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ToolsBurke, 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 in Norfolk and Waveney. BJPsych Open, 11 (4). ISSN 2056-4724
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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 2019–2020 and 2022–2023 for the Norfolk and Waveney area, we estimated associations of age, gender, ethnicity and deprivation with the 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 those aged 16–17 years (n = 735) having the lowest adjusted odds for recovery (adjusted odds ratio = 0.5, 95% CI: 0.5–0.6) compared with those aged 36–70 years, and those aged 18–24 years (n = 23 563) having the lowest rate of completion (adjusted odds ratio = 0.5, 95% CI: 0.5–0.6). Further referrals before April 2022 were recorded for 45.4% of 6513 patients who had completed treatment and 68.8% of 9469 who had not completed treatment, and for 39.4% of 2007 recovered patients in 2019–2020 and 53.1% of 1586 who had not recovered. Non-completers had relatively more further referrals to secondary mental health services compared with completers (43.6% v. 22.8%; P < 0.01). Conclusions Younger people and those living in deprived areas have lower recovery and completion rates. Those who have completed treatment and not recovered have higher rates of further referrals.
| Item Type: | Article |
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| 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: | remission,gender minority,outcomes,talking therapies,young people,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2738 |
| 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 (former - to 2025) Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Public Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 29 May 2025 12:30 |
| Last Modified: | 21 Aug 2025 00:34 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/99336 |
| DOI: | 10.1192/bjo.2025.10045 |
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