Reviewed on : 3 Sep 2020

Reviewed by : Gateway Editor

Expires : 3 Sep 2022

Improving Access to Psychological Therapies (IAPT)

Provide structured psychological therapies for people aged 16 and above registered with a GP, who are experiencing mild to moderate anxiety related disorders and/or depression, and who are likely to benefit from brief psychological therapy.

Provide individual and group psychological therapies (eg cognitive behavioural therapy and counselling for depression) in accordance with NICE guidelines  for common mental health problems.

All referrals are screened to confirm that IAPT is the most appropriate treatment pathway.

The patient is offered an assessment with one of our clinical staff either over the phone or through a secure video link.

Due to Covid we are not offering the usual face to face option; however exceptions can be made based on individual need.

Where IAPT is not the most appropriate service, we offer signposting to other services, based on the needs identified at screening or assessment.

We are not a crisis service.

As part of the Stepped Care Model IAPT generally works between Steps 1 to 3

Digital Therapy

Secure video (Attend Anywhere) and telephone treatment provided.  Attend Anywhere is a secure NHS video call service for patients with pre-arranged appointment times only. If you are due to have a video consultation, we will schedule your appointment as normal and send you the details of the appointment date and time. This is available on a number through most devices.

Coventry and Warwickshire IAPT will soon be offering online psychological therapy through SilverCloud Health. This is ideal for those who would prefer to receive treatment from the privacy of their home or require flexibility.  This is planned for September/October 2020.

SilverCloud Health provides a wide range of online guided self-help programmes for stress, depression and anxiety related disorders.

Every patient is allocated a psychological wellbeing practitioner from our service who can assist them through the programme and help with any questions they have.
Programmes consist of six to seven modules – which can be completed at the individual’s own pace, over approximately eight weeks.

Patients with SilverCloud Health receive secure, immediate access to online supported CBT (cognitive behavioural therapy) programmes, tailored to their specific needs, which have demonstrated high improvement rates for depression, anxiety and stress. Plus it’s flexible – access it anywhere, from a computer, tablet or mobile phone.

Referral Criteria for Coventry and Warwickshire IAPT

Mild to moderate mental health issues including the following:

• Depression
• Panic Disorder
• Generalised Anxiety Disorder
• Health Anxiety
• Social Phobia
• Specific Phobia
• Single incident PTSD
• Obsessive Compulsive Disorder (OCD)
• Insomnia
• Low Self-Esteem
• Body Dysmorphic Disorder (BDD).
• Anxiety/ depression in people with long term health conditions
• Post-natal anxiety/depression
• Mild to moderate Trichotillomania (TTM)
• Long Term Conditions (e.g. Diabetes / Respiratory Disorders) – related to anxiety and / or depression

Referral requirements

• Motivated to attend and engage in regular psychological therapy
• A low level of risk to self and others

Inappropriate referrals

Coventry and Warwickshire IAPT cannot offer treatment for people with the following difficulties as they are unlikely to benefit from the brief, structured interventions we provide:

• Aged under 16 – refer to CAMHS.
• Drug use / Alcohol use as primary or a significant problem. or level of misuse likely to prevent engagement in regular psychological therapy. Refer to drug / alcohol service.
• Recent and significant forensic history: refer to forensic services or SCMH as appropriate.
• Immediate and active risk of harm to self/ current suicidal intent or recent suicide attempt or still in crisis. refer to SCMH / CRHT /
• Immediate and active risk of harm to self or others or recent history of violence:
• Where primary motive is to seek a report, but no real identified desire / motivation to engage with therapy.
• Client is currently psychotic or has had a recent history of psychosis.
• Anger is the presenting problem with little evidence of depression and / or anxiety.
• Service user is requesting an intervention for Childhood Sexual Abuse (CSA).
• A diagnosed Personality disorder or personality traits or significant level of personality dysfunction that would make engagement in a brief psychological intervention likely to be ineffective, unhelpful and contravene NICE guidance
• ADHD is the primary problem and has a significant effect on functioning.
• Currently a SCMH patient.
• Moderate to severe learning disability: refer to learning disability services.
• Service user is requesting treatment for a learning disability: refer to the learning disability service.
• Complex needs requiring multi-disciplinary input or longer-term psychological input e.g. severe OCD, chronic agoraphobia, complex PTSD (i.e. repeated/ongoing trauma; victims of significant torture).
• Significant psychosocial or physical health factors which prevent engagement in regular psychological therapy and/or requiring MDT input (e.g. where there are ongoing physical health investigations.).
• Where ongoing home visits are required.

Contact

Telephone 024 7667 1090 or write to:

IAPT, Central Booking Service, City of Coventry Health Centre, Paybody Building, 2 Stoney Stanton Road, Coventry, CV1 4FS

The following link also has IAPT leaflets translated into Romanian, Urdu, Arabic, Gujrati, Polish and Punjabi