Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program
Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program
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DOI：
10.1146/annurev-clinpsy-050817-084833
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Clark, David M.
中科院分区：
文献类型：
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作者：
Clark, David M.
经验支持的心理疗法已被开发用于许多心理健康状况。然而，在大多数国家，只有一小部分公众从这些进步中受益。英语改善获得心理治疗（IAPT）计划旨在弥合研究与实践之间的差距，通过培训超过10，500名新的心理治疗师进行经验支持的治疗，并将他们部署在治疗抑郁症和焦虑症的新服务中。目前，IAPT每年治疗超过560，000名患者，获得这些患者中98.5%的临床结果数据，并将这些信息置于公共领域。在IAPT服务中接受治疗的患者中，约有50%康复，三分之二显示出有价值的益处。IAPT的临床和经济的论点是基于，沿着的服务模式的细节，该计划是如何实施的，以及最近的调查结果有关的服务组织。限制和未来的方向进行了概述。
Empirically supported psychological therapies have been developed for many mental health conditions. However, in most countries only a small proportion of the public benefit from these advances. The English Improving Access to Psychological Therapies (IAPT) program aims to bridge the gap between research and practice by training over 10,500 new psychological therapists in empirically supported treatments and deploying them in new services for the treatment of depression and anxiety disorders. Currently IAPT treats over 560,000 patients per year, obtains clinical outcome data on 98.5% of these individuals, and places this information in the public domain. Around 50% of patients treated in IAPT services recover, and two-thirds show worthwhile benefits. The clinical and economic arguments on which IAPT is based are presented, along with details of the service model, how the program was implemented, and recent findings about service organization. Limitations and future directions are outlined.