This is the IAPT Minimum Data Set (MDS) and should be routinely collected by all sites to support IAPT Key Performance Indicators. The. MDS includes patient. Map of positive practice examples for IAPT. . Useful resources on IAPT background and context. .. measures (minimum data set [MDS] and. ADSMs). The IAPT Programme is a Department of Health initiative to improve access to the IAPT Routine Outcome Measuring Tool (Minimum Data Set) should.

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Is psychotherapy for depression equally effective in younger and older adults? This needs to be addressed. This was introduced to provide another route into services and to target individuals or minorities who would not otherwise access traditional services.

Waiting times In order to assess waiting times, two definitions were ixpt Do depressive symptoms increase the risk for the onset of coronary disease?

The largest limitation of this outcome analysis is intrinsic to the study design itself and relates to the use of symptom severity measures as proxies for diagnoses. Cognitive-behavioural therapy iaph late-life anxiety disorders: As expected, having a higher number of sessions, and receiving a lower treatment step were both associated with better recovery.

Comparative effectiveness of cognitive therapies delivered face-to-face or over the telephone: Handbook of the clinical psychology of ageing. Journal of Affective Disorders. Efficacy of cognitive behavioral therapy for anxiety disorders in older people: The characteristics of the different populations have also been compared and highlighted in Appendix 1. People aged over 65 were less likely to be referred to IAPT from their GPs, compared with adults of working age, and they were more likely to refer themselves.

The shorter waiting times for older adults could potentially be attributed to lower depression and anxiety scores iap baseline, however this is unlikely to be the case. Improving access to psychological therapy: Given the close proximity and the high number of sessions, a problem with test-retest bias, where scales are administered on multiple occasions in a short time period, could also arise.


Translated Outcome Measures – UEA

Depression as a risk factor for the onset of type 2 diabetes mellitus. Interestingly, an optimum cut-off point of nine was found, compared with ten that was used in this study. There were differences between older and younger adults with respect to source of referral. Partly based on the effectiveness of psychological therapies for the treatment of common mental disorders, a large-scale scheme for Improving Access to Psychological Therapies IAPT for people suffering with mild or moderate anxiety and depression was announced within the English National Health Service in October and piloted in Doncaster and Newham in Greater London.

The type of treatment offered for common mental disorders is similar for both younger and older adults, with pharmacological and psychological interventions being the most common. British Journal of General Practice. The cost-benefit assumption that was made at the inception of IAPT is probably more applicable to working-age adults rather than to older adults, a group of people unlikely to re-enter the work market. The large number of dropouts could have also affected the generalisability of our analysis.

However, lapt the Equality Actpublic bodies are not allowed to discriminate access to services on the basis of age. Recovery here is defined as being below the clinical cut-off for each scale, and showing reliable improvement during treatment.

Further research investigating different forms of psychotherapies between different age groups are therefore warranted, and also the investigation of factors that limit CBT effectiveness in diverse groups.

Improving access to psychological therapies and older people: Findings from the Eastern Region

mdss Strengths and limitations One of the major strengths of this study lies in its large sample size that included over 16, individuals and data from almostsessions over a two-year period. Moreover, many older adults are also involved in other ways besides paid employment, for example in voluntary roles or in supporting family members e.

The findings from this service evaluation seem to support these reviews, even though this is not an experimental iaapt, and mcs is difficult to attribute any difference to the treatment alone. The prevalence of anxiety in older adults: Current and residual functional disability associated with psychopathology: This is probably due to the fact that GPs are generally less attuned to identifying mental health problems and needs in older patients. Oxford textbook of old age psychiatry.


In this initial evaluation, these services were shown to be beneficial to older patients. The major aim of IAPT was to reduce waiting times and improve access to psychological therapies in its target population of working-age adults.

Diagnostic accuracy of the mood module of the Patient Health Questionnaire: Interventions for generalized anxiety disorder in older adults: Quality-of-life impairment in depressive and anxiety disorders. A large proportion of missing data were present for the ethnic categories. Hammondb, c Peter B. It is therefore important that older adults are able to access services, not only on moral grounds, but also on quality of life grounds and potential cost savings to health services, and more broadly to society.

These changes could represent regression to the mean or natural resolution of symptoms.

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Odds ratios of recovery adjusted for gender, age, primary care trust, max number of sessions and ethnicity. If further research confirms these findings, the economic argument that by improving mental health across the population the mss is increased and consequently the economy of the country could be made for older adults too. In order to calculate the expected rate of iaapt in people aged over 65, we estimated the differences in the age structure in the Eastern region based on census data.

The remaining six PCTs were: This included information on socio-demographics, attendance, source and date of referral, date of appointment, primary diagnosis and treatment outcomes. Journal of the American Geriatrics Society. The service pathway ipat older populations needs to be better researched in order to eliminate possible obstacles in accessing services.