal of Mental Health · doi:10.1080/09638230701530242 · Cited by 155 · see citing works
Chew-Graham, C. A., Lovell, K., Roberts, C., Baldwin, R., Morley, M., Burns, A. S., Richards, D. A., & Burroughs, H. (2007) · PubMed Central · Cited by 98 · see citing works
Self-citationHickie, I. B., & Groom, G. (2002) · Australasian Psychiatry · doi:10.1046/j.1440-1665.2002.00498.x · Cited by 88 · see citing works
Collaborative care for depression
Simon, G. E. (2006) · BMJ · doi:10.1136/bmj.332.7536.249 · Cited by 82 · see citing works
Duration of untreated symptoms in common mental disorders: association with outcomes
Kisely, S. R., Scott, A., Denney, J., & Simon, G. E. (2006) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.105.019869 · Cited by 77 · see citing works
Hickie, I. B., Davenport, T. A., Pirkis, J., Blashki, G. A., & Groom, G. (2004) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2004.tb06349.x · Cited by 71 · see citing works
Kendrick, T., Simons, L., Mynors‐Wallis, L., Gray, A., Lathlean, J., Pickering, R. M., Harris, S. P., Rivero‐Arias, O., Gerard, K., & Thompson, C. (2006) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.105.012435 · Cited by 68 · see citing works
Psychological treatment outcomes in routine NHS services: a commentary on
Clark, D., Fairburn, C., & Wessely, S. (2007) · Psychological Medicine · doi:10.1017/s0033291707001869 · Cited by 66 · see citing works
Major depression, depression treatment and quality of primary medical care
Druss, B. G., Rask, K. J., & Katon, W. J. (2008) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.08.015 · Cited by 61 · see citing works
Prince, M. J., Lewis, G., Bird, A. S., Blizard, R., & MANN, A. H. (1996) · Psychological Medicine · doi:10.1017/s0033291700035637 · Cited by 61 · see citing works
IJff, M. A., Huijbregts, K. M. L., van Marwijk, H., Beekman, A. T. F., Roijen, L. H., Rutten, F., Unützer, J., & Feltz-Cornelis, C. M. V. D. (2007) · BMC Health Services Research · doi:10.1186/1472-6963-7-34 · Cited by 46 · see citing works
Gensichen, J. S., Torge, M., Peitz, M., Wendt-Hermainski, H., Beyer, M., Rosemann, T. J., Krauth, C., Raspe, H. H., Aldenhoff, J. B., & Gerlach, F. M. (2005) · BMC Public Health · doi:10.1186/1471-2458-5-101 · Cited by 46 · see citing works
Improving access to psychological therapy: The Doncaster demonstration site organisational model
Richards, D. A., & Suckling, R. J. (2008) · Clinical Psychology Forum · doi:10.53841/bpscpf.2008.1.181.9 · Cited by 45 · see citing works
Self-citationTrajectories of improvement for six depression-related outcomes
Aikens, J. E., Kroenke, K., Nease, D. E., Klinkman, M. S., & Sen, A. (2008) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.10.003 · Cited by 31 · see citing works
Impact of Australia's Better Outcomes in Mental Health Care program on psychologists
Pirkis, J., Stokes, D., Morley, B., Kohn, F., Mathews, R., Naccarella, L., Blashki, G. A., Shandley, K. A., Littlefield, L., & Burgess, P. M. (2006) · Australian Psychologist · doi:10.1080/00050060600752656 · Cited by 28 · see citing works
Aragonès, E., Caballero, A., Piñol, J. L., López-Cortacans, G., Badía, W., Hernández, J. M., Casaus, P., Folch, S., Basora, J., & Labad, A. (2007) · BMC Public Health · doi:10.1186/1471-2458-7-253 · Cited by 26 · see citing works
Better access to mental health care
(2012) · PsycEXTRA Dataset · doi:10.1037/e676292010-001 · Cited by 8 · see citing works
Pilling, S., Leibowitz, J., Cape, J., Simmons, J. M., Jacobsen, P. C., & Nazareth, I. (2006) · UCL Discovery (University College London) · Cited by 3 · see citing works
Kellett, S., & Matthews, L. (2008) · Clinical Psychology Forum · doi:10.53841/bpscpf.2008.1.181.28 · Cited by 2 · see citing works
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Sorted by citations
Clark, D. M. (2011) · International Review of Psychiatry · doi:10.3109/09540261.2011.606803 · Cited by 699 · see citing works
Improving access to psychological therapy: initial evaluation of two UK demonstration sites
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.010 · Cited by 599 · see citing works
Self-citationRealizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program
Clark, D. M. (2018) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050817-084833 · Cited by 492 · see citing works
The Use and Effectiveness of Mobile Apps for Depression: Results From a Fully Remote Clinical Trial
Arean, P. A., Hallgren, K. A., Jordan, J. T., Gazzaley, A., Atkins, D. C., Heagerty, P. J., & Anguera, J. A. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6482 · Cited by 376 · see citing works
Titov, N., Andrews, G., Davies, M., McIntyre, K., Robinson, E., & Solley, K. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010939 · Cited by 406 · see citing works
Titov, N., Dear, B. F., Johnston, L., Lorian, C., Zou, J., Wootton, B., Spence, J., McEvoy, P. M., & Rapee, R. M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0062873 · Cited by 364 · see citing works
Beard, C., & Björgvinsson, T. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.06.002 · Cited by 360 · see citing works
Chibanda, D., Mesu, P., Kajawu, L., Cowan, F., Araya, R., & Abas, M. A. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-828 · Cited by 319 · see citing works
Transdiagnostic internet treatment for anxiety and depression: a randomised controlled trial
Titov, N., Dear, B. F., Schwencke, G., Andrews, G., Johnston, L., Craske, M. G., & McEvoy, P. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.03.007 · Cited by 285 · see citing works
Robinson, E., Titov, N., Andrews, G., McIntyre, K., Schwencke, G., & Solley, K. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010942 · Cited by 277 · see citing works
“Secondly, an estimate of recovery was made by identifying the proportion of participants in each group who demonstrated a significant reduction in their symptoms (defined here, as a reduction of 50% of pre-treatment GAD-7 scores), as described in recent dissemination studies [45].”
MethodDear, B. F., Staples, L. G., Terides, M. D., Karin, E., Zou, J., Johnston, L., Gandy, M., Fogliati, V. J., Wootton, B. M., McEvoy, P. M., et al. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.09.003 · Cited by 230 · see citing works
Cognitive–behavioral guided self-help for eating disorders: Effectiveness and scalability
Wilson, G. T., & Zandberg, L. J. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.03.001 · Cited by 223 · see citing works
Richards, D. A., & Borglin, G. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.03.024 · Cited by 217 · see citing works
Self-citationTransdiagnostic Internet treatment for anxiety disorders: A randomized controlled trial
Titov, N., Andrews, G., Johnston, L., Robinson, E., & Spence, J. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.05.014 · Cited by 196 · see citing works
Delivering stepped care: an analysis of implementation in routine practice
Richards, D. A., Bower, P., Pagel, C., Weaver, A., Utley, M., Cape, J., Pilling, S., Lovell, K., Gilbody, S., Leibowitz, J., et al. (2012) · Implementation Science · doi:10.1186/1748-5908-7-3 · Cited by 183 · see citing works
Self-citationEffects of befriending on depressive symptoms and distress: systematic review and meta-analysis
Mead, N., Lester, H., Chew-Graham, C., Gask, L., & Bower, P. (2010) · British Journal of Psychiatry · doi:10.1192/bjp.bp.109.064089 · Cited by 189 · see citing works
Choi, I., Zou, J., Titov, N., Dear, B. F., Li, S., Johnston, L., Andrews, G., & Hunt, C. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.11.003 · Cited by 180 · see citing works
Dear, B. F., Titov, N., Perry, K. N., Johnston, L., Wootton, B. M., Terides, M. D., Rapee, R. M., & Hudson, J. L. (2013) · Pain · doi:10.1016/j.pain.2013.03.005 · Cited by 182 · see citing works
Saxon, D. H., & Barkham, M. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028898 · Cited by 163 · see citing works
Low intensity CBT interventions: a revolution in mental health care
Bennett–Levy, J., Richards, D. A., & Farrand, P. A. (2010) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199590117.003.0001 · Cited by 148 · see citing works
Self-citationJohnston, L., Titov, N., Andrews, G., Spence, J., & Dear, B. F. (2011) · PLoS ONE · doi:10.1371/journal.pone.0028079 · Cited by 150 · see citing works
Spence, J., Titov, N., Dear, B. F., Johnston, L., Solley, K., Lorian, C. N., Wootton, B. M., Zou, J. B., & Schwencke, G. (2011) · Depression and Anxiety · doi:10.1002/da.20835 · Cited by 142 · see citing works
Moore, R. C., Chattillion, E. A., Ceglowski, J., Ho, J., von Känel, R., Mills, P. J., Ziegler, M. G., Patterson, T. L., Grant, I., & Mausbach, B. T. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.07.005 · Cited by 128 · see citing works
“Suddenly, we got to become therapists for each other”
O'Leary, K., Schueller, S. M., Wobbrock, J. O., & Pratt, W. (2018) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3173574.3173905 · Cited by 128 · see citing works
Early changes, attrition, and dose–response in low intensity psychological interventions
Delgadillo, J., McMillan, D., Lucock, M. P., Leach, C., Ali, S., & Gilbody, S. M. (2013) · British Journal of Clinical Psychology · doi:10.1111/bjc.12031 · Cited by 124 · see citing works
Dear, B. F., Staples, L. G., Terides, M. D., Fogliati, V. J., Sheehan, J., Johnston, L., Kayrouz, R., Dear, R., McEvoy, P. M., & Titov, N. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.05.004 · Cited by 114 · see citing works
Richards, D., Timulak, L., O'Brien, E., Hayes, C., Vigano, N., Sharry, J., & Doherty, G. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.10.005 · Cited by 109 · see citing works
Self-citationAn open trial of a brief transdiagnostic internet treatment for anxiety and depression
Dear, B. F., Titov, N., Schwencke, G., Andrews, G., Johnston, L., Craske, M. G., & McEvoy, P. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.09.007 · Cited by 107 · see citing works
Trajectories of depression and anxiety symptom change during psychological therapy
Saunders, R., Buckman, J. E. J., Cape, J., Fearon, P., Leibowitz, J., & Pilling, S. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.02.043 · Cited by 99 · see citing works
Stepped care for depression in primary care: what should be offered and how?
van Straten, A., Seekles, W., Veer-Tazelaar, N. V. ’., Beekman, A. T. F., & Cuijpers, P. J. (2010) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2010.tb03691.x · Cited by 94 · see citing works
Firth, N., Barkham, M., & Kellett, S. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.08.030 · Cited by 94 · see citing works
Stepped psychological care after stroke
Kneebone, I. (2015) · Disability and Rehabilitation · doi:10.3109/09638288.2015.1107764 · Cited by 97 · see citing works
Systematic review of practice‐based research on psychological therapies in routine clinic settings
Cahill, J., Barkham, M., & Stiles, W. B. (2010) · British Journal of Clinical Psychology · doi:10.1348/014466509x470789 · Cited by 92 · see citing works
Stepped Care: A Method to Deliver Increased Access to Psychological Therapies
Richards, D. A. (2012) · The Canadian Journal of Psychiatry · doi:10.1177/070674371205700403 · Cited by 89 · see citing works
Self-citationCost-effectiveness of an Improving Access to Psychological Therapies service
Mukuria, C., Brazier, J. E., Barkham, M., Connell, J., Hardy, G. E., Hutten, R., Saxon, D., Dent‐Brown, K., & Parry, G. D. (2013) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.111.107888 · Cited by 86 · see citing works
Titov, N., Dear, B. F., Johnston, L., McEvoy, P. M., Wootton, B., Terides, M. D., Gandy, M., Fogliati, V., Kayrouz, R., & Rapee, R. M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089591 · Cited by 81 · see citing works
Hammond, G. C., Croudace, T. J., Radhakrishnan, M., Lafortune, L., Watson, A., McMillan-Shields, F., & Jones, P. B. (2012) · PLoS ONE · doi:10.1371/journal.pone.0042916 · Cited by 79 · see citing works
Australia's Better Access Initiative: An Evaluation
Pirkis, J., Ftanou, M., Williamson, M. K., Machlin, A., Spittal, M. J., Bassilios, B., & Harris, M. (2011) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048674.2011.594948 · Cited by 74 · see citing works
Computerized cognitive behavioural therapy and the therapeutic alliance: A qualitative enquiry
Barazzone, N., Cavanagh, K., & Richards, D. A. (2012) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.2012.02035.x · Cited by 67 · see citing works
Self-citationStepped care treatment for depression and anxiety in primary care. a randomized controlled trial
Seekles, W., van Straten, A., Beekman, A. T. F., van Marwijk, H., & Cuijpers, P. J. (2011) · Trials · doi:10.1186/1745-6215-12-171 · Cited by 72 · see citing works
Zou, J. B., Dear, B. F., Titov, N., Lorian, C. N., Johnston, L., Spence, J., Knight, R. G., Anderson, T. M., & Sachdev, P. S. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.04.002 · Cited by 71 · see citing works
Radhakrishnan, M., Hammond, G., Jones, P. B., Watson, A., McMillan-Shields, F., & Lafortune, L. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.10.001 · Cited by 69 · see citing works
Recent trends in the incidence of anxiety diagnoses and symptoms in primary care
Walters, K., Rait, G., Griffin, M., Buszewicz, M., & Nazareth, I. (2012) · PLoS ONE · doi:10.1371/journal.pone.0041670 · Cited by 65 · see citing works
Building a Rigorous and Relevant Knowledge Base for the Psychological Therapies
Barkham, M., Stiles, W. B., Lambert, M. J., & Mellor‐Clark, J. (2010) · doi:10.1002/9780470687994.ch2 · Cited by 64 · see citing works
Mullin, A., Dear, B. F., Karin, E., Wootton, B. M., Staples, L., Johnston, L., Gandy, M., Fogliati, V. J., & Titov, N. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.02.002 · Cited by 58 · see citing works
Cano-Vindel, A., Muñoz-Navarro, R., Wood, C. M., Limonero, J. T., Medrano, L. A., Ruiz-Rodríguez, P., Gracia-Gracia, I., Dongil-Collado, E., Iruarrizaga, I., Chacón, F., et al. (2016) · JMIR Research Protocols · doi:10.2196/resprot.6351 · Cited by 56 · see citing works
Morris, L., Lovell, K., McEvoy, P., Emsley, R., Carter, L., Edge, D., Bates, R., Wallwork, T., & Mansell, W. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2022.2143418 · Cited by 53 · see citing works
Richards, D., Duffy, D., Blackburn, B., Earley, C., Enrique, A., Palacios, J., Franklin, M., Clarke, G., Sollesse, S., Connell, S., et al. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1639-5 · Cited by 52 · see citing works
Self-citationPalacios, J. E., Richards, D., Palmer, R., Coudray, C., Hofmann, S. G., Palmieri, P. A., & Frazier, P. (2018) · JMIR Mental Health · doi:10.2196/11467 · Cited by 52 · see citing works
Self-citationHall, B. J., Xiong, P., Guo, X., Sou, E. K. L., Chou, U. I., & Shen, Z. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.09.060 · Cited by 54 · see citing works
Duffy, D., Enrique, A., Connell, S., Connolly, C., & Richards, D. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00902 · Cited by 49 · see citing works
Self-citationMcQuillin, S. D., Hagler, M., Werntz, A. J., & Rhodes, J. E. (2021) · American Journal of Community Psychology · doi:10.1002/ajcp.12546 · Cited by 49 · see citing works
Woodford, J., Farrand, P. A., Bessant, M., & Williams, C. M. (2011) · Contemporary Clinical Trials · doi:10.1016/j.cct.2011.04.013 · Cited by 48 · see citing works
Kobori, O., Nakazato, M., Yoshinaga, N., Shiraishi, T., Takaoka, K., Nakagawa, A., Iyo, M., & Shimizu, E. (2014) · The Journal of Mental Health Training, Education and Practice · doi:10.1108/jmhtep-10-2013-0033 · Cited by 47 · see citing works
Johnston, L., Titov, N., Andrews, G., Dear, B. F., & Spence, J. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2012.753108 · Cited by 44 · see citing works
Richards, D., Timulák, L., Rashleigh, C., McLoughlin, O., Colla, A., Joyce, C., Doherty, G. J., Sharry, J., Duffy, D. J., & Anderson-Gibbons, M. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.10.003 · Cited by 45 · see citing works
Self-citationBenchmarking Routine Psychological Services: A Discussion of Challenges and Methods
Delgadillo, J., McMillan, D., Leach, C., Lucock, M. P., Gilbody, S. M., & Wood, N. (2012) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246581200080x · Cited by 38 · see citing works
Kenter, R. M. F., Warmerdam, L., Brouwer-Dudokdewit, C., Cuijpers, P. J., & van Straten, A. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-43 · Cited by 37 · see citing works
Johnston, L., Dear, B. F., Gandy, M., Fogliati, V. J., Kayrouz, R., Sheehan, J., Rapee, R. M., & Titov, N. (2014) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867414527524 · Cited by 36 · see citing works
Richards, D., Timulak, L., Doherty, G., Sharry, J., Colla, A., Joyce, C., & Hayes, C. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-147 · Cited by 35 · see citing works
Self-citationThe Australian version of IAPT: clinical outcomes of the multi-site cohort study of NewAccess
Baigent, M. F., Smith, D., Battersby, M., Lawn, S., Redpath, P., & McCoy, A. (2020) · Journal of Mental Health · doi:10.1080/09638237.2020.1760224 · Cited by 34 · see citing works
Kayrouz, R., Dear, B. F., Johnston, L., Gandy, M., Fogliati, V. J., Sheehan, J., & Titov, N. (2015) · Internet Interventions · doi:10.1016/j.invent.2014.12.001 · Cited by 32 · see citing works
Why Patients With Severe Personality Disorders Are Overmedicated
Paris, J. (2015) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.14com09441 · Cited by 33 · see citing works
Kayrouz, R., Dear, B. F., Karin, E., Fogliati, V. J., & Titov, N. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.06.002 · Cited by 32 · see citing works
Dirkse, D., Hadjistavropoulos, H. D., Alberts, N. A., Karin, E., Schneider, L. H., Titov, N., & Dear, B. F. (2020) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00810-9 · Cited by 29 · see citing works
Kirkpatrick, T., Manoukian, L., Dear, B. F., Johnston, L., & Titov, N. (2013) · PeerJ · doi:10.7717/peerj.210 · Cited by 29 · see citing works
Parry, G. D., Barkham, M., Brazier, J. E., Dent‐Brown, K., Hardy, G. E., Kendrick, T., Rick, J., Chambers, E., Chan, T., Connell, J., et al. (2011) · White Rose Research Online (University of Leeds, The University of Sheffield, University of York) · doi:10.13140/2.1.2983.0726 · Cited by 29 · see citing works
International prescribing practices in obsessive-compulsive disorder (OCD)
Brakoulias, V., Starčević, V., Belloch, A., Dell’Osso, L., Ferrão, Y. A., Fontenelle, L. F., Löchner, C., Marazziti, D., Martin, A. J., Matsunaga, H., et al. (2016) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.2541 · Cited by 28 · see citing works
Common mental health disorders.
Bessant, M., & Ekers, D. (2011) · PubMed · Cited by 28 · see citing works
Kelson, J. N., Lam, M. K., Keep, M., & Campbell, A. J. (2017) · Journal of Technology in Human Services · doi:10.1080/15228835.2017.1309311 · Cited by 25 · see citing works
Alberts, N. M., Leisenring, W. M., Flynn, J. S., Whitton, J. A., Gibson, T. M., Jibb, L., McDonald, A. J., Ford, J. D., Moraveji, N., Dear, B. F., et al. (2020) · JCO Clinical Cancer Informatics · doi:10.1200/cci.20.00070 · Cited by 25 · see citing works
Mental Health Clinics in the 21st Century
Marks, I. M. (2009) · Psychotherapy and Psychosomatics · doi:10.1159/000206865 · Cited by 25 · see citing works
Kayrouz, R., Dear, B. F., Karin, E., Gandy, M., Fogliati, V. J., Terides, M. D., & Titov, N. (2016) · Internet Interventions · doi:10.1016/j.invent.2015.10.005 · Cited by 22 · see citing works
“…defined as the proportion of participants who at pre-treatment scored at or above the clinical cut-offs on the PHQ-9 (≥10) and GAD-7 (≥8), and subsequently decreased to a score that was below these clinical cut-offs at post-treatment and/or three-month follow-up (Richards and Suckling, 2009).”
BackgroundMethodResultInfluentialRichards, D., Duffy, D. J., Burke, J., Anderson, M., Connell, S., & Timulák, L. (2018) · JMIR Mental Health · doi:10.2196/10204 · Cited by 23 · see citing works
Self-citationStallman, H. M., Kavanagh, D. J., Arklay, A. R., & Bennett–Levy, J. (2016) · Australian Psychologist · doi:10.1111/ap.12113 · Cited by 22 · see citing works
Developing and disseminating effective psychological treatments: Science, practice and economics.
Clark, D. M. (2013) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0031258 · Cited by 21 · see citing works
Saxon, D. H., Ashley, K., Bishop‐Edwards, L., Connell, J., Harrison, P., Ohlsen, S., Hardy, G. E., Kellett, S., Mukuria, C., Mank, T., et al. (2017) · Trials · doi:10.1186/s13063-017-1834-6 · Cited by 21 · see citing works
Therapists’ attitudes to offering eCBT in an inner-city IAPT service: a survey study
Meisel, S. F., Drury, H., & Perera-Delcourt, R. P. (2018) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x18000107 · Cited by 21 · see citing works
Andrews, W. P., Twigg, E., Minami, T., & Johnson, G. (2011) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/j.2044-8341.2010.02004.x · Cited by 20 · see citing works
Lucock, M., Kirby, R., & Wainwright, N. (2011) · British Journal of Clinical Psychology · doi:10.1348/014466510x520231 · Cited by 23 · see citing works
Confidence in the face of risk: the Risk Assessment and Management Self-Efficacy Study (RAMSES)
Delgadillo, J., Moreea, O., Outhwaite-Luke, H., Dace, T., Nicholls, B., Ramseyer, G., & Dale, V. (2014) · Psychiatric Bulletin · doi:10.1192/pb.bp.112.040394 · Cited by 20 · see citing works
LOS DESÓRDENES EMOCIONALES EN ATENCIÓN PRIMARIA
Vindel, A. C. (2011) · Ansiedad y Estrés · Cited by 18 · see citing works
Collaborative care regarding major depressed patients: A review of guidelines and current practices.
den Broeck, K. V., Remmen, R., Vanmeerbeek, M., Destoop, M., & Dom, G. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.04.044 · Cited by 10 · see citing works
Richards, D., Timulak, L., Doherty, G., Sharry, J., McLoughlin, O., Rashleigh, C., Colla, A., & Joyce, C. (2014) · Trials · doi:10.1186/1745-6215-15-145 · Cited by 16 · see citing works
“An estimation of recovery will be made by identifying the number of participants in each group who demonstrated a reduction of 50% of pre-treatment GAD-7, BDI-II and PSWQ scores [70].”
MethodSelf-citationSburlati, E., Lyneham, H. J., Mufson, L., & Schniering, C. A. (2012) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-012-0111-1 · Cited by 12 · see citing works
A five-year evaluation of the Human Givens therapy using a practice research network
Andrews, W. P., Wislocki, A. P., Short, F., Chow, D. L., & Minami, T. (2013) · Mental Health Review Journal · doi:10.1108/mhrj-04-2013-0011 · Cited by 14 · see citing works
Morris, L., Mansell, W., Emsley, R., Bates, R., Comiskey, J., Pistorius, E., & McEvoy, P. (2016) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/papt.12070 · Cited by 14 · see citing works
Young, A. M., Rogers, K., Davies, L. M., Pilling, M. A., Lovell, K., Pilling, S., Belk, R. A., Shields, G., Dodds, C., Campbell, M., et al. (2017) · Health Services and Delivery Research · doi:10.3310/hsdr05240 · Cited by 13 · see citing works
Robichaud, M., Talbot, F., Titov, N., Dear, B. F., Hadjistavropoulos, H. D., Hadjistavropoulos, T., & Jbilou, J. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246581900047x · Cited by 13 · see citing works
Improving Access to Psychological Therapies for people with learning disabilities
Leyin, A. (2011) · Tizard Learning Disability Review · doi:10.1108/13595471111185747 · Cited by 12 · see citing works
Primary care for deaf people with mental health problems
Levine, J. (2014) · British Journal of Nursing · doi:10.12968/bjon.2014.23.9.459 · Cited by 12 · see citing works
Frazier, P. A., Richards, D., Mooney, J., Hofmann, S. G., Beidel, D. C., Palmieri, P. A., & Bonner, C. (2016) · Pilot and Feasibility Studies · doi:10.1186/s40814-016-0068-9 · Cited by 12 · see citing works
Self-citationStepped Care Treatment for Depression and Anxiety in Primary Care
Seekles, W. (2011) · Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) · Cited by 11 · see citing works
Clinical Case Management Supervision
Richards, D. A. (2014) · doi:10.1002/9781118846360.ch25 · Cited by 11 · see citing works
Self-citationOutcomes from a pilot psychological therapies service for UK military veterans
Clarkson, P., Giebel, C. M., Challis, D., Duthie, P., Barrett, A., & Lambert, H. (2016) · Nursing Open · doi:10.1002/nop2.57 · Cited by 10 · see citing works
Pirkis, J., Ftanou, M., Williamson, M. K., Machlin, A., Warr, D. J., Christo, J., Castan, L., Spittal, M. J., Bassilios, B., & Harris, M. (2010) · Cited by 10 · see citing works
Tolchard, B. (2016) · Journal of Addictions Nursing · doi:10.1097/jan.0000000000000141 · Cited by 9 · see citing works
Giebel, C. M., Clarkson, P., & Challis, D. (2014) · Psychiatric Bulletin · doi:10.1192/pb.bp.113.046474 · Cited by 9 · see citing works
New models of care for psychology in Canada's health services.
Graff, L. A., Kaoukis, G., Vincent, N., Piotrowski, A. S., & Ediger, J. P. (2012) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0026635 · Cited by 9 · see citing works
Morris, L., Mansell, W., Amos, R., & Edge, D. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2303 · Cited by 8 · see citing works
- Authors
- Richards, D. A., & Suckling, R.
- Affiliations
- University of Exeter (GB)
- Corresponding author
- Richards, David A.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2009-11
- Volume
- 48
- Issue
- 4
- Pages
- 377-396
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2033901652
- Cited by
- 154
- References
- 52
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 4 · 2018: 12 · 2017: 7 · 2016: 16 · 2015: 13 · 2014: 16 · 2013: 14 · 2012: 18
- FWCI
- 22.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- Improving Access to Psychological Therapies, stepped care, collaborative care, anxiety, depression, psychotherapy, telemedicine, telephone-delivered therapy, treatment discontinuation
- MeSH terms
- Adult, Anxiety Disorders, Counseling, Depressive Disorder, Female, United Kingdom, Humans, Male, Prospective Studies, Telephone, Cohort Studies, Cognitive Behavioral Therapy, Treatment Outcome, Evidence-Based Medicine
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