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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...

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Detalles Bibliográficos
Autores principales: Collins, Noel, Corna, Laurie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2018
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.
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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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