What services are available?

In 2007 (National Household Survey): 3

  • 24% of people with depression and anxiety disorders were receiving any form of treatment.
  • Of these 14% got medication only
  • The remaining 10% received some form of counselling or therapy.
  • 2% were getting CBT which is the main NICE-recommended therapy.
  • In the previous year 3% had seen a psychiatrist and 2% a psychologist.

A survey of waiting times showed that:

  • Two-thirds of those treated for depression and anxiety in 2009 had waited over 6 months –(median waiting times for physical treatment were under 3 weeks)2half of all NHS patients referred for first consultant appointments in the acute sector have “medically unexplained symptoms’  (see Case for Change – Physical Health Care)

A substantial improvement has occurred as of December 2011:

  • IAPT services are meeting over 8.44% of the expected demand to provide psychological therapies and meet 15% prevalence of depression and anxiety disorders in local communities.
  • Over 3,200 new psychological therapy workers have successfully completed training
  • Over 985,000 people have received evidence-based, NICE-approved psychological therapies for depression and anxiety disorders with over 596,000 completing treatment
  • Over 213,000 people moved to recovery
  • Over 39,000 of those treated came off sick pay and benefits and/or started or returned to work.
  • Older people have been significantly under-represented in IAPT services’ patient profiles but expansion of the programme to this group is changing this.

Community mental health teams are available nationally and have a significant role in managing people with mild to moderate problems who:

  • Are unable or may be unwilling to engage with IAPT
  • Require an integrated approach with IAPT  to manage risk issues or if developing severe depression, require both CBT and medication
  • May not have responded to therapeutic interventions
  • Have complicating factors, e.g. physical health, substance misuse, family, cultural, social or personality issues
  • Are on the recovery path from severe problems but continue to require support, advice, risk monitoring or relapse prevention.

Any Qualified Provider

  • Commissioners have a choice of any qualified provider and will need to ensure that providers are able to offer the same high quality standard training and continue to commission at required levels to sustain, for IAPT,  the delivery of services which meets 15 per cent prevalence34.