Increasing access to psychological treatments for adults by improving uptake and equity: rationale and lessons from the UK

Access to psychological treatments has been defined by Gulliford as comprising supply, effectiveness, equity and uptake. In the UK, a recent national programme "Improving Access to Psychological Treatments" has significantly increased supply and assessed effectiveness, but paid less attent...

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Bibliographic Details
Published in:International journal of mental health systems 2018-11, Vol.12 (1), p.67-67, Article 67
Main Author: Brown, June S L
Format: Article
Language:English
Subjects:
Access
Adults
Behavior modification
Care and treatment
Clinical outcomes
Community
Equity
Ethics
Group-sensitive engagement
Health care access
Intervention
Medical referrals
Mental disorders
Mental health
Minority & ethnic groups
Primary care
Psychiatry
Psychological aspects
Self help
Self-referral
Trauma (Psychology)
Unmet need
Uptake
Workshops
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Summary:Access to psychological treatments has been defined by Gulliford as comprising supply, effectiveness, equity and uptake. In the UK, a recent national programme "Improving Access to Psychological Treatments" has significantly increased supply and assessed effectiveness, but paid less attention to uptake and equity. The model developed by Gask et al. delineating processes relevant to improving access for 'hard-to-engage' groups in the UK, including black and minority groups seems relevant. This paper presents studies of a large-scale 'community workshop' intervention model developed by Brown to improve access for adults in the UK, designed to improve uptake and equity. We describe two 'community workshop' interventions for common mental health problems to which people have been able to self-refer and where uptake and equity have been high. Key components of this model are a 'group-sensitive engagement' ethos which includes self-referral, non-diagnostic titles of the intervention, a non-mental health setting, face-to-face presentation as well as a brief intervention and an acceptable format. The model of community workshops with its 'group-sensitive engagement' ethos to which adults can self-refer may be very relevant in providing access for people with mental health needs in national and international settings. Classic ISRCTN26634837.
ISSN:1752-4458
1752-4458
DOI:10.1186/s13033-018-0246-7