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General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study
AIMS AND METHOD: To understand general practitioner (GP) reticence to refer older patients to a local Improving Access to Psychological Therapies (IAPT) service providing mostly cognitive–behavioural therapy (CBT)-based interventions. Semi-structured, hour-long interviews were conducted with eight G...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048732/ https://www.ncbi.nlm.nih.gov/pubmed/29704904 http://dx.doi.org/10.1192/bjb.2018.10 |
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author | Collins, Noel Corna, Laurie |
author_facet | Collins, Noel Corna, Laurie |
author_sort | Collins, Noel |
collection | PubMed |
description | AIMS AND METHOD: To understand general practitioner (GP) reticence to refer older patients to a local Improving Access to Psychological Therapies (IAPT) service providing mostly cognitive–behavioural therapy (CBT)-based interventions. Semi-structured, hour-long interviews were conducted with eight GPs and then analysed by modified grounded theory and thematic analysis. RESULTS: GP views regarding the treatability of older adults with CBT influenced their willingness to refer to a CBT-based IAPT service. Perceptions of local IAPT assessment processes being distressing and onerous to older patients also motivated referral inaction. GPs expressed a preference to treat depressed older patients themselves (with medication and psychological approaches such as watchful waiting). CLINICAL IMPLICATIONS: Any strategy to increase referral rates of older adults to CBT-based IAPT services should address local GP concerns regarding assessment processes and the effectiveness of offered treatments. DECLARATION OF INTEREST: None. |
format | Online Article Text |
id | pubmed-6048732 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-60487322018-07-18 General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study Collins, Noel Corna, Laurie BJPsych Bull Original Papers AIMS AND METHOD: To understand general practitioner (GP) reticence to refer older patients to a local Improving Access to Psychological Therapies (IAPT) service providing mostly cognitive–behavioural therapy (CBT)-based interventions. Semi-structured, hour-long interviews were conducted with eight GPs and then analysed by modified grounded theory and thematic analysis. RESULTS: GP views regarding the treatability of older adults with CBT influenced their willingness to refer to a CBT-based IAPT service. Perceptions of local IAPT assessment processes being distressing and onerous to older patients also motivated referral inaction. GPs expressed a preference to treat depressed older patients themselves (with medication and psychological approaches such as watchful waiting). CLINICAL IMPLICATIONS: Any strategy to increase referral rates of older adults to CBT-based IAPT services should address local GP concerns regarding assessment processes and the effectiveness of offered treatments. DECLARATION OF INTEREST: None. Cambridge University Press 2018-06 /pmc/articles/PMC6048732/ /pubmed/29704904 http://dx.doi.org/10.1192/bjb.2018.10 Text en © The Authors 2018 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Papers Collins, Noel Corna, Laurie General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study |
title | General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study |
title_full | General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study |
title_fullStr | General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study |
title_full_unstemmed | General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study |
title_short | General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study |
title_sort | general practitioner referral of older patients to improving access to psychological therapies (iapt): an exploratory qualitative study |
topic | Original Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048732/ https://www.ncbi.nlm.nih.gov/pubmed/29704904 http://dx.doi.org/10.1192/bjb.2018.10 |
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