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Improving Access to Psychological Therapies in Spain: From IAPT to PsicAP

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Improving Access to Psychological Therapies in Spain: From IAPT to PsicAP

dc.contributor.author	Cano Vindel, Antonio
dc.contributor.author	Ruiz Rodríguez, Paloma
dc.contributor.author	Moriana Elvira, Juan Antonio
dc.contributor.author	Medrano, Leonardo A.
dc.contributor.author	González Blanch, César
dc.contributor.author	Aguirre, Elisa
dc.contributor.author	Muñoz Navarro, Roger
dc.date.accessioned	2023-06-26T08:25:02Z
dc.date.available	2023-06-26T08:25:02Z
dc.date.issued	2021
dc.identifier.citation	Cano Vindel, Antonio Ruiz Rodríguez, Paloma Moriana Elvira, Juan Antonio Medrano, Leonardo A. González Blanch, César Aguirre, Elisa Muñoz Navarro, Roger 2021 Improving Access to Psychological Therapies in Spain: From IAPT to PsicAP Psicothema 34 1 18 24
dc.identifier.uri	https://hdl.handle.net/10550/88539
dc.description.abstract	Background: Anxiety and depression are very prevalent in primary care, with high rates of chronic cases, comorbidity and lost quality of life, along with huge economic costs. The Improving Access to Psychological Therapies (IAPT) project, launched in the United Kingdom in 2007, has become an international benchmark for the treatment of common mental disorders. In Spain, Psicofundación developed the PsicAP clinical trial, following the precedent set by the IAPT. Method: This study reviews and compares and contrasts the methods, results, and contributions of the IAPT and PsicAP. Results: The IAPT is a project for the pragmatic implementation of evidence-based psychological therapies in primary care. PsicAP is a randomized clinical trial whose results demonstrated that adding a psychological treatment (seven group sessions of transdiagnostic cognitive-behavioural therapy) to treatment-as-usual (TAU) for anxiety and depression in the primary care setting was more effective and cost- effective than TAU alone. The therapeutic gains and the cost-effectiveness were maintained at a 12 months follow-up. Moreover, the percentage of reliably recovered patients was comparable to the numbers from the IAPT. Conclusions: This brief psychological treatment should be implemented in the Spanish public health system, similar to the precedent set by the IAPT initiative.
dc.language.iso	eng
dc.relation.ispartof	Psicothema, 2021, vol. 34, num. 1, p. 18-24
dc.subject	Ansietat
dc.subject	Atenció primària
dc.subject	Teràpia de la conducta
dc.subject	Salut mental
dc.title	Improving Access to Psychological Therapies in Spain: From IAPT to PsicAP
dc.type	journal article
dc.date.updated	2023-06-26T08:25:02Z
dc.identifier.doi	10.7334/psicothema2021.113
dc.identifier.idgrec	160733
dc.rights.accessRights	open access