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Predictors of patient non-attendance at Improving Access to Psychological Therapy services demonstration sites

Di Bona, Laura; Saxon, David; Barkham, Michael; Dent-Brown, Kim; Parry, Glenys

Authors

Laura Di Bona

David Saxon

Michael Barkham

Glenys Parry

Abstract

© 2014 The Authors. Published by Elsevier B.V. Background Improving Access to Psychological Therapy (IAPT) services have increased the number of people with common mental health disorders receiving psychological therapy in England, but concerns remain about how equitably these services are accessed.Method Using cohort patient data (N=363) collected as part of the independent evaluation of the two demonstration sites, logistic regression was utilised to identify socio-demographic, clinical and service factors predictive of IAPT non-attendance.Results Significant predictors of IAPT first session non-attendance by patients were: lower non-risk score on the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM); more frequent thoughts of "being better off dead" (derived from the CORE-OM); either a very recent onset of common mental health disorder (1 month or less) or a long term condition (more than 2 years); and site.Limitations The small sample and low response rate are limitations, as the sample may not be representative of all those referred to IAPT services. The predictive power of the logistic regression model is limited and suggests other variables not available in the dataset may also be important predictors.Conclusions The clinical characteristics of risk to self, severity of emotional distress, and illness duration, along with site, were more predictive of IAPT non-attendance than socio-demographic characteristics. Further testing of the relationship between these variables and IAPT non-attendance is recommended. Clinicians should monitor IAPT uptake in those they refer and implement strategies to increase their engagement with services, particularly when referring people presenting with suicidal ideation or more chronic illness.

Journal Article Type Article
Publication Date Dec 1, 2014
Journal Journal of Affective Disorders
Print ISSN 0165-0327
Electronic ISSN 1573-2517
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 169
Pages 157-164
Institution Citation Di Bona, L., Saxon, D., Barkham, M., Dent-Brown, K., & Parry, G. (2014). Predictors of patient non-attendance at Improving Access to Psychological Therapy services demonstration sites. Journal of affective disorders, 169, 157-164. https://doi.org/10.1016/j.jad.2014.08.005
DOI https://doi.org/10.1016/j.jad.2014.08.005
Keywords Clinical Psychology; Psychiatry and Mental health
Publisher URL https://www.sciencedirect.com/science/article/pii/S0165032714004819?via%3Dihub
Copyright Statement This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
Additional Information This article is maintained by: Elsevier; Article Title: Predictors of patient non-attendance at Improving Access to Psychological Therapy services demonstration sites; Journal Title: Journal of Affective Disorders; CrossRef DOI link to publisher maintained version: http://dx.doi.org/10.1016/j.jad.2014.08.005; Content Type: article; Copyright: Copyright © 2014 The Authors. Published by Elsevier B.V.

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Copyright Statement
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported License.



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