Accelerating Cognitive Therapy Implementation On a National Scale (ACTIONS)

抑郁和焦虑给我们的公民的生活带来了难以言表的痛苦，严重降低了预期寿命和机会，在任何给定的一周内，每6个人中就有1个人受到影响，一生中有25%的人受到影响。2020年记录了1000多万例常见精神健康问题。伦敦经济学院（London School of Economics）表示，心理健康每年给英国经济造成1180亿英镑的损失，而德勤（Deloitte）估计，由此导致的工作场所缺勤和出勤给雇主造成的损失为450亿英镑。该项目专注于轻度和中度抑郁症和/或焦虑症患者，评估了一种新的交付模式，该模式鼓励心理健康的自我管理，使用先进的计算技术来整合安全的、数据驱动的数字和人为干预。它消除了等待治疗的需要，满足了IAPT计划的最低效果，并为进一步投资提供了证据，使我们的解决方案在英国范围内得到提升。对于个人而言，该建议将：*消除等待时间*提供处方抗抑郁药的替代方案*个人可接受*从业人员和治疗师可接受*拓宽患者选择*增加精神卫生保健的自我管理它还将*满足现有IAPT服务的公布结果*以低于或等于现有IAPT服务的价格点提供*提供可扩展和负担得起的长期解决方案。区域或地方基础*确定需要什么投资来实现这个项目的结果将改变未来提供抑郁症和焦虑症服务的方式，通过将知识，工具和机会置于个人手中，使他们能够在他们目前等待现有服务的时间内实现康复。这将为个人和国家带来重大的社会和经济效益。

Depression and anxiety cause untold misery on our citizens' lives and severely reduce both life expectancy and opportunity, affecting 1 in 6 people in any given week and 25% in their lifetime. Over 10 million episodes of common mental health problems were recorded in 2020\. The London School of Economics state that mental health costs the UK economy £118bn annually while Deloitte estimate a £45bn cost to employers of the resulting workplace absenteeism and presenteeism.Focusing on people with Mild and Moderate Depression and/or Anxiety this project assesses a novel delivery model that encourages the self-management of mental wellbeing, using advanced computing to integrate secure, data-driven digital and human interventions. It removes the need to wait for treatment, meets minimum outcomes of the IAPT initiative and provides evidence to enable further investment to upscale our solution UK-wide.For individuals this proposal will:* Eliminate waiting times* Provide an alternative to being prescribing antidepressants* Be acceptable to the individual* Be acceptable to Practitioners and Therapists* Broaden patient choice* Increase self-management of mental health careIt will also* Meet the published outcomes of existing IAPT services* Be delivered at or below the price point of existing IAPT services* Provide a long-term solution that is scalable and affordable on a National, Regional or Local basis* Identify what investment would be required to deliver thisThe outcomes of this project will transform how services for depression and anxiety will be provided in the future by placing the knowledge, tools and opportunity into the hands of the individual so that they can achieve recovery in the time they currently wait to be seen by existing services This will bring about significant social and economic benefit to both the individual and the nation.