Even ‘super-shrink’ has a weak spot. And you?
Ongoing research is suggesting that expertise may be domain or disorder specific, rather than reflecting a core therapeutic attribute or skill. No matter how good we are, we can’t be all things to all clients. Even ‘supershrink’ has a weak spot, and it’s not...
The Future of Therapy
Remember 2012? A lot of water has passed under the bridge since then, but who would have predicted some of the events that have taken place in the intervening years? Who would have predicted the 2012 Olympic Games would have been a stunning success that brought people...
Is CBT losing its shine?
The 2021 – 22 IAPT Annual Report delivered an unexpected surprise. Set against other therapy modalities, and its own past performance, the recovery rate for CBT has deteriorated significantly in the past year. Here, we showcase the data and speculate on what...
When ideology meets reality
What do the ex-Chancellor of the Exchequer Kwasi Kwarteng and the founding principles of the Improving Access to Psychological Therapies Programme (IAPT) have in common? Answer: A hopeful start, after which both have failed to survive contact with reality. The...
Glimpses behind the therapy room door…
Estimated reading time: 10 minutes Doing effective therapy is hard enough on its own. Integrating measures of outcome into the process adds additional complexity. Do it well, and the purpose, meaning and value of using measures is integrated into conversations. Do it...
What actually makes therapy work?
Estimated reading time: 8 minutes Meet Jordan Harris, a counselor based in the US. Our previous blog was the result of an invite from Jordan to contribute to his website. Here, we return the complement and make space for a perspective from Jordan, who shares (as part...
Are You Any Good…as a Therapist?
Estimated reading time: 10 minutes It’s a provocative question, isn’t it? It’s also the title of a recent blog post, more of which below. Looking back at my outcomes over 25 years, the answer depends on what period I’m looking at. I know that when I’ve got complacent,...
Learning to read data like you read sessions … (just read the book!)
Estimated reading time: 8 minutes In their new book Outcome Measures and Evaluation in Counselling and Psychotherapy, authors Chris Evans and Jo-anne Carlyle have pulled off a rare feat. In making some important statistical concepts accessible, presenting...
Can benchmarks improve IAPT performance?
Estimated reading time: 8 minutes It doesn’t take much digging into national IAPT 2020 – 21 data to discover big differences between service provision in different areas. In the last blog we highlighted (against a national recovery rate of 51%) the...
The IAPT postcode lottery: What’s changed?
Why is the recovery rate of one IAPT area 13% higher than the national average? Why is the recovery rate of another 17% lower? And why is the recovery rate of the first almost double the second? In this first of a two-part series we drill into the data to reveal the...
Small gains disguise a miserable picture: IAPT 2020 – 21
Table of contentsThe latest data: overall referrals and endings How did clients move through the system? What’s gone up, gone down, and what’s stayed the same?Small gains in the context of still woeful attritionGo explore the Interactive Dashboard! Estimated reading...