If not a Tsunami of CBT, then What? The Debate About NHS Psychotherapy Services in the Age of Mc‐Iapt

2020 ◽  
Vol 36 (2) ◽  
pp. 323-333
Author(s):  
Jeremy Clarke
1999 ◽  
Vol 67 (2) ◽  
pp. 228-238 ◽  
Author(s):  
Mark S. Salzer ◽  
Leonard Bickman ◽  
E. Warren Lambert

2003 ◽  
Vol 27 (12) ◽  
pp. 453-456 ◽  
Author(s):  
Rosalind Geraghty ◽  
Fiona Warren

Aims and MethodAll mental health services are expected to aim for equality of access to people from minority ethnic groups. Psychotherapy services typically have a low proportion of ethnic minority clients. Specialist services such as therapeutic communities are no exception. It is also possible that ethnic minority residents are more likely to leave group treatments early if they are clearly in the minority. The study examined records between 1996–2000 to ascertain whether ethnic minorities show a different pattern of exit from the process than people from other backgrounds.ResultsJust over 9% of referrals to Henderson Hospital were from ethnic minorities. Ethnic minority referrals were less likely to be invited to a selection interview. However, there was no difference in length of stay in treatment. There was a trend towards ethnic minority referrals having more severe symptomatology and histories than those from White backgrounds.Clinical ImplicationsEthnic background should be taken into account when considering referral for specialist psychotherapy. Routine monitoring of the processing of ethnic minority referrals should be conducted in all psychotherapy services.


1993 ◽  
Vol 17 (9) ◽  
pp. 526-527 ◽  
Author(s):  
Mary J. Morton ◽  
Jill Staines

In a rapidly changing NHS, there is a great awareness of the need to consult with general practitioners about their expectations of a service. A number of studies have looked at GPs' perceptions of psychological and psychiatric services (e.g. Eastman & McPherson, 1982; Whitfield & Winter, 1980) but to date little is known about how GPs view psychotherapy services. About 40% of the referrals to the Leicestershire psychotherapy department come directly from GPs and the present study aimed to ascertain local GPs' perceptions of the service. This was timely for the purpose of planning local development but clearly has important implications for psychotherapy services in general.


1996 ◽  
Vol 89 (3) ◽  
pp. 149-151 ◽  
Author(s):  
Jan Neeleman ◽  
Vik Watts

By means of a postal survey of all consultant psychiatrists (n=143) in the South East Thames Region, the authors examined factors associated with psychiatrists’ decisions to impose restrictions on certain patients’ access to admission. Twenty-two per cent of respondents reported the use of admission restrictions. Usage of this measure was associated with a local absence of psychotherapy services (OR 0.34; 95% CI 0.17–0.63) which might suggest that there is a need for more equal access to specialist psychiatric services across health districts.


1999 ◽  
Vol 23 (7) ◽  
pp. 390-393 ◽  
Author(s):  
Raymond Haddock

1987 ◽  
Vol 150 (1) ◽  
pp. 65-71 ◽  
Author(s):  
G. McGrath ◽  
K. Lowson

Recent debate about the place of psychotherapy in the National Health Service, while emphasising the importance of economic evaluation, has concentrated almost exclusively on issues of clinical outcome. This paper argues that the debate has focussed on too narrow a definition of psychotherapy and too limited a view of the possible effects of psychotherapy, both good and bad. It reviews evidence concerning the demand and need for psychotherapy services in a number of clinical settings, and discusses the economic implications of the provision of such services. Economic studies of psychotherapy are reviewed and a conclusion drawn that it might be possible to justify the provision of psychotherapy services on economic grounds, but that considerably more research needs to be done in this area. The directions such future research might take are outlined.


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