ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Variation in referral and access to new psychological therapy services by age: an empirical quantitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Cognitive behavioural therapy and third-wave approaches for anxiety and related disorders in older people.The Cochrane database of systematic reviews · 2024Pooled it
- Interventions to identify and manage depression delivered by 'nontraditional' providers to community-dwelling older adults: A realist review.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- The effects of a salsa dance intervention in young people with mild to moderately severe depressive symptoms.Psychological medicine · 2026Trial
- Referral and Utilization of Mental Health Services by Older Adults With Cancer and Factors Influencing Referral From Health Professionals.Psycho-oncology · 2026Article
- Making sense of mental health in later life: social network dynamics and service access.International journal of qualitative studies on health and well-being · 2025Article
- Quantifying age-related disparities in outpatient psychotherapy utilization: a representation quotient analysis of routine data from 29 university clinics in Germany.BMC health services research · 2025Article
- Article
- Compliance with CBT referral in nursing home residents diagnosed with depression: Results from a feasibility study.Heliyon · 2024Article
- Predictors and (in-)stability of ICD-11 complex posttraumatic stress disorder in older adults: findings from a longitudinal study in Switzerland.European journal of psychotraumatology · 2024Article
- Article
- Trends in mental health service utilisation by Australia's older population.Australasian journal on ageing · 2023Article
- Effectiveness of intervention package on knowledge and attitude regarding functional needs and quality of life of elderly patients with psychiatric illness, among nursing interns.Journal of education and health promotion · 2023Article
- Ageing and Mental Health in Canada: Perspectives from Law, Policy, and Longitudinal Research.Journal of population ageing · 2022Article
- From Pathology to Intervention and Beyond. Reviewing Current Evidence for Treating Trauma-Related Disorders in Later Life.Frontiers in psychiatry · 2022Review
- Perceived need for treatment and non-utilization of outpatient psychotherapy in old age: two cohorts of a nationwide survey.BMC health services research · 2021Article
- Access to Psychological Support for Young People Following Stoma Surgery: Exploring Patients' and Clinicians' Perspectives.Qualitative health research · 2021Article
- Cost-Effectiveness of Sertraline in Primary Care According to Initial Severity and Duration of Depressive Symptoms: Findings from the PANDA RCT.PharmacoEconomics - open · 2020Article
- Referral patterns to primary mental health services in Western Sydney (Australia): an analysis of routinely collected data (2005-2018).International journal of mental health systems · 2020Article
- Article
- Overcoming the Dual Stigma of Mental Illness and Aging: Preparing New Nurses to Care for the Mental Health Needs of Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOlder people with common mental health problems (CMHPs) are known to have reduced rates of referral to psychological therapy.
aimTo assess referral rates to the Improving Access to Psychological Therapies (IAPT) services, contact with a therapist, and clinical outcome by age. DESIGN AND
settingEmpirical research study using patient episodes of care from South West of England IAPT services.
methodBy analysing 82 513 episodes of care (2010-2011), referral rates and clinical improvement were compared with both total population and estimated prevalence in each age group using IAPT data. Probable recovery of those completing treatment was calculated for each group.
resultsEstimated prevalence of CMHPs peaks in 45-49-year-olds (20.59% of population). The proportions of patients identified with CMHPs being referred peaks at 20-24 years (22.95%) and reduces with increase in age thereafter to 6.00% for 70-74-year-olds. Once referred, the proportion of those attending first treatment increases with age between 20 years (57.34%) and 64 years (76.97%). In addition, the percentage of those having a clinical improvement gradually increases from the age of 18 years (12.94%) to 69 years (20.74%).
conclusionYounger adults are more readily referred to IAPT services. However, as a proportion of those referred, probabilities of attending once, attending more than once, and clinical improvement increase with age. It is uncertain whether optimum levels of referral have been reached for young adults. It is important to establish whether changes to service configuration, treatment options, and GP behaviour can increase referrals for middle-aged and older adults.
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