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Br J Psychiatry. 2016 Nov;209(5):429-430. Epub 2015 Nov 19.

On poverty, politics and psychology: the socioeconomic gradient of mental healthcare utilisation and outcomes.

Author information

1
Jaime Delgadillo, PhD, Leeds Community Healthcare NHS Trust and Department of Health Sciences, University of York, York; Miqdad Asaria, MSc, Centre for Health Economics, University of York, York; Shehzad Ali, PhD, Department of Health Sciences and Centre for Health Economics, University of York, York; Simon Gilbody, DPhil, FRCPsych, Hull York Medical School and Department of Health Sciences, University of York, York, UK jaime.delgadillo@nhs.net.
2
Jaime Delgadillo, PhD, Leeds Community Healthcare NHS Trust and Department of Health Sciences, University of York, York; Miqdad Asaria, MSc, Centre for Health Economics, University of York, York; Shehzad Ali, PhD, Department of Health Sciences and Centre for Health Economics, University of York, York; Simon Gilbody, DPhil, FRCPsych, Hull York Medical School and Department of Health Sciences, University of York, York, UK.

Abstract

Since 2008, the Improving Access to Psychological Therapies (IAPT) programme has disseminated evidence-based interventions for depression and anxiety problems. In order to maintain quality standards, government policy in England sets the expectation that 50% of treated patients should meet recovery criteria according to validated patient-reported outcome measures. Using national IAPT data, we found evidence suggesting that the prevalence of mental health problems is greater in poorer areas and that these areas had lower average recovery rates. After adjusting benchmarks for local index of multiple deprivation, we found significant differences between unadjusted (72.5%) and adjusted (43.1%) proportions of underperforming clinical commissioning group areas.

PMID:
26585097
DOI:
10.1192/bjp.bp.115.171017
[Indexed for MEDLINE]

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