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The impact of additional initial face-to-face sessions on engagement within an Improving Access to Psychological Therapies service

Published online by Cambridge University Press:  22 January 2014

Helen Mander
Helen Mander*
Affiliation:
Southern Health NHSFT, Academic Centre, Southampton, Hampshire, UK
*
*Address for correspondence: Dr H. Mander, Southern Health NHSFT, Academic Centre, College Keep, 4-12 Terminus Terrace, Southampton, Hampshire SO14 3DT, UK ([email protected])
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Abstract

Despite substantial investment, Improving Access to Psychological Therapies (IAPT) services in some areas continue to find that demand exceeds provision, leading to waiting lists for therapy. Routine engagement in services is low, with almost half of clients disengaging with the service before or after the initial contact. An audit was carried out to evaluate the impact of introducing a face-to-face initial session within the high-intensity step of an IAPT service. The service structure and pathway of one regional IAPT service is described. A longitudinal observational design was used. All clients discharged from the service within two calendar months – before and after the introduction of an initial face-to-face session were identified. Electronic records were reviewed for each client. Introduction of an initial face-to-face session was associated with an increase in clients attending at least one therapy session and clients completing a course of therapy. Inclusion of an initial face-to-face engagement session may take up additional time, but is likely to be worthwhile in regards to associated benefits in terms of client engagement.

Keywords

Engagementface-to-faceIAPTtelephone
Type
Service models and forms of delivery
Information
the Cognitive Behaviour Therapist , Volume 7 , December 2014 , e1
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Recommended follow-up reading

Farrand, P, Williams, C (2010). Low intensity assessment: in person or by phone. In: Oxford Guide to Low Intensity CBT Interventions (ed. Bennett-Levy, J., Richards, D. A., Farrand, P., Christensen, H., Griffiths, K. M., Kavanagh, D. J., et al.), pp. 89–96. Oxford: Oxford University Press.CrossRefGoogle Scholar
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Murphy, E, Mansell, W, Craven, S, Menary, J, McEvoy, P (2013). Pilot study of an investigation of psychological factors associated with first appointment nonattendance in a low intensity service. Behavioural and Cognitive Psychotherapy 41, 458–469.CrossRefGoogle Scholar

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