News Analysis
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THEN AND NOW – WAITING TIMES CBT
More than 6 months 12%
3-6 months 16%
2009 (85 PCTs PROVIDING THIS)
Under 2 weeks 6%
2-6 weeks 31%
8 weeks to 3 months 15%
6-8 weeks 19%
COUNSELLING 2009 (90 PCTs PROVIDING THIS)
More than a year 1%
More than 6 months 12%
Under 2 weeks 6%
2-6 weeks 23%
3-6 months 19%
6-8 weeks 20%
8 weeks to 3 months 19% Source: Health Insurance, survey of 152 PCTs, 120 responses in 2011, 90 responses in 2009 WHAT IS THE GOVERNMENT DOING TO IMPROVE ACCESS?
In February the Government announced that it would invest £400m over the next four years to complete the roll-out of the Improving Access to Psychological Therapies (IAPT) programme and ensure that every adult has access to psychological therapies for anxiety disorders and depression. Since the programme was launched in 2008 more than 600,000 people with mild to moderate depression have entered treatment and the Department reports that alternatives to CBT are becoming more widely available. The current standard for IAPT services is 28 days from referral to first treatment session.
WHAT ARE EMPLOYERS DOING TO IMPROVE ACCESS?
Since the economic recession an increasing number of employers have invested in providing access to counselling services for staff. The latest data from the Chartered Institute for Personnel and Development shows that access to counselling is now the most widely provided employee benefit, offered by nearly half of private sector employers, compared with just over a third in 2009. Over a third of employers noted an increase in reported mental health problems among employees in 2010, with those that had made or were planning to make redundancies more likely to report an increase. Research conducted by Mind in 2010 found that people who received access to talking therapies within 3 months were five times more likely to report that it helped them to return to work than those who had waited for more than a year.
August 2011
www.hi-mag.com DEPRESSION: THE FACTS
Depression affects almost 1 in 6 people in the UK About half of people who have had one episode of depression will go on to have further episodes
Most people will feel better within 4 to 6 months of an episode of depression
Mild depression is when a person has a small number of symptoms that have a limited effect on their daily life
Moderate depression is when a person has more symptoms that make their daily life much more difficult than usual
More than half a million people are claiming incapacity benefit (IB) or employment support allowance (ESA) for depression
Sources: NICE clinical guideline 90: treating depression in adults, October 2009; Department for W
ork and Pensions ADVICE FOR EMPLOYERS
“Firstly, employers can consider creating a health and wellbeing programme that includes positive mental healthcare. It has been shown that a 9:1 return on investment can be achieved through such low cost interventions. Secondly, employers should also consider providing access to a high quality employee assistance programme [EAP]. This can provide early access to a range of talking therapies depending upon clinical need. An EAP should be able to demonstrate speedy access to therapy, so that employers can see how quickly their employees are accessing therapy. It should also be able to show better health outcomes.” Eugene F
arrell, business manager , AXA ICAS HealthInsurance
3-6 months 29%
8 weeks to 3 months 16% 8 weeks to 3 months 14%
6-8 weeks 13%
2011 (85 PCTs PROVIDING THIS)
More than a year 1%
More than 6 months 11%
Not routinely available but mat be offered 6%
No Wait 6%
2-6 weeks 20%
6-8 weeks 14%
2011 (120 PCTs PROVIDING THIS)
M ore than 6 months 6%
3-6 months 21%
2-6 weeks 35%
Under 2 weeks 10%
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