Exploring access and engagement with Improving Access to Psychological Therapies (IAPT) services, before, during, and after the COVID-19 lockdown: A service evaluation in the Northwest of England.

The purpose of this study was to compare clients' prevalence and explore the characteristics that predicted access and engagement with IAPT treatment before, during, and after Lockdown. We conducted a retrospective observational service evaluation, using routinely collected IAPT data from  = 13,019 clients who entered treatment between March and September in 2019, 2020, and 2021. Chi-square and multiple logistic regression were used to explore associations and potential predictors of access and engagement with IAPT treatment.

Improving access to psychological therapies: Analysis of effects associated with remote provision during COVID-19.

Background: COVID-19 had an immediate impact on the way Improving Access to Psychological Therapy (IAPT) services in the United Kingdom were delivered, requiring services to move to remote therapy. While remote therapy has been shown to be effective, little is known about the effects associated with moving to remote therapy delivered during COVID-19 within IAPT services.

Objective: The objective of the study was to assess the characteristics of those undergoing remote therapy and test the effects associated with the effect of remote delivery on anxiety and depression symptoms compared with in-person therapy before lockdown.

Frequency and impact of childhood sexual and physical abuse on people using IAPT services.

Objectives: This study explored the prevalence of childhood sexual/physical abuse (CSA/CPA) as identified by practitioners in Improving Access to Psychological Therapies (IAPT) services and clarified differences in clients' characteristics with and without a history of CSA/CPA.

Methods: A retrospective analysis of a large dataset comprised of IAPT routine data and data from a local service evaluation reporting on clients' presenting problems.

Results: 14% of IAPT clients (n = 1,315) were identified with a record of CSA/CPA.

Case complexity as a guide for psychological treatment selection.

Objective: Some cases are thought to be more complex and difficult to treat, although there is little consensus on how to define complexity in psychological care. This study proposes an actuarial, data-driven method of identifying complex cases based on their individual characteristics.

Method: Clinical records for 1,512 patients accessing low- and high-intensity psychological treatments were partitioned in 2 random subsamples.

The Reasons for Depression Questionnaire (RFD): UK Standardization for clinical and non-clinical populations.

Recent research into reason giving for depression has illustrated the importance of client beliefs about the cause of their depression. Reasons given have been found to be associated with level of depression, perceived credibility of treatments and therapy outcome. It has been suggested that giving reasons for depression is a form of rule-governed behaviour and as such can cause the depression to be harder to treat (i.

Self-management and well-being in adolescents with diabetes mellitus: do illness representations play a regulatory role?

This investigation examined the applicability of the self-regulatory model to adolescents with type 1 diabetes. Relationships among illness beliefs, diabetes self-management behaviors, psychological well-being, and blood glucose control were explored in 30 adolescents attending outpatient clinics in the United Kingdom. Correlation and regression analyses indicated that illness beliefs were not related to self-management behaviors, but both were important contributors to psychological well-being.

A portrait of clinical psychology.

The purpose of this paper is to provide an introduction to the profession of clinical psychology. We provide a definition and overview of the core features of the profession, followed by a description of entry requirements and education. We go on to describe the dominant models which have driven the training and practice of clinical psychologists through the latter half of the 20th century to the present day.