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dc.contributor.authorPettit, S
dc.contributor.authorQureshi, A
dc.contributor.authorLee, William
dc.contributor.authorStirzaker, A
dc.contributor.authorGibson, Alexander
dc.contributor.authorHenley, W
dc.contributor.authorByng, Richard
dc.date.accessioned2017-08-25T14:55:11Z
dc.date.issued2017-07
dc.identifier.issn0960-1643
dc.identifier.issn1478-5242
dc.identifier.urihttp://hdl.handle.net/10026.1/9864
dc.description.abstract

Background Older people with common mental health problems (CMHPs) are known to have reduced rates of referral to psychological therapy. AimTo assess referral rates to the Improving Access to Psychological Therapies (IAPT) services, contact with a therapist, and clinical outcome by age. Design and setting Empirical research study using patient episodes of care from South West of England IAPT services. Method By analysing 82 513 episodes of care (2010–2011), referral rates and clinical improvement were compared with both total population and estimated prevalence in each age group using IAPT data. Probable recovery of those completing treatment was calculated for each group. Results Estimated prevalence of CMHPs peaks in 45–49-year-olds (20.59% of population). The proportions of patients identified with CMHPs being referred peaks at 20–24 years (22.95%) and reduces with increase in age thereafter to 6.00% for 70–74-year-olds. Once referred, the proportion of those attending first treatment increases with age between 20 years (57.34%) and 64 years (76.97%). In addition, the percentage of those having a clinical improvement gradually increases from the age of 18 years (12.94%) to 69 years (20.74%).ConclusionYounger adults are more readily referred to IAPT services. However, as a proportion of those referred, probabilities of attending once, attending more than once, and clinical improvement increase with age. It is uncertain whether optimum levels of referral have been reached for young adults. It is important to establish whether changes to service configuration, treatment options, and GP behaviour can increase referrals for middle-aged and older adults.

dc.format.extente453-e459
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherRoyal College of General Practitioners
dc.subjectage factors
dc.subjectIAPT
dc.subjectmental health
dc.subjectreferral and consultation
dc.subjecttherapy
dc.subjectpsychological
dc.titleVariation in referral and access to new psychological therapy services by age: an empirical quantitative study
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000404542800001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue660
plymouth.volume67
plymouth.publication-statusPublished
plymouth.journalBritish Journal of General Practice
dc.identifier.doi10.3399/bjgp17X691361
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA20 Social Work and Social Policy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2016-12-23
dc.rights.embargodate2018-6-29
dc.identifier.eissn1478-5242
dc.rights.embargoperiod24 months
rioxxterms.versionofrecord10.3399/bjgp17X691361
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved
rioxxterms.licenseref.startdate2017-07
rioxxterms.typeJournal Article/Review


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