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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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Cost-benefit analysis of psychological therapy
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“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).”
BackgroundMethodGlover, G. R., Webb, M., & Evison, F. (2010) · Durham Research Online (Durham University) · Cited by 79
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Enhancing recovery rates in IAPT services: lessons from analysis of the year one data
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Research works printed but not linked: 2
- Clark D.M., 2004, Contemporary Cognitive Therapy, 141
- Clark D.M., Cognitive Behaviour Therapy: A Practical Guide
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The Lancet Psychiatry Commission on psychological treatments research in tomorrow's science
Holmes, E. A., Ghaderi, A., Harmer, C. J., Ramchandani, P. G., Cuijpers, P., Morrison, A. P., Roiser, J. P., Bockting, C. L. H., O'Connor, R. C., Shafran, R., et al. (2018) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30513-8 · Cited by 624
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
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