Last year the service, which helps those suffering from anxiety, depression and similar illnesses, treated 1.2m people, a number that is planned to rise to 1.9m by 2023-24
That branch is now firmly established. Improving Access to Psychological Therapies has grown fast. Last year the service, which helps those suffering from anxiety, depression and similar illnesses, treated 1.2m people, a number which is planned to rise to 1.9m by 2023-24. It has inspired imitators in Australia and Norway. And it has got better at its job, with recovery rates rising from below 40% in 2010 to 54% in early 2019.
Since then, however, they have refused to budge, remaining around the 50% target. The trend predates the covid-19 pandemic, when the number of referrals fell by more than half . It may be that the figures are the best that can be expected of a service sucking up “anybody and everybody who has symptoms of anxiety and depression”, says Helen Gilburt of the King’s Fund, a think-tank. Indeed, they are similar to those in well-funded clinical trials.
Professor Clark hopes similar prods will raise recovery rates still further. Old people are both unlikely to come forward for treatment and particularly likely to benefit from therapy, so providers are encouraged to hire “older champions” and to leaflet libraries, post offices and pharmacies. The average number of sessions is a little below the ideal number of nine or ten, suggesting more should be offered.
Recent years have seen a rise in the amount of therapy done through digital services. These include ones from SilverCloud and Ieso . Ieso applies a deep-learning model to the transcripts generated by sessions, to find out what is associated with success , which is fed back to therapists. These services offer convenience and in some cases work as well as in-person offerings, but have yet to prove they can consistently outperform them.
They also provide extra competition for staff who are already in demand. In Somerset it is a struggle to recruit advanced therapists, says Mr McDonagh, making it hard to cut waiting lists. Parts of the country do not offer the full range of treatments for depression recommended by, including counselling and short-term psychoanalytic therapy. Things have improved since Lord Layard’s report—but people are still missing out on treatment that would improve their lives.
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