Sharland, Emma;
Rzepnicka, Klaudia;
Schneider, Dorothee;
Finning, Katie;
Pawelek, Piotr;
Saunders, Rob;
Nafilyan, Vahé;
(2023)
Socio-demographic differences in access to psychological treatment services: evidence from a national cohort study.
Psychological Medicine
pp. 1-12.
10.1017/s0033291723001010.
(In press).
Preview |
PDF
socio-demographic-differences-in-access-to-psychological-treatment-services-evidence-from-a-national-cohort-study.pdf - Published Version Download (317kB) | Preview |
Abstract
BACKGROUND: Since 2008, the Improving Access to Psychological Therapies (IAPT) programme has offered adults in England evidence-based psychological treatments for common mental disorders (CMDs) such as depression and anxiety disorders. However, inequalities in access have not been explored at the national level. METHODS: Using a unique individual patient dataset that linked 2011 Census information of English residents to national IAPT data collected between April 2017 and March 2018, we estimated the rate of access by a wide range of socio-demographic characteristics that are not routinely available. A large household survey was used to estimate the prevalence of probable CMDs by these socio-demographic characteristics. We estimated the probability of access to IAPT amongst people with CMDs by comparing the rates of access from IAPT data and the estimates of prevalence of CMDs from the household survey. Both unadjusted and adjusted (for important patient characteristics) access rates were estimated in logistic regression models. RESULTS: As a proportion of those with a probable CMD, access to IAPT varied markedly by socio-demographic characteristics. Older adults, males, people born outside of the UK, people with religious beliefs, people from Asian ethnic backgrounds, people reporting a disability and those without any academic or professional qualifications were underrepresented in IAPT services nationally, in adjusted models. CONCLUSIONS: The identification of patients who may be underrepresented in IAPT provides an opportunity for services to target outreach and engagement with these groups. Further understanding of barriers to access should help increase equity in access.
| Type: | Article |
|---|---|
| Title: | Socio-demographic differences in access to psychological treatment services: evidence from a national cohort study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1017/s0033291723001010 |
| Publisher version: | https://doi.org/10.1017/S0033291723001010 |
| Language: | English |
| Additional information: | © Crown Copyright - Office for National Statistics, 2023. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/). |
| Keywords: | talking therapies, Improving Access to Psychological Therapies, common mental disorders, mental health, service access |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10170605 |
Archive Staff Only
 |
View Item |
