University of East Anglia Iapt

By | 24th May 2017

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University of East Anglia Iapt

University of East Anglia Iapt

About IAPT and the history of the programme

The Improving Access to Psychological Therapies (IAPT) programme supports the frontline NHS in implementing National Institute for Health and Clinical Excellence (NICE) guidelines for people suffering from depression and anxiety disorders. It was created to offer patients a realistic and routine first-line treatment, combined where appropriate with medication which traditionally had been the only treatment available before. Evidence shows this stepped care approach can save the NHS up to £272million and the wider public sector will benefit by more than £700 million. The programme began in 2006 with Demonstration sites in Doncaster and Newham focusing on improving access to psychological therapies services for adults of working age and testing out the stepped care model in action. In 2007, 11 IAPT Pathfinders began to explore the specific benefits of services to vulnerable groups. The original Implementation Plan of 2008 and related documents can be viewed here and on our IAPT history timeline. Two important published ‘stock takes’ on progress were Realising the Benefits (2010), and `IAPT: 3 Year report; the First Million Patients` (2012). From 2011, the programme’s focus has broadened, following publication of Talking Therapies: a four-year plan of action, one of a suite of documents supporting No health without mental health, the cross-Government mental health strategy for people of all ages.

This website is a learning and support tool for services, trainees and training providers; as well as those wanting to learn more about the history of the IAPT programme and includes a directory of local IAPT NHS Services offering psychological therapies for conditions including depression and anxiety.

In the video below, Professor Ken Laidlaw discusses the aims of the IAPT programme with Kevin Jarman, IAPT Programme Manager 2008-15 and Work and Health Joint Unit DWP/DH Lead:

A recorded lecture by Professor David Clark, National Advisor to the IAPT programme where he speaks about the programme, its aims and achievements to date is also available.

IAPT Low Intensity CBT Training and Resources

In the IAPT programme, evidence based Low Intensity CBT is delivered by trained practitioners called Psychological Wellbeing Practitioners (PWPs). PWPs were previously called Low Intensity Therapists. This new workforce was created by the IAPT programme to implement support for NICE approved interventions such as guided CBT self help and low intensity CBT interventions.  Qualified psychological wellbeing practitioners provide high volume, low intensity CBT-based interventions at Step 2, including guided self help. People from a wide range of backgrounds reflecting the local community, with a special interest in psychological therapies, relevant care experience and who are able to meet the academic levels of the course are eligible to train as Psychological Wellbeing Practitioners (PWPs). PWP training should be available at Undergraduate and Postgraduate levels of entry to meet the needs of the workforce.

UEA offers both levels of entry and also an online access course for people who wish to train as PWPs who do not hold a degree to help them to meet the academic entry requirements of the training. UEA access and PWP training information, key resources along with national IAPT information is available below.

IAPT Low Intensity Training and Resources 

IAPT High Intensity CBT Training and Resources

High Intensity CBT Therapists (also known as Cognitive Behavioural Therapists (CBT), HITs or Cognitive Behavioural Psychotherapists) deliver evidence based CBT interventions. Trainees attend a BABCP accredited one-year post-graduate diploma training programme two days a week, undertaking supervised practice for three days a week. They wlll have met the Minimum Training Standards of the BABCP when they graduate and will then be eligible to apply for individual practitioner accreditation with the British Association of Behavioural & Cognitive Psychotherapies (BABCP). Applicants to training who do not have a BABCP recognised core profession must enter via the KSA route following their guidelines  and complete a portfolio of evidence prior to interview that is completed by the end of the training. 
CBT therapists deliver evidence based CBT interventions using the Roth & Pilling Competences for the effective delivery of CBT recommended protocols and implementing CBT across the competency domains. The framework describes the various activities which need to be brought together in order to carry out CBT effectively and in line with best practice. As stated by Roth & Pilling it is helpful to bear in mind that CBT is guided by a knowledge base and a philosophy, and that its techniques flow from this. Practitioners need to understand the rationale for what they are doing, and not treat CBT as a set of techniques (Roth & Pilling, 2007).  The competency framework map locates competences across five domains. It is not a hierarchical model, with some domains being more important or requiring more skill than others. Any intervention will require clinicians to bring together knowledge and skills from all domains. By clicking on the interactive version of the competence map on the link below to their website and each box will have a full list of the associated competences for that heading that can be downloaded.
Further information about the competencies and KSA as well as essential information about training as a High Intensity CBT therapist can be found on the links below along with UEA resources for High Intensity Therapists and applicants.
IAPT High Intensity Training and Resources