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:: Iapt Cbt Protocols Of The Wise ::

 
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MessagePosté le: Sam 15 Oct - 14:41 (2016)    Sujet du message: Iapt Cbt Protocols Of The Wise Répondre en citant




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In,,,the,,,original,,,model,,,,there,,,was,,,the,,,idea,,,that,,,some,,,people,,,would,,,actually,,,benefit,,,a,,,lot,,,from,,,having,,,a,,,good,,,assessment,,,,helping,,,see,,,what,,,their,,,problem,,,is,,,,and,,,getting,,,some,,,sort,,,of,,,simpler,,,advice,,,,and,,,maybe,,,being,,,sign-posted,,,to,,,somewhere,,,else,,,,like,,,debt,,,counselling,,,for,,,example.,,,Youre,,,almost,,,socialised,,,into,,,the,,,process,,,when,,,you,,,come,,,along.,,,So,,,the,,,evidence,,,for,,,it,,,is,,,restricted,,,to,,,those,,,who,,,have,,,had,,,at,,,least,,,three,,,episodes,,,of,,,depression.,,,Wherever,,,they,,,finished,,,is,,,where,,,they,,,got,,,to.,,,And,,,theres,,,discussion,,,about,,,using,,,IAPT-type,,,services,,,throughout,,,Norways,,,mental,,,health,,,services.,,,When,people,are,less,depressed,and,anxious,theyre,more,productive,at,work.,What,,,we,,,have,,,looked,,,at,,,is,,,people,,,who,,,were,,,on,,,anti-depressants,,,at,,,the,,,start,,,of,,,the,,,treatment,,,and,,,what,,,happened,,,to,,,them,,,,and,,,you,,,had,,,more,,,people,,,coming,,,off,,,than,,,staying,,,on.,,,

But,as,the,market,opens,up,more,,there,are,big,risks,,and,the,risk,is,people,use,too,simplistic,a,method,for,organising,payment.,It,,,probably,,,wouldnt,,,have,,,got,,,off,,,the,,,ground,,,if,,,it,,,wasnt,,,a,,,coalition,,,between,,,three,,,different,,,groups:,,,obviously,,,academic,,,clinicians,,,like,,,myself,,,,who,,,are,,,arguing,,,that,,,these,,,are,,,effective,,,treatments,,,which,,,people,,,should,,,be,,,able,,,to,,,access;,,,secondly,,,the,,,economists,,,,above,,,all,,,Richard,,,Layard;,,,and,,,then,,,many,,,voluntary,,,sector,,,groups,,,like,,,MIND,,,and,,,Re:Think,,,,who,,,were,,,very,,,aware,,,that,,,lots,,,of,,,patients,,,were,,,complaining,,,that,,,all,,,they,,,got,,,was,,,drugs,,,,and,,,a,,,lot,,,of,,,them,,,would,,,like,,,psychological,,,therapy.,,,There,,,is,,,no,,,reporting,,,of,,,whether,,,than,,,one,,,session,,,was,,,a,,,satisfactory,,,one,,,or,,,an,,,unsatisfactory,,,one.,,,They,,set,,up,,a,,walk-in,,community,,service,,,and,,of,,course,,you,,didnt,,know,,if,,people,,would,,be,,coming,,for,,lots,,of,,sessions,,or,,not,,,so,,we,,developed,,a,,system,,for,,measuring,,outcomes,,each,,time.,,In,IAPT,we,do,already,have,a,multitude,of,providers.,If,,you,,compare,,the,,self-referrers,,and,,the,,GP-referred,,,the,,self-referrers,,were,,as,,severe,,,but,,tended,,to,,have,,the,,problem,,longer,,,and,,were,,more,,representative,,of,,the,,community,,in,,general.,,Which,,havent,,worked,,that,,well?,,Thats,,correct.,,And,the,reason,is,no,NICE,guidelines,say,that,is,,if,you,look,at,specific,conditions,and,you,look,at,all,the,randomised,controlled,trials,,you,get,strong,support,for,some,therapies,,less,strong,for,others,,and,also,evidence,that,some,dont,work.,So,,the,,heart,,of,,the,,programme,,was,,training,,new,,therapists,,in,,evidence-based,,therapies.,,

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