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. 2021 Jul;28(4):969-977.
doi: 10.1002/cpp.2551. Epub 2021 Jan 11.

Waiting list eradication in secondary care psychology: Addressing a National Health Service blind spot

Zaffer Iqbal  1   2 , Nicola D Airey  2 , Sophie R Brown  1   2 , Nat M J Wright  3 , Deborah Miklova  2 , Victoria Nielsen  2 , Kathryn Webb  4   5 , Aamer Sajjad  2
Affiliations

Waiting list eradication in secondary care psychology: Addressing a National Health Service blind spot

Zaffer Iqbal et al. Clin Psychol Psychother. 2021 Jul.

Abstract

Objectives: Waiting times for secondary care psychological therapy remain a 'blind spot' in serious mental illness (SMI) provision, and their reduction is a priority within the National Health Service (NHS) Five Year Forward View. The paper describes the eradication of waiting times within a community-based NHS service and the effectiveness of strategies whilst examining help-seeking behaviour, compliance and therapeutic need.

Methods: Analyses are reported for treatment compliance and therapeutic outcomes for 208 waiting-list cohort individuals seen by the SMI psychology service over an 18-month period between October 2014 and March 2016.

Results: No significant clinical or demographic differentiation between individuals who successfully completed therapy compared to those who disengaged was observed. Despite an average 2.20-year waiting time, this alone did not significantly impact engagement with psychological treatment and all psychological therapies provided led to a significant clinical improvement and no individuals who completed therapy required re-referral at 12-month follow-up.

Conclusions: If imposed appropriately over a suitable time frame evidence-based practice coupled with effective operationalization can result in efficient needs-led psychological provision within SMI and secondary care. Potentially debilitating waiting times for service users and other referring professionals can be avoided, whilst psychology provision retains a flexible, formulation-based and person-centred approach.

Keywords: psychological therapy; secondary care; serious mental illness; waiting lists; waiting times.

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References

REFERENCES

    1. Barkham, M., Gilbert, N., Connell, J., Marshall, C., & Twigg, E. (2005). Suitability and utility of the CORE-OM and CORE-A for assessing severity of presenting problems in psychological therapy services based in primary and secondary care settings. The British Journal of Psychiatry, 186(3), 239-246. https://doi.org/10.1192/bjp.186.3.239
    1. Bird, A. (2006). We need to talk: The case for psychological therapy on the NHS. Mental Health Foundation.
    1. British Medical Association. (2018). New BMA research unveils blindspot in mental healthcare. Retrieved 4 July 2018, from https://www.bma.org.uk/news/media-centre/press-releases/2018/february/ne...
    1. British Psychological Society. (2014). DCP policy on supervision. British Psychological Society.
    1. Care Quality Commission. (2017). The state of care in mental health services 2014 to 2017. Care Quality Commission. Retrieved from www.cqc.org.uk/sites/default/files/20170720_stateofmh_report.pdf

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