QUINTESSENCE
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Publications

We carefully gathered documents to support this project. The publications featured are either new or of great interest. All other publications directly related to this project follow thereafter.

Anxiety disorders in adults who turn to primary care services: access to psychotherapy | 

Roberge, P., Benoit, A., Fournier, L., Menear, M. & Duhoux, A. (2014). Troubles anxieux chez les adultes en première ligne : accès à la psychothérapie. Affiche présentée dans le cadre des Journées annuelles de santé mentale 2014. Québec, Montréal, 12 mai.
Using quality indicators, this study intended to examine the access to psychotherapy and pertinence of the care provided to adults with an anxiety disorder who turn to primary care services.
(in french only)
 

Increasing access to mental health care: What do clinicians think of government-funded psychotherapy? | 

Bradley, S. & Drapeau, M. (2014). Accès accru aux soins de santé mentale : que pensent les cliniciens de la psychothérapie financée par le gouvernement? Affiche présentée dans le cadre des Journées annuelles de santé mentale 2014. Québec, Montréal, 13 mai.
The aim of this study was to document the attitudes of psychologists and psychotherapists licensed to practice in Quebec toward accessibility to psychotherapy and government-funded psychotherapy programs.
(in english only)
 

Evidence-based data in psychotherapy: for whom and why

Desjardins, P. (2007). Les données probantes en psychothérapie: pour qui, pourquoi? Psychologie Québec, janvier 2007, 20-21.
The goal of this text is to complement the article written by Martin Provencher and Stéphane Guay on the importance of evidence-based data. Here the author addresses the way evidence-based data is used and presents simple, concrete strategies to assess the significance of research studies that make recommendations for the field of psychotherapy.
(in french only)
 

Evidence-based data on the effectiveness of psychotherapeutic treatments: can we really rely on it?

Provencher, M.D. & Guay, S. (2007). Les données probantes sur l'efficacité des traitements psychothérapeutiques : peut-on vraiment s'y fier? Psychologie Québec, janvier 2007, 22-24.
This brief article is a summary of the conference presented by Martin Provencher and Stéphane Guay during the Congrès de l'Ordre des psychologues in November 2006. The researchers attempt to establish the effectiveness of evidence-based data in psychotherapeutic treatment. They seek to determine if evidence-based data is useful, and to define limitations and benefits of using evidence-based data in clinical practice.
(in french only)
 

Psychotherapy: what indicates effectiveness? Professor and researcher Louis Georges Castonguay answers our questions

Marcil-Denault,E. (2009). La psychothérapie : quels sont les indicateurs d'efficacité? Le professeur et chercheur Louis Georges Castonguay répond à nos questions. Psychologie Québec, 26(5), 22-5.
In this interview, Louis Georges Castonguay, professor and researcher at Penn State University (Pennsylvania) offers points to reflect upon regarding the effectiveness of psychotherapy and the importance of measuring the impact of interventions to measure any change in patient health status.
(in french only)
 

Improving Access to Psychological Therapies Implementation Plan: National Guidelines for Regional Delivery

Department of Health, Mental Health Programme. (2008). Improving Access to Psychological Therapies Implementation Plan: National Guidelines for Regional Delivery. UK: Department of Health.
The Improving Access to Psychological Therapies (IAPT) programme aims to improve access to evidence-based talking therapies in the National Health Service through an expansion of the psychological therapy workforce and services. This document provides Strategic Health Authorities (SHAs), Primary Care Trusts (PCTs), training providers and service providers with an overview of what is needed to implement the IAPT programme.
(in english only)
 

New Horizons: A Shared Vision for Mental Health

Cross-government strategy: Mental Health Division. (2009). New Horizons: A Shared Vision for Mental Health. UK: Department of Health.
New Horizons present a cross government programme of action to improve the mental health and well-being of the population and the quality and accessibility of services for people with poor mental health. This document identifies the key areas for action to improve mental health services and sets out the next steps to further strengthen mental health services.
(in english only)
 

Improving Access to Psychological Therapy: Initial Evaluation of the Two Demonstration Sites

Clark, D.M., Layard, R., Smithies, R., Richards, D.A., Suckling, R., & Wright, B. (2009). Improving Access to Psychological Therapy: Initial Evaluation of the Two Demonstration Sites. Behaviour Research and Therapy, 47, 910-20.
Doncaster and Newham are the two demonstration sites selected by the UK Government- Department of Health for the Access to Psychological Therapies (IAPT) pilot project to collect valuable information to inform the national roll-out. They received additional funds to rapidly increase the availability of CBT-related interventions and to deploy them in new clinical services, operating on stepped care principles, when appropriate. This article reports an evaluation of the new services.
(in english only)
 

Fourth National Mental Health Plan - An agenda for collaborative government action in mental health 2009-2015

Commonwealth of Australia. (2009). Fourth National Mental Health Plan - An agenda for collaborative government action in mental health 2009-2014. Australia: Commonwealth of Australia.
This Fourth National Mental Health Plan has been developed to further guide reform and identifies key actions that can make meaningful progress towards fulfilling the vision of the National Mental Health Policy endorsed by health ministers in December 2008. One of these key actions, within the Service access, coordination and continuity of care priority area of this plan, is the Access to Allied Psychological Services Program.
(in english only)
 

Bill 21: An Act to amend the Professional Code and other legislative provisions in the field of mental health and human relations

Assemblée nationale. (2009). Projet de loi no 21: Loi modifiant le Code des professions et d'autres dispositions législatives dans le domaine de la santé mentale et des relations humaines. Québec: Éditeur officiel du Québec.
This bill amends the Professional Code to provide a new definition of professional activities in the field of mental health and human relations for psychologists, social workers, marriage and family therapists, vocational guidance counsellors and psychoeducators. Bill 21 provides a framework for the practice of psychotherapy. It gives a definition of psychotherapy, restricts the right to practise psychotherapy and use the title of psychotherapist to physicians, psychologists and members of professional orders, the administration of permits by the Ordre professionnel des psychologues du Québec and the creation of an interdisciplinary advisory council on the practice of psychotherapy.
(french version)
 

Improving access to psychological therapies: phase IV prospective cohort study.

Richards DA & Suckling R. (2009). Improving access to psychological therapies: phase IV prospective cohort study. British Journal of Clinical Psychology, 48 (4), 377-96.
Data collected on depression and anxiety from a prospective cohort of 3,994 consecutive patients referred to the UK Improving Access to Psychological Therapies show that combining low-intensity stepped care psychological treatment with a telephony-based collaborative care organizational system can deliver good clinical outcomes in routine practice.
(in english only)
 

Cost-benefit analysis of psychological therapy.

Layard, R., Clark D., Knapp, M.& Mayraz, G. (2007). Cost-benefit analysis of psychological therapy. National institute economic review, 202 (1), 90 -98.
Considering that in UK six million people are suffering from clinical depression or anxiety disorders, but only a quarter of them are in treatment, this study estimate the economic costs and benefits of providing psychological therapy as prescribe by the NICE Guidelines to people not now in treatment.
(in english only)
 

Collaboration between family physicians and psychologists: What do family physicians know about psychologists'work?

Grenier, J., Chomienne, M.-H., Gaboury I., Ritchie, P. & Hogg, W. (2008). Collaboration between family physicians and psychologists: What do family physicians know about psychologists'work? Canadian Family Physician, 54, 232-233 b.
The objective of this study is to explore factors affecting collaboration between family physicians and psychologists. Results show that physicians would welcome practice-based psychological services and integrated interdisciplinary collaboration as recommended by the Kirby and Romanow commissions, but such collaboration is hampered by the lack of public health insurance coverage.
(in english only)
 

Integrating psychologists into the Canadian health care system: the example of Australia.

Moulding R, Grenier J, Blashki G, Ritchie P, Pirkis J & Chomienne MH. (2009). Integrating psychologists into the Canadian health care system: the example of Australia. Canadian Journal of Public Health, 100 (2), 145-7.
Recent policy reforms in Australia have substantially increased community access to psychologists for evidence-based treatment for high prevalence disorders. In Canada, access remains limited with the vast majority of consultations occurring in the private sector, which is beyond the reach of many individuals due to cost considerations. With the recent launch of the Mental Health Commission of Canada, it is timely to reflect on the context of the current Canadian and Australian systems of psychological care. the article argue that integrating psychologists into the publicly-funded primary care system in Canada would be feasible, beneficial for consumers, and cost-effective.
(in english only)
 

No Health Without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of All Ages

HM Government. (2011). No Health Without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of All Ages. Departement of Health: England.
The No health without mental health Strategy outlines how a new emphasis on early intervention and prevention will help tackle the underlying causes of mental ill-health. It sets out how the Government will work with the NHS, local government and the third sector to help people recover and challenge stigma.
(in english only)
 

Enhancing Recovery Rates in IAPT Services: Lessons from analysis of the year one data

Gyani, A., Shafran, R., Layard, R. & Clark, D. M. (2011). Enhancing Recovery Rates in IAPT Services: Lessons from analysis of the year one data. London : NHS.
The Improving Access to Psychological Therapies (IAPT) initiative was designed to address the need for a much larger psychological therapies service aimed at providing treatment for patients suffering from depression and anxiety disorders. The aim of this report was to identify the factors associated with enhanced recovery rates. The report presents data on the evaluation of England's IAPT Initiative one year after its implementation. It looks into the reasons for the variability in performance between sites and presents lessons learned.
(in english only)
 

Enhancing Recovery Rates in IAPT Services: Lessons from year one (Summary)

The IAPT National Team (2011). Enhancing Recovery Rates in IAPT Services: Lessons from year one (Summary). London : IAPT (Improving Access to Psychosocial Therapies).
This summary is a two-page document that presents headline information and key lessons learned from the IAPT Initiative. This should be particularly useful to clinicians and service managers.
(in english only)
 

Australia's Better Access initiative: an evaluation

Pirkis, J., Ftanou M., Williamson, M., Machlin, A., Spittal M. J., Bassilios, B. & Harris, M. (2011). Australia's Better Access initiative: an evaluation. Aust N Z J Psychiatry, 45(9), 726-39.
The current paper presents the clinical and treatment characteristics of Better Access patients and examined the outcomes of their care. Around half of all participating patients had no previous history of mental health care. Patients experienced statistically significant improvements in average K-10 and DASS-21 scores from pre- to post-treatment. The findings suggest that Better Access is playing an important part in meeting the community's previously unmet need for mental health care.
(in english only)
 

Examination of the utility of psychotherapy for patients with treatment resistant depression : a systematic review

Trivedi, R. B., Nieuwsma, J. A. & Williams, J. W. Jr. (2011). Examination of the utility of psychotherapy for patients with treatment resistant depression : a systematic review. Journal of General Internal Medicine, 26(6), 643-650.
Psychotherapy is useful in improving symptoms in patients with treatment resistant depression. Thirteen articles evaluating seven studies were included. A total of 592 patients were evaluated to compare the effectiveness of psychotherapy when combined with or replacing antidepressant treatment. Although many theoretical and clinical tenets support the use of therapy-be it cognitive, interpersonal or behavioural-in the treatment of resistant depression, results are mixed and demonstrate methodological weaknesses. The authors therefore recommend further study, particularly on the cost-effectiveness of different approaches.
(in english only)
 

Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience

Clark, D. M. (2001). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience. International Review of Psychiatry, 23 , 375-384.
The Improving Access to Psychological Therapies (IAPT) program is a large-scale initiative that aims to greatly increase the availability of NICE recommended psychological treatment for depression and anxiety disorders within the National Health Service in England. This article describes the background to the program, the arguments on which it is based, the therapist training scheme, the clinical service model, and a summary of progress to date.
(in english only)
 

A new mental health strategy for England

Thornicroft, G. (2011). A new mental health strategy for England. BMJ 342 , d1346.
This editorial summarizes the evolution of mental health care and services in England. It presents the new long term mental health for England and the Improving Access for Psychological Therapies program (IAPT).
(in english only)
 

A user-focused evaluation of IAPT services in London. Report for Commissioning Support for London

Hamilton, S., Hicks, A., Sayers, R., Faulkner, A., Larsen, J., Patterson, S. & Pinfold, V. (2011). A user-focused evaluation of IAPT services in London. Report for Commissioning Support for London. Rethink: London.
This report presents findings from a user-focused evaluation of IAPT services in London. Satisfaction with the IAPT services was generally very high. Overall, participants sought a flexible service that responds to individual needs and goals. Based on responses from participants, key principles for delivering a person-centred service were identified: support during wait times, person-centred therapy, creating a welcoming service, preparing for a positive end to therapy, and offering opportunities for user involvement.
(in english only)
 

The complementarity of two Australian primary mental health care initiatives

Bassilios, B., Prikis, J., Fletcher, J., Burgess, P., Gurrin, L., King, K., Kohn, F. & Blashki, G. (2010). The complementarity of two Australian primary mental health care initiatives. Australian and New Zealand Journal of Psychiatry, 44, 997-1004.
This research explores the reciprocal impact of the uptake of psychological treatment delivered by these two initiatives and the impact of location (rurality and socioeconomic profile) on the uptake of both programmes since the inception of the Better Access programme. Access to Allied Psychological Services session delivery, before and after the introduction of the Better Access program, is also examined.
(in english only)
 

Innovations in primary mental healthcare

Reifels, L., Bassilios, B., King, K.E., Fletcher, J.R., Blashkim, G. & Pirkis, J.E. (2013). Innovations in primary mental healthcare. Australian Health Review, 37(3), 312-317.
The authors of this article is to review the evidence on innovations in Tier 2 of the Access to Allied Psychological Services (ATAPS) program, which is designed to facilitate the provision of primary mental healthcare to hard-to-reach and at-risk population groups and the trialling of new modalities of service delivery.
(in english only)
 

Clinical improvement after treatment provided through the Better Outcomes in Mental Health Care (BOiMHC) program: Do some patients show greater improvement than others?

Pirkis, J., Bassilios, B., Fletcher, J., Sanderson, K., Spittal, M.J., King, K., Kohn, F., Burgess, P. & Blashki, G. (2011). Clinical improvement after treatment provided through the Better Outcomes in Mental Health Care (BOiMHC) program: Do some patients show greater improvement than others? Australian and New Zealand Journal of Psychiatry, 45(4), 289-98.
Australia's Better Outcomes in Mental Health Care (BOiMHC) programme ena- bles GPs to refer patients with common mental disorders to allied health professionals for time-limited treatment, through its Access to Allied Psychological Services (ATAPS) projects. This paper considers whether patients who receive care through the ATAPS projects make clinical gains, if so, whether particular patient-related and treatment-related variables are predictive of these outcomes.
(in english only)
 

Collaboration between family physicians and psychologists: what do family physicians know about psychologists' work?

Grenier, J., Chomienne, M. H., Gaboury, I., Ritchie, P., & Hogg, W. (2008). Collaboration between family physicians and psychologists: what do family physicians know about psychologists' work? Canadian Family Physician Médecin De Famille Canadien, 54(2), 232-3.
This study explores physicians' knowledge of psychologists' training, roles, and skills, their willingness to collaborate with psychologists, their level of comfort in treating psychological problems, and their past experiences in working with psychologists.
(in english only)
 

Costs and Benefits of Improving Access to Psychotherapies for Common Mental Disorders | 

Dezetter, A., Briffault, X., Lakhdar, C. B., & Kovess-Masfety, V. (2013). Costs and Benefits of Improving Access to Psychotherapies for Common Mental Disorders. Journal of Mental Health Policy and Economics, 16(4), 161-178.
Aims of the study is to assess the cost of coverage for psychotherapies by the health insurance bodies for adults aged 18 to 75 with CMHDs -depressive or anxious disorders, severe or recurrent- and to estimate the cost-benefit ratio for these psychotherapies for the community.
(in english only)
 

Expensive medication coverage in Canada

Philipps, K. (2009). La couverture des médicaments onéreux au Canada (PRB 09-06F). Ottawa, Ontario: Bibliothèque du Parlement.
Canadians don't always have access to expensive medication coverage. The present document provides an overview of current coverage available for expensive medication in Canada and the problems surrounding this coverage. It also examines the possibility of creating a national coverage system for expensive medication, like the prime ministers were considering.
(in french only)
 

Focus on Mental Health Care Reforms in Europe: The European Alliance Against Depression: A Multilevel Approach to the Prevention of Suicidal Behavior

Hegerl, U., & Wittenburg, L. (2009). Focus on Mental Health Care Reforms in Europe: The European Alliance Against Depression: A Multilevel Approach to the Prevention of Suicidal Behavior. Psychiatric Services, 60(5) 596-599.
The EAAD, which is currently active in 17 countries, creates community-based networks that use an evidence-based approach to improving care for depressed persons and preventing suicidality. This column describes the creation of EAAD and the cornerstone of the alliance, which is a shared multilevel approach that includes interventions on four levels: education of primary care physicians, a professional public relations campaign, training of community facilitators, and interventions with affected persons and high-risk groups. Several countries have expanded their original model program into other regions or nationwide.
(in english only)
 

General practice and mental health care: determinants of outpatient service use | 

Vasiliadis, H. M., Tempier, R., Lesage, A., & Kates, N. (2009). General practice and mental health care: determinants of outpatient service use. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 54(7), 468-76.
This study examine the determinants that lead Canadian adults to consult family physicians, psychiatrists, psychologists, psychotherapists, and other health professionals for mental health reasons and to compare the determinants of service use across provider types.
(in english only)
 

How to decrease suicide rates in both genders? An effectiveness study of a community-based intervention (EAAD)

Székely, A., Konkolÿ, T. B., Mergl, R., Birkás, E., Rózsa, S., Purebl, G., & Hegerl, U. (2013). How to decrease suicide rates in both genders? An effectiveness study of a community-based intervention (EAAD). PlosOne,8(9). doi : 10.1371/journal.pone.0075081
The suicide rate in Hungary is high in international comparison. The two-year community-based four-level intervention programme of the European Alliance Against Depression (EAAD) is designed to improve the care of depression and to prevent suicidal behaviour. The aim of the study was to evaluate the effectiveness of a regional community-based four-level suicide prevention programme on suicide rates.
(in english only)
 
 
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