The IAPT Pathway for People with Long-term Physical Health Conditions and MUS. Full implementation guidance.

MUS, PPS services and IAPT integration into NHS primary care - what's happening across the UK?

https://forums.phoenixrising.me/thr...ary-care-whats-happening-across-the-uk.48710/

Created January 11, 2017

[39 pages]

 

I'm sure I've ssen this PPS site criticised here before, but couldn't find it when searching so am risking a re-post: https://ppss.cumbria.nhs.uk/

 

IAPT’s Training Of Therapist’s On Working With Long Term Physical Conditions Muddies The Waters on Efficacy

20th March 2019

http://www.cbtwatch.com/

eta: see also earlier post on blog
All IAPT Generated Studies Breach Evaluation Guidelines

 

Comment under the previous blog:

 

http://www.michaeljscottptsd.com/

https://journals.sagepub.com/doi/10.1177/1359105318755264

 

One of the confusing things about criticism of IAPT is that a lot of it comes from psychotherapists who prefer to tailor their own particular methods to each patient. Whether they have any better evidence base, who knows.

 

This legal firm seem to have been tracking the PACE trial issues for some time now, and this shows they are keeping themselves up to date. I think their continuing interest maybe means they smell the potential for a lot of business that might come their way.

 

The Improving Access to
Psychological Therapies (IAPT)
Pathway for People with
Long-term Physical Health
Conditions and Medically
Unexplained Symptoms

from March 2018
https://www.england.nhs.uk/wp-conte...al-therapies-long-term-conditions-pathway.pdf

"70% of people with MUS such as IBS or CFS will also experience co-morbid depression or anxiety disorders"

do we know where this stat came from?

also, isn't most of the 'research evidence' that the recommendations are based on mostly using CBT to treat the actual 'condition' (ie cfs) as opposed to treating co-morbid depression or anxiety?

If the idea of IAPT is to combine the medical and mental healthcare, where/what is the medical care for pw ME or CFS?

 

Looking at this document two things send out for me.

Firstly it is written like an advertising brochure rather than an evidence-based guidance document.

Secondly, it is completely opaque is to what type of CBT is being suggested for 'MUS' and for what purpose. The most ambiguous sentence is:

An expert advisory group was convened by NHS England to review existing NICE guidance for the use of psychological therapies for the treatment of depression and anxiety disorders in the context of LTCs and the treatment of MUS (see the box on the right).

This makes it sound as if this is treatment for MUS, not for co-morbid anxiety and depression. But the box on the right does not tell us.

 

There are lies, damned lies and statistics.

This one is a beauty: this patient population is systematically and incompetently misdiagnosed with mental health issues, therefore they statistically suffer from mental health issues. Ethically, this is like police officers mass-planting drugs on suspects and showing those in statistics to justify why they were justified in making those arrests.

It's a self-reinforcing ouroboros of bullshit.

 

If you look up IAPT on the NICE website, CFS/ME is now formally shown under 'conditions managed by IAPT' (alongside clearly psychological conditions and also IBS):

https://www.nice.org.uk/about/what-we-do/our-programmes/nice-advice/iapt

 

That shows the success of the thirty year plan. Never mind the effect on the kulaks.

 

One for @adambeyoncelowe @Keela Too and @Jonathan Edwards to bring to the NICE table?

 

Thanks. I've noted this.

 

@dave30th might also find this interesting. I think the wording on the page is ambiguous however.

 

I just randomly saw this last night so wanted to post a link to it without making any comment. However, on revisiting the site, it is notable that the list doesn't include 'Long term conditions', or the relevant links to the NICE guidance on, for example, diabetes, MS or Parkinsons.

 

Expansion Into Long Term Conditions By IAPT Is Quackery
29th October 2019




http://www.cbtwatch.com/expansion-into-long-term-conditions-by-iapt-is-quackery/#comments