The National Institute for Health and Clinical Excellence (NICE) has made a prior assessment of the outcomes of using cognitive behavioural therapy (CBT) by the national health service before making any recommendations about its use by the NHS in treating mental illness.
NICE currently recommends that the NHS offers CBT as a treatment for antenatal and postnatal mental health problems; antisocial personality disorder; anxiety; attention deficit hyperactivity disorder; bipolar disorder; borderline personality disorder; dementia; depression in adults, children and young people; drug misuse; bulimia; obsessive compulsive disorder; post-traumatic stress disorder; self-harming; and, schizophrenia.
We are increasing the availability of CBT in primary care through the Improving Access to Psychological Therapies programme (IAPT). Our plan is to have trained 3,600 more therapists who will help to provide 900,000 more people with access to psychological therapies by 2010-11. Of those completing treatment 50 per cent. are expected to recover.
All IAPT services are required to collect routine clinical outcome data at every session, so that clinical teams can evaluate the effectiveness of the service and so that patients can see and discuss their progress with their therapist. The data also enables primary care trusts and practice based commissioners to commission psychological therapy services for the outcomes which they are expected to achieve.
New IAPT services collect the IAPT minimum data set, and a national data standard is currently being developed to enable the national collation of this data by 2011.