J Health Psychol. 2018 Aug;23(9):1131-1135. doi: 10.1177/1359105318781872.
England's flagship 'Improving Access to Psychological Therapies' (IAPT) service has cost around £1 billion yet Scott's (2018a) study suggests that only 9.2% of IAPT patients recover. This leaves an enormous gap of 40.8% between the observed recovery rate and IAPT's claimed recovery rate of 50.0%. The spotlight is on patients with 'medically unexplained symptoms' (MUS) and 'long-term conditions' (LTCs) such as 'diabetes, COPD and ME/CFS, yet there is no way of knowing whether IAPT is capable of yielding the promised rewards or English patients are being sold an expensive pup. An urgent independent expert review of IAPT recovery rates is necessary to answer this question.
英格兰的旗舰项目“改善心理治疗服务”（IAPT）已经花费了约 10 亿英镑，但 Scott（2018a）的研究表明，只有 9.2%的 IAPT 患者康复。这意味着观察到的康复率与 IAPT 声称的 50.0%的康复率之间存在巨大差距，相差 40.8%。焦点集中在患有“无法解释的医学症状”（MUS）和“长期疾病”（LTCs）的患者身上，例如“糖尿病、COPD 和肌痛性脑脊髓炎/慢性疲劳综合征”，但目前尚无法确定 IAPT 是否能够实现承诺的回报，或者英国患者是否被高价兜售了无效的服务。有必要对 IAPT 的康复率进行紧急的独立专家审查，以回答这个问题。
