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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.

DOI

10.3399/bjgp17X691361

Publication Date

2017-07-01

Publication Title

British Journal of General Practice

Volume

67

Issue

660

First Page

e453

Last Page

e459

ISSN

0960-1643

Embargo Period

2018-06-29

Organisational Unit

Peninsula Medical School

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