The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.
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 [31,58].”
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Cited by
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Clark, D. M. (2011) · International Review of Psychiatry · doi:10.3109/09540261.2011.606803 · Cited by 699
“Full details of the clinical services that were developed in the two demonstrations sites and the outcomes they obtained in their fi rst year can be found in Clark et al. (2009) and Richards & Suckling (2009).”
BackgroundMethodImproving 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
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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
“Full details of the clinical services that were developed in the two demonstration sites and the outcomes they obtained in their first year are provided by Clark et al. (2009) and Richards & Suckling (2009).”
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
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“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 PHQ-9 scores) as described in recent dissemination studies [45].”
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“As described in recent dissemination studies [31], pre-treatment, post-treatment and follow-up PHQ-9 and GAD-7 scores were compared with clinical cut-offs to provide an index of clinically significant remission.”
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“These include, for example, psycho education, problem-solving therapy and self-help approaches [10,11].”
BackgroundTransdiagnostic 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
Robinson, E., Titov, N., Andrews, G., McIntyre, K., Schwencke, G., & Solley, K. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010942 · Cited by 277
“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
Cognitive–behavioral guided self-help for eating disorders: Effectiveness and scalability
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“standard face to face, CBT (Clark et al., 2009; Richards and Suckling, 2009), although the focus in the second site included more patients with those anxiety disorders for which there is no good evidence for low-intensity CBT, particularly PTSD.”
BackgroundMethodResultInfluentialSelf-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
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
“The levels of attrition between referral and assessment have been observed previously in stepped care services [14-16] and are a well-known phenomena in psychological therapies services [17-19].”
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
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
“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 CBDI scores), as described in recent dissemination studies (Richards and Suckling, 2009).”
MethodDear, 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
“The GAD-7 is increasingly used in research and in large-scale dissemination studies as a generic measure of anxiety symptoms [29].”
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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
Self-citationJohnston, L., Titov, N., Andrews, G., Spence, J., & Dear, B. F. (2011) · PLoS ONE · doi:10.1371/journal.pone.0028079 · Cited by 150
“These programs have now been integrated within the UK Improved Access to Psychological Therapies program, stepping consumers from low to high-intensity treatments as clinically required, with completer analyses demonstrating good outcomes [4].”
BackgroundMethodResultInfluentialSpence, 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 151
“It is sensitive to a range of anxiety disorders[37] and has been used in a number of large dissemination studies.[38] Sheehan disability scales[39].”
BackgroundMoore, 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
“A 50% reduction has been used to define clinically meaningful reduction in a number of clinical trials (Dunn, Trivedi, Kampert, Clark, & Chambliss, 2005; Hopko et al., 2011; Richards & Suckling, 2009; Titov et al., 2010; Unutzer et al., 2002).”
Method“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
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
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
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
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
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
“…make up the present sample are similar to those of other samples of IAPT services from the same time period (e.g. Gyani et al., 2011; Richards and Suckling, 2009), with similar mean PHQ-9 and GAD-7 symptom severity and age, services may differ in treatment decision making practices resulting in…”
ResultStepped 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 96
“Observational studies on large number of patients show considerable effects on depression and anxiety for low-intensity stepped care treatments within a collaborative care system.[47]”
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“cost and time) effective means of service delivery for depressed patients (Richards and Suckling, 2009).”
BackgroundStepped psychological care after stroke
Kneebone, I. (2015) · Disability and Rehabilitation · doi:10.3109/09638288.2015.1107764 · Cited by 97
“To date the stepped care programme appears to be a success, achieving outcomes comparable to those expected on the basis of clinical trials and reviews.[27,28]”
BackgroundSystematic 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
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
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
“10,22,23 Assessment of the initial roll-out of IAPT services (Wave 1) that followed the demonstration sites indicated that the interventions offered were clinically effective but there was notable variation across the 32 sites assessed.”
BackgroundTitov, 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
“As described in recent dissemination studies [23], pre-treatment, post-treatment and follow-up PHQ-9 and GAD-7 scores were compared with clinical cut-offs to provide an index of clinically significant remission.”
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
“These are common conditions seen frequently in general practice [1,2]; they cause enormous disability at the population level [3,4].”
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
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
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 79
“In the Phase IV field trial, described by Richards and Suckling [67], they combine low-intensity stepped care psychological treatment with a telephony-based collaborative care organizational system.”
MethodZou, 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
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
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
“There is some evidence from studies of referrals to psychological therapies in the UK that GPs tend to under-record anxiety as a presenting problem in the presence of depression [27,28].”
BackgroundBuilding a Rigorous and Relevant Knowledge Base for the Psychological Therapies
Barkham, M., Stiles, W. B., Lambert, M. J., & Mellor‐Clark, J. (2010) · Wiley eBooks · doi:10.1002/9780470687994.ch2 · Cited by 66
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 64
“Consistent with previous clinical trials (e.g., Dear et al., 2015; Titov et al., 2015) and large dissemination studies of transdiagnostic treatments (Richards and Suckling, 2009; Gyani et al., 2013; Titov et al., in press), the primary GEE analyses were then run separately for the overall sample…”
MethodResultCano-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
“These benefits have helped to decrease the risk of relapse while maintaining long-term positive outcomes [22].”
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
“For example, only 5-points on the PHQ9 differentiates clients with the highest score in the mildly depressed category from clients with the highest score in the moderately depressed category (Richards & Suckling, 2009).”
BackgroundRichards, 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
“The GAD-7 has increasingly been used in large-scale studies as a generic measure of change in anxiety symptomatology, using a cut-off score of 8 [43].”
MethodSelf-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 58
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
Duffy, D., Enrique, A., Connell, S., Connolly, C., & Richards, D. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00902 · Cited by 49
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 52
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
“treatment option within stepped care models of mental health service delivery [8].”
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
“…of CBT), the overall effect sizes of 0.63 for PHQ-9 (medium) and 0.66 for GAD-7 (medium) were less than were those in other IAPT and other studies (Clark et al. 2009; Radhakrishnan et al. 2013; Richards & Borglin, 2011; Richards & Suckling, 2009; Westbrook & Hill, 1998; Westbrook & Kirk, 2005).”
InfluentialJohnston, L., Titov, N., Andrews, G., Dear, B. F., & Spence, J. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2012.753108 · Cited by 44
“The GAD-7 is increasingly used in research and in large-scale dissemination studies as a generic measure of change in anxiety symptoms (Richards & Suckling, 2009).”
MethodRichards, 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
“The GAD-7 has increasingly been used in large-scale studies as a generic measure of change in anxiety symptomatology (Richards and Suckling, 2009).”
MethodSelf-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
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
“23) with reliable and clinically significant change in 55% of cases [11].”
BackgroundJohnston, 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 37
“The GAD-7 is increasingly used in research and in large-scale dissemination studies as a generic measure of anxiety symptoms (Clark et al., 2009; Richards and Suckling, 2009).”
BackgroundResultRichards, 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
“In addition, using the post-treatment scores for depression (BDI-II) and anxiety (GAD-7) and dividing these with their pretreatment scores a calculation of relative risk of depression and anxiety can be made [58].”
MethodSelf-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
“%) and anxiety disorders (26%; higher if specific phobias were included) (Slade et al., 2009).”
BackgroundKayrouz, 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
“The remission index was defined as the proportion of participants who at pre-treatment scored at or above the clinical cutoffs on the PHQ-9 (≥10) and GAD-7 (≥8), and then subsequently below these clinical cutoffs at post-treatment and 3-month follow-up (Richards and Suckling, 2009).”
BackgroundMethodResultInfluentialWhy Patients With Severe Personality Disorders Are Overmedicated
Paris, J. (2015) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.14com09441 · Cited by 33
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
“, 2014) were measured as deterioration, which was defined as an increase by five or more points on the PHQ-9 or GAD-7 at post-treatment or follow-up, compared to pre-treatment (Richards and Suckling, 2009).”
BackgroundMethodInfluentialDirkse, 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
Kirkpatrick, T., Manoukian, L., Dear, B. F., Johnston, L., & Titov, N. (2013) · PeerJ · doi:10.7717/peerj.210 · Cited by 29
“Converging evidence indicates that internet-delivered psychological interventions can be administered effectively by people with limited mental health training or experience when appropriately trained and supervised [Titov et al., 2009; Robinson et al., 2010; Richards & Suckling, 2009].”
BackgroundResultParry, 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
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
“This may account for the lower rates of pharmacotherapy in Australia, where the costs of consulting a psychologist for ERP are subsidized by the government (Rosenberg and Hickie, 2010; Richards and Suckling, 2009).”
BackgroundCommon mental health disorders.
Bessant, M., & Ekers, D. (2011) · PubMed · Cited by 28
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
“The GAD 7-item questionnaire was used to quickly test for general anxiety symptoms and screen for severity level to help determine participant eligibility in the research trial (Lowe et al., 2008; Richards & Suckling, 2009; Spitzer et al., 2006).”
MethodAlberts, 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 23
“Anxiety was assessed using the Generalized Anxiety Disorder 7-item (GAD-7) Scale(31), which has excellent psychometrics.(32) Depressive symptoms were assessed using the Patient Health Questionnaire 8-item (PHQ-8), which has strong psychometrics.”
MethodMental Health Clinics in the 21st Century
Marks, I. M. (2009) · Psychotherapy and Psychosomatics · doi:10.1159/000206865 · Cited by 25
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
“…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 25
“The GAD-7 is increasingly used in large-scale studies as a generic measure of changes in anxiety symptomatology, using a cutoff score of 8 [37,38].”
Self-citationStallman, H. M., Kavanagh, D. J., Arklay, A. R., & Bennett–Levy, J. (2016) · Australian Psychologist · doi:10.1111/ap.12113 · Cited by 22
Developing and disseminating effective psychological treatments: Science, practice and economics.
Clark, D. M. (2013) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0031258 · Cited by 24
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 25
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
“Clients have access to the programme for one year after completion, which may help with relapse prevention (Richards and Suckling, 2009).”
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
“Session-by-session monitoring, with almost complete data collection, proved to be an important achievement in the IAPT demonstration sites of Doncaster and Newham (Clark et al., 2009; Richards & Suckling, 2009).”
BackgroundMethodInfluentialLucock, M., Kirby, R., & Wainwright, N. (2011) · British Journal of Clinical Psychology · doi:10.1348/014466510x520231 · Cited by 23
“There is encouraging evidence of the effectiveness of low intensity interventions in an IAPT pilot site (Richards & Suckling, 2009), but controlled trials are required.”
BackgroundMethodInfluentialConfidence 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
LOS DESÓRDENES EMOCIONALES EN ATENCIÓN PRIMARIA
Vindel, A. C. (2011) · Ansiedad y Estrés · Cited by 18
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
“Whereas some tools are meant to educate or train the patient (Richards & Suckling, 2009; Watzke et al., 2014), others solely serve the practitioners.”
BackgroundMethodInfluentialRichards, 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
“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. S., Lyneham, H. J., Mufson, L. H., & Schniering, C. A. (2012) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-012-0111-1 · Cited by 18
“the IAPT program are diagnosis-free following treatment (Clark et al. 2009; Richards and Suckling 2009).”
BackgroundInfluentialA 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
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
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
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 14
“They have also been used in several iCBT studies (e.g. Kayrouz et al., 2016a; Titov et al., 2013) as well as in large dissemination trials assessing traditional face-to-face CBT and iCBT (e.g. Clark et al., 2009; Richards and Suckling, 2009).”
BackgroundMethodImproving Access to Psychological Therapies for people with learning disabilities
Leyin, A. (2011) · Tizard Learning Disability Review · doi:10.1108/13595471111185747 · Cited by 12
“), available under certain IAPT schemes ( Richards and Suckling, 2008, 2009”
BackgroundPrimary 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
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
“subscale scores [39].”
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
Clinical Case Management Supervision
Richards, D. A. (2014) · Wiley eBooks · doi:10.1002/9781118846360.ch25 · Cited by 11
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
“These provided a standardized, relatively conservative, estimate of impact for the service (Richards & Suckling, 2009) and represent within- group differences between pre- and post- treatment, the magnitude of which was used as a basis of comparison between different types of service conclusion.”
MethodPirkis, 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
Tolchard, B. (2016) · Journal of Addictions Nursing · doi:10.1097/jan.0000000000000141 · Cited by 9
“The WSAS has been adopted in routine clinical practice including the United Kingdom’s Improving Access to Psychological Therapies services (Glover, Webb, & Evison, 2010; Richards & Suckling, 2009).”
MethodGiebel, C. M., Clarkson, P., & Challis, D. (2014) · Psychiatric Bulletin · doi:10.1192/pb.bp.113.046474 · Cited by 9
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 10
Morris, L., Mansell, W., Amos, R., & Edge, D. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2303 · Cited by 8
Metadata
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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