Mike Scott’s study provides data demonstrating that the national Improving Access to Psychological Therapies project is not leading to improved outcomes or value for money. I present further data from both the adult and children and young people’s versions of Improving Access to Psychological Therapies that lends supports to this conclusion. However, while Scott argues in favour of better compliance with National Institute of Health and Care Excellence guidelines and greater model expertise, I argue that it is this ‘technical’ focus that is part of the problem not the solution.
BrackenPThomasPTimimiSet al. (2012) Psychiatry beyond the current paradigm. The British Journal of Psychiatry201: 430–434.
2.
BransonAShafranRMylesP (2015) Investigating the relationship between competence and patient outcome with CBT. Behaviour Research and Therapy68: 19–26.
3.
BuddRHughesI (2009) The dodo bird verdict–Controversial, inevitable and important: A commentary on 30 years of meta-analyses. Clinical Psychology & Psychotherapy16: 510–522.
4.
Centre for Social Justice (2012) Completing the Revolution: Commissioning Effective Talking Therapies. London: Centre for Social justice.
5.
ClarkDM (2011) Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience. International Review of Psychiatry23318–327.
6.
CooperM (2008) Essential Research Findings in Counselling and Psychotherapy: The Facts Are Friendly. London: SAGE.
7.
DelgadilloJAsariaMAliSet al. (2015) On poverty, politics and psychology: The socioeconomic gradient of mental healthcare utilisation and outcomes. The British Journal of Psychiatry209: 429–430.
8.
DuncanBL (2014) On Becoming a Better Therapist: Evidence-Based Practice One Client at a Time (2nd edn). Washington, DC: American Psychological Association.
9.
DuncanBLMillerSWampoldBet al. (2009) The Heart and Soul of Change: Delivering What Works in Therapy (2nd edn). New York: American Psychological Association.
10.
Edbrooke-ChildsJCalderonAWolpertM, et al. (2015) Children and Young People’s Improving Access to Psychological Therapies: Rapid Internal Audit, National Report. London: Evidence-Based Practice Unit, The Anna Freud Centre. Available at: https://www.ucl.ac.uk/evidence-based-practice-unit/
11.
FonagyPClarkD (2015) Update on the improving access to psychological therapies programme in England (Commentary on: Children and young people’s improving access to psychological therapies). Psychiatric Bulletin39: 248–251.
12.
GyaniAShafranRLayardRet al. (2013) Enhancing recovery rates: Lessons from year one of IAPT. Behaviour Research and Therapy51: 597–606.
13.
HawkesN (2011) Talking therapies: Can the centre hold?British Medical Journal. Epub ahead of print 9 March. DOI: 10.1136/bmj.d1459.
14.
JacobsonNSDobsonKSTruaxPAet al. (1996) A component analysis of cognitive-behavioural treatment for depression. Journal of Consulting and Clinical Psychology64: 295–304.
15.
MillerSWampoldBVarhelyK (2008) Direct comparisons of treatment modalities for youth disorders: A meta-analysis. Psychotherapy Research: 18: 5–14.
16.
MoncrieffJTimimiS (2012) The social and cultural construction of psychiatric knowledge: An analysis of NICE guidelines on depression and ADHD. Anthropology & Medicine20: 59–71.
17.
ScottM (2018) Improving access to psychological therapies (IAPT): The need for radical reform. Journal of Health Psychology. Epub ahead of print 1 February. DOI: 10.1177/1359105318755.
18.
SpenceRRobertsAAritiCet al. (2014) Focus on: Antidepressant Prescribing: Trends in the Prescribing of Antidepressants in Primary Care. London: The Health Foundation and the Nuffield Trust.
19.
SpielmansGIPasekLMcFallJ (2007) What are the active ingredients in cognitive and behavioral psychotherapy for anxious and depressed children? A meta-analytic review. Clinical Psychology Review27: 642–654.
20.
TimimiS (2014a) Children and young people’s improving access to psychological therapies: Inspiring innovation or more of the same?Psychiatric Bulletin39: 57–60.
21.
TimimiS (2014b) Children’s behaviour problems: A NICE mess. International Journal of Clinical Practice68: 1053–1055.
22.
TimimiS (2014c) No more psychiatric labels: Why formal psychiatric diagnostic systems should be abolished. International Journal of Clinical and Health Psychology: 14: 208–215.
23.
TimimiS (2015) Update on the improving access to psychological therapies programme in England: author’s reply. Psychiatric Bulletin39: 252–253.
24.
TimimiS (2017) Critical cultural theory. In: CohenB (ed.) Routledge International Handbook of Critical Mental Health. London: Routledge, pp. 56–63.
25.
TimimiSTetleyDBurgoineWet al. (2013) Outcome orientated child and adolescent mental health services (OO-CAMHS): A whole service model. Clinical Child Psychology and Psychiatry18: 169–184.
26.
ViolaSMoncrieffJ (2016) Claims for sickness and disability benefits owing to mental disorders in the UK: Trends from 1995 to 2014. The British Journal of Psychiatry Open2: 18–24.
27.
WampoldBE (2001) The Great Psychotherapy Debate: Models, Methods, and Findings. Hillsdale, NJ: Lawrence Erlbaum.
28.
WampoldBEImelZ (2015) The Great Psychotherapy Debate (2nd edn). London: Routledge.
