Recovery, completion, and further referral after Improving Access to Psychological Therapies (IAPT) in Norfolk and Waveney

Burke, Amanda, Bachmann, Max, Jones, Charlotte E. L., Brainard, Julii, Shabuz, Zillur Rahman, Dalton, Alice M., Cullum, Rachel and Steel, Nick (2025) Recovery, completion, and further referral after Improving Access to Psychological Therapies (IAPT) in Norfolk and Waveney. BJPsych Open, 11 (4). ISSN 2056-4724

Preview

PDF (Burke_etal_2025_BJPsychOpen) - Published Version Available under License Creative Commons Attribution. Download (390kB) | Preview

Abstract

Background: Improving Access to Psychological Therapies (IAPT), an NHS England service providing talking therapies is meeting its target recovery rate of 50%. However, engagement in treatment, as well as recovery rates, may be lower for some groups.   Aims: To assess variation in treatment completion and recovery rates by demographic and socioeconomic group, and to describe rates of further referrals for patients to IAPT and secondary mental health services.   Method: Using 121,548 administrative records for 2019/20-2022/23 for the Norfolk and Waveney area, we estimated associations between age, gender, ethnicity and deprivation, and likelihood of treatment completion and recovery using logistic regression modelling. We also described rates of further referrals.   Results: Younger people and those living in deprived areas were less likely to recover or complete treatment, with ages 16-17 (n=735) having the lowest adjusted odds for recovery (aOR 0.5, 95% confidence interval (CI) 0.5-0.6 compared to ages 36-70) and 18-24 (n=23,563) the lowest of completion (aOR 0.5, 95% CI 0.5-0.6). Further referrals before April 2022 were recorded for 45.4% of 6,513 patients with completed treatment and 68.8% of 9,469 with not completed treatment; and 39.4% of 2,007 recovered patients in 2019/20 and 53.1% of 1,586 not recovered. Non-completers had relatively more further referrals to secondary mental health services compared to completers (43.6% versus 22.8%; p<0.01).   Conclusions: Younger people and those living in deprived areas have both lower recovery and completion rates. Those not completing treatment and not recovered have higher rates of further referrals.

Item Type:	Article
Additional Information:	Data Availability: Data are confidential pseudonymised medical records that are held by the Department of Public Health, NCC, and not by the authors, who are not authorised to legally distribute or share these data. Enquiries to access the data should be made to Public Health, Norfolk County Council, County Hall, Martineau Lane, Norwich, Norfolk, NR1 2DH (https://www.norfolk.gov.uk/). Funding Information: This research was funded by a grant from Public Health at NCC. The views expressed are those of the authors and not necessarily those of NCC, the NHS or the Department of Health and Social Care. The funders did not have any role in the analysis or interpretation of data or in writing of the manuscript
Uncontrolled Keywords:	sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Depositing User:	LivePure Connector
Date Deposited:	29 May 2025 12:30
Last Modified:	13 Jul 2025 06:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/99336
DOI:	10.1192/bjo.2025.10045

Downloads

Actions (login required)

View Item