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    Rights statement: This is the author’s version of a work that was accepted for publication in Behaviour Research and Therapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Behaviour Research and Therapy, 111, 2018 DOI: 10.1016/j.brat.2018.09.006

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Improving access to psychological therapies (IAPT) for people with bipolar disorder: summary of outcomes from the IAPT demonstration site

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Improving access to psychological therapies (IAPT) for people with bipolar disorder : summary of outcomes from the IAPT demonstration site. / Jones, Steven Huntley; Akers, Nadia; Eaton, Jayne; Tyler, Elizabeth; Gatherer, Amanda; Brabban, Alison; Long, Rita Marie; Lobban, Anne Fiona.

In: Behaviour Research and Therapy, Vol. 111, 12.2018, p. 27-35.

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@article{1e64f55489c44bc99005a9597b4c4c6c,
title = "Improving access to psychological therapies (IAPT) for people with bipolar disorder: summary of outcomes from the IAPT demonstration site",
abstract = "Access to structured psychological therapy recommended for bipolar disorder (BD) is poor. The UK NHS Improving Access to Psychological Therapies initiative commissioned a demonstration site for BD to explore the outcomes of routine delivery of psychological therapy in clinical practice, which this report summarises. All clinically diagnosed patients with BD who wanted a psychological intervention and were not in acute mood episode were eligible. Patients were offered a 10-session group intervention (Mood on Track) which delivered NICE congruent care. Outcomes were evaluated using an open (uncontrolled), pre-post design. Access to psychological therapy increased compared to preceding 6 years by 54{\%}. 202 people began treatment; 81{\%} completed >5 sessions; median 9 sessions (range 6–11). Pre-post outcomes included personal recovery (primary outcome), quality of life, work and social functioning, mood and anxiety symptoms (secondary outcomes). Personal recovery significantly improved from pre to post-therapy; medium effect-size (d = 0.52). Secondary outcomes all improved (except mania symptoms) with smaller effect sizes (d = . 20–0.39). Patient satisfaction was high. Use of crisis services, and acute admissions were reduced compared to pre-treatment. It is possible to deliver group psychological therapy for bipolar disorder in a routine NHS setting. Improvements were observed in personal recovery, symptoms and wider functioning with high patient satisfaction and reduced service use.",
keywords = "Service delivery, Psychological treatment, Implementation, Bipolar disorder",
author = "Jones, {Steven Huntley} and Nadia Akers and Jayne Eaton and Elizabeth Tyler and Amanda Gatherer and Alison Brabban and Long, {Rita Marie} and Lobban, {Anne Fiona}",
note = "This is the author’s version of a work that was accepted for publication in Behaviour Research and Therapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Behaviour Research and Therapy, 111, 2018 DOI: 10.1016/j.brat.2018.09.006",
year = "2018",
month = "12",
doi = "10.1016/j.brat.2018.09.006",
language = "English",
volume = "111",
pages = "27--35",
journal = "Behaviour Research and Therapy",
issn = "0005-7967",
publisher = "Elsevier Limited",

}

RIS

TY - JOUR

T1 - Improving access to psychological therapies (IAPT) for people with bipolar disorder

T2 - summary of outcomes from the IAPT demonstration site

AU - Jones, Steven Huntley

AU - Akers, Nadia

AU - Eaton, Jayne

AU - Tyler, Elizabeth

AU - Gatherer, Amanda

AU - Brabban, Alison

AU - Long, Rita Marie

AU - Lobban, Anne Fiona

N1 - This is the author’s version of a work that was accepted for publication in Behaviour Research and Therapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Behaviour Research and Therapy, 111, 2018 DOI: 10.1016/j.brat.2018.09.006

PY - 2018/12

Y1 - 2018/12

N2 - Access to structured psychological therapy recommended for bipolar disorder (BD) is poor. The UK NHS Improving Access to Psychological Therapies initiative commissioned a demonstration site for BD to explore the outcomes of routine delivery of psychological therapy in clinical practice, which this report summarises. All clinically diagnosed patients with BD who wanted a psychological intervention and were not in acute mood episode were eligible. Patients were offered a 10-session group intervention (Mood on Track) which delivered NICE congruent care. Outcomes were evaluated using an open (uncontrolled), pre-post design. Access to psychological therapy increased compared to preceding 6 years by 54%. 202 people began treatment; 81% completed >5 sessions; median 9 sessions (range 6–11). Pre-post outcomes included personal recovery (primary outcome), quality of life, work and social functioning, mood and anxiety symptoms (secondary outcomes). Personal recovery significantly improved from pre to post-therapy; medium effect-size (d = 0.52). Secondary outcomes all improved (except mania symptoms) with smaller effect sizes (d = . 20–0.39). Patient satisfaction was high. Use of crisis services, and acute admissions were reduced compared to pre-treatment. It is possible to deliver group psychological therapy for bipolar disorder in a routine NHS setting. Improvements were observed in personal recovery, symptoms and wider functioning with high patient satisfaction and reduced service use.

AB - Access to structured psychological therapy recommended for bipolar disorder (BD) is poor. The UK NHS Improving Access to Psychological Therapies initiative commissioned a demonstration site for BD to explore the outcomes of routine delivery of psychological therapy in clinical practice, which this report summarises. All clinically diagnosed patients with BD who wanted a psychological intervention and were not in acute mood episode were eligible. Patients were offered a 10-session group intervention (Mood on Track) which delivered NICE congruent care. Outcomes were evaluated using an open (uncontrolled), pre-post design. Access to psychological therapy increased compared to preceding 6 years by 54%. 202 people began treatment; 81% completed >5 sessions; median 9 sessions (range 6–11). Pre-post outcomes included personal recovery (primary outcome), quality of life, work and social functioning, mood and anxiety symptoms (secondary outcomes). Personal recovery significantly improved from pre to post-therapy; medium effect-size (d = 0.52). Secondary outcomes all improved (except mania symptoms) with smaller effect sizes (d = . 20–0.39). Patient satisfaction was high. Use of crisis services, and acute admissions were reduced compared to pre-treatment. It is possible to deliver group psychological therapy for bipolar disorder in a routine NHS setting. Improvements were observed in personal recovery, symptoms and wider functioning with high patient satisfaction and reduced service use.

KW - Service delivery

KW - Psychological treatment

KW - Implementation

KW - Bipolar disorder

U2 - 10.1016/j.brat.2018.09.006

DO - 10.1016/j.brat.2018.09.006

M3 - Journal article

VL - 111

SP - 27

EP - 35

JO - Behaviour Research and Therapy

JF - Behaviour Research and Therapy

SN - 0005-7967

ER -