The association of migration and ethnicity with use of the Improving Access to Psychological Treatment (IAPT) programme: a general population cohort study.
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| Title: | The association of migration and ethnicity with use of the Improving Access to Psychological Treatment (IAPT) programme: a general population cohort study. |
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| Authors: | Bhavsar, Vishal (AUTHOR), Jannesari, Sohail (AUTHOR), McGuire, Philip (AUTHOR), MacCabe, James H. (AUTHOR), Das-Munshi, Jayati (AUTHOR), Bhugra, Dinesh (AUTHOR), Dorrington, Sarah (AUTHOR), Brown, June S. L. (AUTHOR), Hotopf, Matthew H. (AUTHOR), Hatch, Stephani L. (AUTHOR) |
| Source: | Social Psychiatry & Psychiatric Epidemiology. Nov2021, Vol. 56 Issue 11, p1943-1956. 14p. |
| Subjects: | Psychotherapy, Ethnicity, Poisson regression, Cohort analysis, Health equity, Ethnic differences |
| Geographic Terms: | United Kingdom |
| Abstract: | Background: Common mental disorders (CMD), such as depression and anxiety, are an important cause of morbidity, economic burden and public mental health need. The UK Improving Access to Psychological Therapies (IAPT) programme is a national effort to reduce the burden and impact of CMD, available since 2008. Aims: To examine ethnic and migration-related differences in use of IAPT-based psychological treatment using a novel epidemiological dataset with linkage to de-identified IAPT records. Method: Data from a psychiatric morbidity survey of two South East London boroughs (2008–2010) were individually-linked to data on IAPT services serving those boroughs. We used Poisson regression to estimate association between ethnicity and migration status (including years of UK residence), with rate of subsequent use of psychological treatment. Results: The rate of psychological treatment use was 14.4 cases per thousand person years [cases/1000 pyrs, 95% confidence intervals (95% CI) 12.4, 16.7]. There was strong statistical evidence that compared to non-migrants, migrants residing in the UK for less than 10 years were less likely to use psychological treatment after adjustment for probable sociodemographic predictors of need, life adversity, and physical/psychiatric morbidity at baseline [rate ratio (RR) 0.4 (95% CI 0.20, 0.75]. This difference was not explained by migration for asylum/political reasons, or English language proficiency, and was evident for both self- and GP referrals. Conclusions: Lower use of IAPT among recent migrants is unexplained by sociodemographics, adversity, and baseline morbidity. Further research should focus on other individual-level and societal barriers to psychological treatment use among recent migrants to the UK, including in categories of intersecting migration and ethnicity. [ABSTRACT FROM AUTHOR] |
| Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 153079367 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The association of migration and ethnicity with use of the Improving Access to Psychological Treatment (IAPT) programme: a general population cohort study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bhavsar%2C+Vishal%22">Bhavsar, Vishal</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jannesari%2C+Sohail%22">Jannesari, Sohail</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McGuire%2C+Philip%22">McGuire, Philip</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22MacCabe%2C+James+H%2E%22">MacCabe, James H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Das-Munshi%2C+Jayati%22">Das-Munshi, Jayati</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bhugra%2C+Dinesh%22">Bhugra, Dinesh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dorrington%2C+Sarah%22">Dorrington, Sarah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brown%2C+June+S%2E+L%2E%22">Brown, June S. L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hotopf%2C+Matthew+H%2E%22">Hotopf, Matthew H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hatch%2C+Stephani+L%2E%22">Hatch, Stephani L.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Nov2021, Vol. 56 Issue 11, p1943-1956. 14p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnicity%22">Ethnicity</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+regression%22">Poisson regression</searchLink><br /><searchLink fieldCode="DE" term="%22Cohort+analysis%22">Cohort analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnic+differences%22">Ethnic differences</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Common mental disorders (CMD), such as depression and anxiety, are an important cause of morbidity, economic burden and public mental health need. The UK Improving Access to Psychological Therapies (IAPT) programme is a national effort to reduce the burden and impact of CMD, available since 2008. Aims: To examine ethnic and migration-related differences in use of IAPT-based psychological treatment using a novel epidemiological dataset with linkage to de-identified IAPT records. Method: Data from a psychiatric morbidity survey of two South East London boroughs (2008–2010) were individually-linked to data on IAPT services serving those boroughs. We used Poisson regression to estimate association between ethnicity and migration status (including years of UK residence), with rate of subsequent use of psychological treatment. Results: The rate of psychological treatment use was 14.4 cases per thousand person years [cases/1000 pyrs, 95% confidence intervals (95% CI) 12.4, 16.7]. There was strong statistical evidence that compared to non-migrants, migrants residing in the UK for less than 10 years were less likely to use psychological treatment after adjustment for probable sociodemographic predictors of need, life adversity, and physical/psychiatric morbidity at baseline [rate ratio (RR) 0.4 (95% CI 0.20, 0.75]. This difference was not explained by migration for asylum/political reasons, or English language proficiency, and was evident for both self- and GP referrals. Conclusions: Lower use of IAPT among recent migrants is unexplained by sociodemographics, adversity, and baseline morbidity. Further research should focus on other individual-level and societal barriers to psychological treatment use among recent migrants to the UK, including in categories of intersecting migration and ethnicity. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00127-021-02035-7 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 1943 Subjects: – SubjectFull: Psychotherapy Type: general – SubjectFull: Ethnicity Type: general – SubjectFull: Poisson regression Type: general – SubjectFull: Cohort analysis Type: general – SubjectFull: Health equity Type: general – SubjectFull: Ethnic differences Type: general – SubjectFull: United Kingdom Type: general Titles: – TitleFull: The association of migration and ethnicity with use of the Improving Access to Psychological Treatment (IAPT) programme: a general population cohort study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bhavsar, Vishal – PersonEntity: Name: NameFull: Jannesari, Sohail – PersonEntity: Name: NameFull: McGuire, Philip – PersonEntity: Name: NameFull: MacCabe, James H. – PersonEntity: Name: NameFull: Das-Munshi, Jayati – PersonEntity: Name: NameFull: Bhugra, Dinesh – PersonEntity: Name: NameFull: Dorrington, Sarah – PersonEntity: Name: NameFull: Brown, June S. L. – PersonEntity: Name: NameFull: Hotopf, Matthew H. – PersonEntity: Name: NameFull: Hatch, Stephani L. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 09337954 Numbering: – Type: volume Value: 56 – Type: issue Value: 11 Titles: – TitleFull: Social Psychiatry & Psychiatric Epidemiology Type: main |
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