Improving Access To Psychological Therapies
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Improving Access To Psychological Therapies
Improving Access to Psychological Therapies (IAPT), also known as talking therapies is a National Health Service (England) initiative to provide more psychotherapy to the general population. It was developed and introduced by the Labour Party as a result of economic evaluations by Professor Lord Richard Layard, based on new therapy guidelines from the National Institute for Health and Care Excellence as promoted by clinical psychologist David M. Clark. Aims The aim of the project is to increase the provision of evidence-based treatments for common mental health conditions such as anxiety and depression by primary care organisations. This includes workforce planning to adequately train the mental health professionals required. This would be based on a 'stepped care' or triage model where 'low intensity' interventions or self-help would be provided to most people in the first instance and 'high intensity' interventions for more serious or complex conditions. Outcomes would be asse ...
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Clinical Commissioning Group
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integrated care systems as a result of the Health and Care Act 2022. Establishment The announcement that GPs would take over this commissioning role was made in the 2010 white paper "Equity and Excellence: Liberating the NHS". This was part of the government's stated desire to create a clinically-driven commissioning system that was more sensitive to the needs of patients. The 2010 white paper became law under the Health and Social Care Act 2012 in March 2012. At the end of March 2013 there were 211 CCGs, but a series of mergers had reduced the number to 135 by April 2020. To a certain extent they replaced primary care trusts (PCTs), though some of the staff and responsibilities moved to local authority public health teams when PCTs ceased to ...
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Richard Layard
Peter Richard Grenville Layard, Baron Layard FBA (born 15 March 1934) is a British labour economist, currently working as programme director of the Centre for Economic Performance at the London School of Economics. Layard was Senior Research Officer for the Robbins Committee on Higher Education. His work on mental health, including publishing The Depression Report in 2006, led to the establishment of the Improving Access to Psychological Therapies (IAPT) programme in England. He is co-editor of the World Happiness Report, with John F. Helliwell and Jeffrey Sachs. Family and education Peter Richard Grenville Layard is the son of John Layard and his wife Doris. He was educated at Eton College, where he was a King's scholar; at King's College, Cambridge; and at the London School of Economics. Work Layard assisted Claus Moser on the Robbins enquiry, and later developed a reputation in the economics of education (with Mark Blaug at LSE), and labour economics (in particular with ...
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Payment By Results
Payment by Results (PbR) is a type of public policy instrument whereby payments are contingent on the independent verification of results. It is being actively promoted by a number of governments for more effective implementation of domestic policy. There is also increasing interest in the field of international development, where PBR is often referred to either as 'results-based aid' (where the funding relationship is between a donor and a recipient country) or 'results-based financing' (where the funding relationship is between a developing country government or a development agency, and public or private sector providers). There are also a number of other terms in use which can often lead to confusion and a lack of clarity. ESMAP (2013"Results-Based Financing in the Energy Sector: An Analytical Guide" p.45. The World Bank, Washington, DC PbR instruments have three key features: * Payments for pre-agreed results * Recipient discretion over how the results are achieved * Independ ...
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Parent Management Training
Parent management training (PMT), also known as behavioral parent training (BPT) or simply parent training, is a family of treatment programs that aims to change parenting behaviors, teaching parents positive reinforcement methods for improving pre-school and school-age children's behavior problems (such as aggression, hyperactivity, temper tantrums, and difficulty following directions). PMT is one of the most investigated treatments available for disruptive behavior, particularly oppositional defiant disorder (ODD) and conduct disorder (CD); it is effective in reducing child disruptive behavior and improving parental mental health. PMT has also been studied as a treatment for disruptive behaviors in children with other conditions. Limitations of the existing research on PMT include a lack of knowledge on mechanisms of change and the absence of studies of long-term outcomes. PMT may be more difficult to implement when parents are unable to participate fully due to psychopathology ...
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Family Therapy
Family therapy (also referred to as family counseling, family systems therapy, marriage and family therapy, couple and family therapy) is a branch of psychology and clinical social work that works with families and couples in intimate relationships to nurture change and development. It tends to view change in terms of the systems of interaction between family members. The different schools of family therapy have in common a belief that, regardless of the origin of the problem, and regardless of whether the clients consider it an "individual" or "family" issue, involving families in solutions often benefits clients. This involvement of families is commonly accomplished by their direct participation in the therapy session. The skills of the family therapist thus include the ability to influence conversations in a way that catalyses the strengths, wisdom, and support of the wider system. In the field's early years, many clinicians defined the family in a narrow, traditional manner ...
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Systemic Therapy (psychotherapy)
In psychotherapy, systemic therapy seeks to address people not only on the individual level, as had been the focus of earlier forms of therapy, but also as people in relationships, dealing with the interactions of groups and their interactional patterns and dynamics. History Systemic therapy has its roots in family therapy, or more precisely family systems therapy as it later came to be known. In particular, systemic therapy traces its roots to the Milan school of Mara Selvini Palazzoli, but also derives from the work of Salvador Minuchin, Murray Bowen, Ivan Boszormenyi-Nagy, as well as Virginia Satir and Jay Haley from MRI in Palo Alto. These early schools of family therapy represented therapeutic adaptations of the larger interdisciplinary field of systems theory which originated in the fields of biology and physiology. Early forms of systemic therapy were based on cybernetics. In the 1970s this understanding of systems theory was central to the structural (Minuchin) and ...
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Psychodynamic Therapy
Psychodynamics, also known as psychodynamic psychology, in its broadest sense, is an approach to psychology that emphasizes systematic study of the psychological forces underlying human behavior, feelings, and emotions and how they might relate to early experience. It is especially interested in the dynamic relations between conscious motivation and unconscious motivation. The term psychodynamics is also used to refer specifically to the psychoanalytical approach developed by Sigmund Freud (1856–1939) and his followers. Freud was inspired by the theory of thermodynamics and used the term psychodynamics to describe the processes of the mind as flows of psychological energy (libido or psi) in an organically complex brain. There are four major schools of thought regarding psychological treatment: psychodynamic, cognitive-behavioral, biological, and humanistic treatment. In the treatment of psychological distress, psychodynamic psychotherapy tends to be a less intensive (once- or ...
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Interpersonal Psychotherapy
Interpersonal psychotherapy (IPT) is a brief, attachment-focused psychotherapy that centers on resolving interpersonal problems and symptomatic recovery. It is an empirically supported treatment (EST) that follows a highly structured and time-limited approach and is intended to be completed within 12–16 weeks. IPT is based on the principle that relationships and life events impact mood and that the reverse is also true. It was developed by Gerald Klerman and Myrna Weissman for major depression in the 1970s and has since been adapted for other mental disorders. IPT is an empirically validated intervention for depressive disorders, and is more effective when used in combination with psychiatric medications. Along with cognitive behavioral therapy (CBT), IPT is recommended in treatment guidelines as a psychosocial treatment of choice for depression. History Originally named "high contact" therapy, IPT was first developed in 1969 at Yale University as part of a study designed by Geral ...
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Couples Therapy
Couples therapy (also couples' counseling, marriage counseling, or marriage therapy) attempts to improve romantic relationships and resolve interpersonal conflicts. History Marriage counseling originated in Germany in the 1920s as part of the eugenics movement.Wendy Kline, ''Building a Better Race: Gender, Sexuality, and Eugenics from the Turn of the century.''Abraham Stone, ''Marriage Education and Marriage Counseling in the United States.'' The first institutes for marriage counseling in the United States began in the 1930s, partly in response to Germany's medically directed, racial purification marriage counseling centers. It was promoted by prominent American eugenicists such as Paul Popenoe, who directed the American Institute of Family Relations until 1976,Jill Lepore, ''The rise of marriage therapy, and other dreams of human betterment.'', The New Yorker, 29 March 29, 2010. Robert Latou Dickinson, and by birth control advocates such as Abraham and Hannah Stone who wrote ''A ...
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Counselling
Counseling is the professional guidance of the individual by utilizing psychological methods especially in collecting case history data, using various techniques of the personal interview, and testing interests and aptitudes. This is a list of counseling topics. Therapeutic modalities * Academic advising * Art therapy/dance therapy/ drama therapy/music therapy * Brief psychotherapy * Career counseling * Christian counseling * Co-counseling * Connectionism * Consultant (medicine) * Counseling psychology * Couples therapy * Credit counseling * Crisis hotline * Disciplinary counseling * Ecological counseling * Emotionally focused therapy * Existential counseling * Exit counseling * Family therapy * Genetic counseling * Grief counseling * Intervention * Licensed professional counselor * Mental health care navigator * Mental health counselor * Narrative therapy * Navy counselor * Nouthetic counseling * Online counseling * Pastoral counseling * Person-centered therapy * Postvent ...
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Sami Timimi
Sami Timimi is a British psychiatrist. He is a consultant in child and adolescent psychiatry, Director of medical education at Lincolnshire Partnership NHS Foundation Trust, and a visiting professor of child psychiatry at the University of Lincoln. Background Timimi grew up primarily in Iraq until the age of 14, then due to political difficulties moved to England; his mother is English and his father Iraqi. He has written of his experience of psychiatric training and early practice. Career Timimi is patron to the charity Carefree Kids and has authored several books including 'A Straight-Talking Introduction to Children's Mental Health Problems'. He gained an NHS England Regional Innovation Fund award for leading on an Outcome Orientated Child and Adolescent Mental Health Services (OO-CAMHS) project. He is a member of the Council for Evidence Based Psychiatry which focuses on adverse effects of medications in the long-term. Timimi is skeptical of the benefits of psychiatric diagno ...
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