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Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience
Open accessAbstract
The Improving Access to Psychological Therapies (IAPT) programme is a large-scale initiative that aims to greatly increase the availability of NICE recommended psychological treatment for depression and anxiety disorders within the National Health Service in England. This article describes the background to the programme, the arguments on which it is based, the therapist training scheme, the clinical service model, and a summary of progress to date. At mid-point in a national roll-out of the programme progress is generally in line with expectation, and a large number of people who would not otherwise have had the opportunity to receive evidence-based psychological treatment have accessed, and benefited from, the new IAPT services. Planned future developments and challenges for the programme are briefly described.
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“In the United Kingdom (UK), the flagship Improving Access to Psychological Therapies (IAPT) programme has substantially increased access to evidence-based psychological therapies [19] using a stepped-care model.”
From 'I didn't know what to expect': Exploring patient perspectives to identify targets for change to improve telephone-delivered psychological interventions (2020) · cites this paper as [19]
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“Clinical outcomes were defined according to IAPT guidelines19 and were measured in terms of reliable improvement and IAPT engagement and included as binary measures (ie, 0 or 1).”
From Quantifying the association between psychotherapy content and clinical outcomes using deep learning (2020) · cites this paper as [19]
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Metadata
- Authors
- Clark, D. M.
- Affiliations
- University of Oxford (GB)
- Corresponding author
- Clark, David M.
- ORCID
- Clark, David M.
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2011-08
- Volume
- 23
- Issue
- 4
- Pages
- 318-327
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- PMC
- PMC3212920
- OpenAlex
- W2170816348
- Cited by
- 699
- References
- 26
- Citations by year
- 2026: 19 · 2025: 37 · 2024: 34 · 2023: 50 · 2022: 42 · 2021: 55 · 2020: 68 · 2019: 57 · 2018: 77 · 2017: 54 · 2016: 45 · 2015: 54 · 2014: 54 · 2013: 40 · 2012: 9
- FWCI
- 46.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust (069777)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- Improving Access to Psychological Therapies, NICE guidelines, depression, anxiety disorders, psychological intervention, therapist training, access to mental health care, National Health Service, evidence-based treatment
- MeSH terms
- Anxiety Disorders, Depressive Disorder, England, Humans, Psychotherapy, Treatment Outcome, Practice Guidelines as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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