[share-ebook]Doncaster Improving Access to Psychological Therapies Demonstration Site Process and Outcome


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Doncaster Improving Access to Psychological Therapies Demonstration Site 
 
 
 

Process and Outcome

Data Report No. 1 
 
 
 
 

October 2006 
 
 
 
 
 

 
 

Introduction 
 

This report details the data from the IAPT Demonstration Site in Doncaster as of 2.00pm Monday 30th October 2006. It only includes information which had been entered on the University of York Patient Management System by that time. We are aware that of more than 1000 patients ‘in the system’, some data was still being processed by IAPT administrative staff and awaiting being entered onto the database. 
 

Given that this is the first download from the database, we are aware that in some areas data is incomplete. Conducting this first download has enabled us to identify where this is the case and take steps to rectify missing data. 
 

Once a referral is received by the IAPT team, all patients are contacted by telephone and their requirements and wishes discussed. In most cases this means patients are spoken to about their needs within 24 hours. Patients are then offered a first appointment if they so wish it. In this report we are unable to specify the ‘disposal’ rates of patients who have not received this first assessment interview with a case manager or therapist. Apart from patients who are in the process of arranging an appointment, there are a number of patients who have declined the offer of contact, have not been found to be contactable by IAPT staff or who do not have common mental health disorders and are, therefore, unsuitable for the IAPT centre. This is an example of missing data which we are rectifying as soon as possible. 
 

The report, therefore, consists of data from 959 patients referred and with demographic data recorded on the database, together with data from 486 patients who have received a first formal contact. There are further patients who have been contacted by case managers and are having appointments arranged but for whom we do not have first contact data. There are also further patients for whom case managers have made attempts to telephone, but who have yet to respond. This data will be available for the next and subsequent reports. 
 
 
 

 
 

Demographic data on all referrals to the Doncaster Demonstration Site, n=959 
 

Age: average age is 38 (SD 14) 
 

Gender: 66% of the referred population are women 
 

Nationality: 99.4% of the referred population are British. Six other people represent one other nationality each (not reported here to maintain individual confidentiality). 
 

Ethnicity: 99.3% of the referred population are white-British. People of Asian, black and other white ethnic groups are equally represented in the remainder of the referred population. 
 

Source of referral: 91.2% of referrals are made by the GP with a further 8.6% by other primary care or community health workers. Only two patients were self-referrals. 
 

Presenting problem as defined by referrer: table 1 lists the proportion of referrals with specific problems identified by GPs in their referral letters: 
 

Diagnosis Percentage of referrals with primary problem Percentage of referrals with secondary problem Total percentage of referrals with problem
Depression 77.7 4.7 82.4
General Anxiety 14.3 45.8 60.1
Agoraphobia (with or without panic) 1.3 0.4 1.7
Bereavement 0.3 1.1 1.4
Social phobia 0.6 0.0 0.6
Specific phobia 0.5 0.1 0.6
OCD 0.4 0.0 0.4
PTSD 0.3 0.3 0.6
Somatisation 0.2 0.1 0.3
Eating Problems 0.1 0.1 0.2
Drugs and alcohol problems 0.0 0.1 0.1
No problem given 4.2 47.2 N/A

 
 
 
 

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    Doncaster Improving Access to Psychological Therapies Demonstration Site Process and Outcome

    Doncaster Improving Access to Psychological Therapies Demonstration Site 
     
     
     

    Process and Outcome

    Data Report No. 1 
     
     
     
     

    October 2006 
     
     
     
     
     

     
     

    Introduction 
     

    This report details the data from the IAPT Demonstration Site in Doncaster as of 2.00pm Monday 30th October 2006. It only includes information which had been entered on the University of York Patient Management System by that time. We are aware that of more than 1000 patients ‘in the system’, some data was still being processed by IAPT administrative staff and awaiting being entered onto the database. 
     

    Given that this is the first download from the database, we are aware that in some areas data is incomplete. Conducting this first download has enabled us to identify where this is the case and take steps to rectify missing data. 
     

    Once a referral is received by the IAPT team, all patients are contacted by telephone and their requirements and wishes discussed. In most cases this means patients are spoken to about their needs within 24 hours. Patients are then offered a first appointment if they so wish it. In this report we are unable to specify the ‘disposal’ rates of patients who have not received this first assessment interview with a case manager or therapist. Apart from patients who are in the process of arranging an appointment, there are a number of patients who have declined the offer of contact, have not been found to be contactable by IAPT staff or who do not have common mental health disorders and are, therefore, unsuitable for the IAPT centre. This is an example of missing data which we are rectifying as soon as possible. 
     

    The report, therefore, consists of data from 959 patients referred and with demographic data recorded on the database, together with data from 486 patients who have received a first formal contact. There are further patients who have been contacted by case managers and are having appointments arranged but for whom we do not have first contact data. There are also further patients for whom case managers have made attempts to telephone, but who have yet to respond. This data will be available for the next and subsequent reports. 
     
     
     

     
     

    Demographic data on all referrals to the Doncaster Demonstration Site, n=959 
     

    Age: average age is 38 (SD 14) 
     

    Gender: 66% of the referred population are women 
     

    Nationality: 99.4% of the referred population are British. Six other people represent one other nationality each (not reported here to maintain individual confidentiality). 
     

    Ethnicity: 99.3% of the referred population are white-British. People of Asian, black and other white ethnic groups are equally represented in the remainder of the referred population. 
     

    Source of referral: 91.2% of referrals are made by the GP with a further 8.6% by other primary care or community health workers. Only two patients were self-referrals. 
     

    Presenting problem as defined by referrer: table 1 lists the proportion of referrals with specific problems identified by GPs in their referral letters: 
     

    Diagnosis Percentage of referrals with primary problem Percentage of referrals with secondary problem Total percentage of referrals with problem
    Depression 77.7 4.7 82.4
    General Anxiety 14.3 45.8 60.1
    Agoraphobia (with or without panic) 1.3 0.4 1.7
    Bereavement 0.3 1.1 1.4
    Social phobia 0.6 0.0 0.6
    Specific phobia 0.5 0.1 0.6
    OCD 0.4 0.0 0.4
    PTSD 0.3 0.3 0.6
    Somatisation 0.2 0.1 0.3
    Eating Problems 0.1 0.1 0.2
    Drugs and alcohol problems 0.0 0.1 0.1
    No problem given 4.2 47.2 N/A