ArticleBJPsych open2022
Exploring how to improve access to psychological therapies on acute mental health wards from the perspectives of patients, families and mental health staff: qualitative study.
Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Participatory research with carers: A systematic review and narrative synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Ensuring that psychological interventions are delivered as intended on mental health inpatient wards.The British journal of clinical psychology · 2025Trial
- Increasing access to psychological therapy on acute mental health wards: staff and patient experiences of a stepped psychological intervention.BMC psychiatry · 2025Trial
- Toward a New Standard in Inpatient Psychiatry-Integration of Clinical Psychologists.JAMA psychiatry · 2025Article
- We need more research on inpatient group therapy: A call to action.Psychological medicine · 2025Article
- Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions.The Psychiatric quarterly · 2025Article
- A multidisciplinary expert consensus on optimal acute adult psychiatric inpatient care in Hong Kong.Frontiers in public health · 2025Article
- Development of an intervention to support parents receiving treatment in psychiatric inpatient hospital using participatory design methods.Frontiers in psychiatry · 2024Article
- Psychologically informed health care.Translational behavioral medicine · 2023Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPsychological therapy is core component of mental healthcare. However, many people with severe mental illnesses do not receive therapy, particularly in acute mental health settings.
aimsThis study identifies barriers to delivering and accessing psychological therapies in acute mental health settings, and is the first to recommend how services can increase access from the perspectives of different stakeholders (staff, patients and carers).
methodSixty participants with experiences of acute mental health wards (26 staff, 22 patients and 12 carers) were interviewed about barriers to accessing therapy in in-patient settings and how therapies should be delivered to maximise access.
resultsFour themes were identified: (a) 'Models of care', including the function of in-patient wards, beliefs about the causes of mental health problems and the importance of strong leadership to support psychosocial interventions; (b) 'Integrated care', including the importance of psychologists being ward-based, as well as having strong links with community teams; (c) 'Acute levels of distress', including factors that aggravate or ameliorate the impact of this on engagement in therapy; and (d) 'Enhancing staff capability and motivation', which is influenced by contextual issues.
conclusionsIt is possible to improve access to therapy through strong leadership (that is supportive of talking treatments), flexible delivery of therapy (that considers short admissions) and a whole-systems approach that promotes ward staff understanding of the psychosocial causes of mental illness and staff well-being. It is essential to ensure continuity between in-patient and community therapy services, and for wards to have physical space to carry out therapy.
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