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Psychiatr Serv. 2009 Nov;60(11):1540-2. doi: 10.1176/appi.ps.60.11.1540.

Population-based service planning for implementation of MBCT: linking epidemiologic data to practice.

Author information

  • 1Department of Community Health Sciences, University of Calgary, Calgary, Canada. patten@ucalgary.ca

Abstract

OBJECTIVE:

The study explored population-based service planning for mindfulness-based cognitive therapy (MBCT). Evidence suggests the usefulness of MBCT in relapse prevention for individuals reporting three or more major depressive episodes.

METHODS:

Depression data were from the Canadian Community Health Survey. A simulation model estimated recurrence rates and population sizes to sustain MBCT therapists (each conducting two ten-person groups per year).

RESULTS:

Approximately 4.2% of the population are candidates for MBCT, and about 13 candidates would arise annually per 10,000 population. If MBCT was acceptable to 20%, for example, a population of 200,000 could support two therapists.

CONCLUSIONS:

A large proportion of the population is eligible for MBCT introduction; however, after introduction, the rate of emergence of candidates would yield a smaller patient pool, which may limit implementation in small population centers. Treatment acceptability is a key variable. These analyses highlight the potential value of epidemiologic data and simulation modeling in planning.

PMID:
19880476
[PubMed - indexed for MEDLINE]
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