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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Depression in children and young people
Description:   The summary of the published clinical guideline on Depression in children and young people. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Perera A, Gupta P, Samuel R, Berg B (2007) A survey of anti-depressant prescribing practice and the provision of psychological therapies in a South London CAMHS from 2003-2006. Child and Adolescent Mental Health. 12(2): 70-72

Description: A survey in one CAMHS before and after publication of the guidelines. Results show that 28% cases were receiving medication without psychological therapy.

Practice appears not to be in line with guidance Local

Health Insurance (2011) Low cost depression treatments 'not funded by NHS' Article ID 377910

Description: Health Insurance issued a Freedom of Information request to PCT's. Results found that 22 of the 111 who responded said that group exercise classes were funded. Additionally, 22 PCT's said that group cognitive behaviour therapy (CBT) was not available. All of the 111 PCT's who responded said that individual CBT was available, although waits vary across the country, with many patients waiting for more than three months for their first session.

Doubts about or mixed impact in practice National

Health Insurance (2011) HI Magazine uncovers six month waits for NHS counselling

Description: The authors collected data from 120 PCT's via Freedom of Information Requests. Results found that 41% of 85 PCT's have waits of more than three months for counselling for people with depression, compared to 29% of 90 PCT's in 2009. Interpersonal therapy was not provided by 45 PCTs and Psychodynamic Therapy was not provided in 56 PCTs.

Doubts about or mixed impact in practice National

The NHS Information Centre for Health and Social Care (2011) Quarterly analysis of Improving Access to Psychological Therapies (IAPT) Key Performance Indicators (KPIs) Q1 Apr-11-June-11

Description: The Improving Access to Psychological Therapies Key Performance Indicators collection is a mandatory collection. All 151 Primary Care Trusts (PCTs) in England are required to submit a return. During the study period 210,540 people were referred for psychological therapies; 123,975 entered treatment. It is estimated that 6.1 million people suffer from anxiety and depression disorders in England indicating that the access rate of people with anxiety or depression orders to IAPT services is 2.0%

Practice appears not to be in line with guidance National

The NHS Information Centre (2012) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q2 2011/12 final and Q3 2011/12 provisional

Description: This is the 3rd publication of the Improving Access to Psychological Therapies Key Performance Indicators (IAPT KPIs) from the reporting year 2011/12. The data includes Q2 Jul-Sep data and Q3 Oct-Dec provisional data, for which all 151 PCTs in England contributed. Results showed that in Q3 218,192 people were referred for psychological therapies (up 1.9% from Q2); the access rate of people with anxiety or depression to IAPT services was approximately 2.1%; and 131,066 people entered treatment.

Practice appears not to be in line with guidance National

Royal College of Physicians (2010) Depression detection and management of staff on long-term sickness absence: Occupational health practice in the NHS in England - A national clinical audit: round 2.

Description: This 2010 retrospective case note review of Occupational Health care for NHS staff on long term sickness absence examined the extent to which OH staff were considering depression as a contributor to the sickness absence, a barrier to return to work, and the use of therapies provided by the employer. The audit of 7636 cases from 152/186 English NHS OH services showed assessing for signs of depression rose from 58% in 2008 to 67% in 2010, while an action plan was documented in over 95% of cases.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2012) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q3 2011/12 final and Q4 2011/12 provisional

Description: This is the 4th publication of the Improving Access to Psychological Therapies Key Performance Indicators (IAPT KPIs) from the reporting year 2011/12. The data includes Q3 Oct-Dec data and Q4 Jan-Mar provisional data, for which all 151 PCTs in England contributed. Results showed that in Q4 246,545 people were referred for psychological therapies (up 12.9% from Q3); the access rate of people with anxiety or depression to IAPT services was approximately 2.5%; and 149,849 people entered treatment.

Practice appears not to be in line with guidance National

Richards, D.A. et al (2011) Implementation of psychological therapies for anxiety and depression in routine practice: Two year prospective cohort study Journal of Affective Disorders 133 (2011) 51?60

Description: This study assessed the impact of a stepped care service utilising evidence based treatments for anxiety and depression by measuring outcomes of patients referred over a two year period to one IAPT service in northern England. Data on 7859 consecutive patients was collected between July 2006 and August 2008. Results found 4183 patients (53%) received two or more treatment sessions. Patients received a mean of 5.5 sessions over 3.5 h, mainly low-intensity CBT and phone based case management.

Doubts about or mixed impact in practice Local

Health and Social Care Information Centre (2013) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q4 2012/13 final

Description: This is the most recent and final (in the current format) publication of the Improving Access to Psychological Therapies KPIs. Data collection began in 2008 from all 151 PCTs in England, and since 2011/12, reported on a quarterly basis. This report covers the period January ? March 2013, and shows that 259,016 people were referred for psychological therapies and 154,722 entered treatment. The access rate of people with anxiety or depression to IAPT services was approx. 2.5%.

Practice appears not to be in line with guidance National

Clark, M. et al (2011) Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience International Review of Psychiatry, August 2011; 23: 375?384

Description: This article provides a summary of the progress made by the Improving Access to Psychological Therapies (IAPT) programme by midway through its 3rd year in Spring 2011. Progress included that IAPT services had been established in 94% of PCTs ? though there was wide variation in therapies used and as a result, only an estimated 60% of the population had access to an IAPT service at this point. Approx. 310,000 patients were being seen per year, with the aim to see approx. 900,000 per year by 2015.

Practice appears not to be in line with guidance National

Gyani, A. et al (2012) Investigating the use of NICE guidelines and IAPT services in the treatment of depression Mental Health in Family Medicine. 2012 9 (3) PAGES 149-160

Description: This study investigated the use of NICE guidelines for depression by GPs in southeast England. Questionnaires were sent to 830 GPs and 6 GPs were interviewed. The response rate to the questionnaires was 27%, which showed 95% of GPs were aware of the guidelines and 78% had read them. Results also found that 14.5% of GPs offered medication for the treatment of mild depression and 2 GPs stated that they would offer their patients St John?s wort - which the guidelines explicitly recommend against.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2014) Psychological Therapies, England: Annual Report on the use of Improving Access to Psychological Therapies services - 2012/13

Description: The experimental figures presented in this first annual report provide a picture of activity in Improving Access to Psychological Therapies (IAPT) services in England and the people that use them in 2012/13. A total of 761,848 people were referred for psychological therapies and 434,247 entered treatment. CBT was the most prevalent treatment in all but one Commissioning Region, wherein Guided Self Help was the most common therapy type ? both are recommended for anxiety and depression.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) Routine Quarterly Improving Access to Psychological Therapies Dataset Report: Final Q1 summary statistics and related information, England, Experimental Statistics

Description: This publication presents the latest information from the Improving Access to Psychological Therapies (IAPT) dataset. This release attempts to replicate elements of the IAPT Key performance indicators (KPIs) from the IAPT dataset at a provider and commissioner level. This report covers the period April-June 2013, for which 129 providers submitted data. The data shows there were 241,250 new psychological therapy service requests and 158,620 service requests ?entered treatment? in this quarter.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2014) Routine Quarterly Improving Access to Psychological Therapies Dataset Report: Final Q2 summary statistics and related information, England, Experimental Statistics

Description: This publication presents the latest information from the Improving Access to Psychological Therapies (IAPT) dataset. This report covers the period July to September 2013, for which 138 providers submitted data, compared with 129 in Q1 2013/14. The data shows there were 259,040 new psychological therapy service requests in Q2 2013/14, compared with 241,250 in the previous quarter and 172,980 service requests ?entered treatment? in this quarter, compared with 158,620 in Q1 2013/14.

Doubts about or mixed impact in practice National

This page was last updated: 01 January 2014

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.