Clifford Allbutt Building, Bay 13, Department of Psychiatry, Cambridge Biomedical Campus, University of Cambridge, Cambridge CB2 OAH, England.
Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, England.
Bull World Health Organ. 2021 Sep 1;99(9):674-679. doi: 10.2471/BLT.20.273383. Epub 2021 Aug 17.
Mental ill health in the United Kingdom of Great Britain and Northern Ireland has been a major driver of labour market exclusion through sickness absence, reduced productivity and job loss.
A government-supported programme for improving access to psychological therapies was launched in 2008 and expanded across England in 2010. The aim was to provide evidence-based treatments for people with common mental disorders through three principal strategies: (i) routine session-by-session outcome monitoring; (ii) integration with the wider care system; and (iii) delivery of psychological therapies as part of a stepped-care approach.
Access to effective psychological therapies was previously low in the United Kingdom. In 2010, only about 35% of people with moderately severe mental disorders were in specialist or non-specialist treatment.
The accessibility of quality mental health services has increased, as has the efficiency of the country's mental health system. The numbers of people entering treatment have increased steadily from 0.43 million in 2012-2013 to 1.09 million in 2018-2019. The recovery rate of patients in treatment increased from 42.8% to 52.1% during 2012-2018. The number of people moved off sick pay and benefits rose from 3683 to 18 039 over the same period.
A clinical guideline on psychological therapies is a prerequisite for increasing the accessibility and efficiency of mental health services. An integrated approach allows mental health services to have better reach. Routine collection of patient-level outcome data plays an important role in the value and function of the mental health care system.
在大不列颠及北爱尔兰联合王国，精神健康问题一直是导致劳动力市场排斥的主要因素，其表现为病假、生产力下降和失业。
2008 年启动了一个政府支持的改善心理治疗机会的计划，并于 2010 年在英格兰全面展开。其目的是通过三种主要策略为常见精神障碍患者提供基于证据的治疗：（一）常规的逐次治疗结果监测；（二）与更广泛的护理系统整合；（三）作为阶梯式护理方法的一部分提供心理治疗。
在英国，获得有效的心理治疗机会以前很低。2010 年，只有约 35%的中度严重精神障碍患者接受专科或非专科治疗。
优质精神卫生服务的可及性提高了，该国精神卫生系统的效率也提高了。接受治疗的人数稳步增加，从 2012-2013 年的 43 万人增加到 2018-2019 年的 109 万人。2012-2018 年间，治疗中患者的康复率从 42.8%提高到 52.1%。同期，从病假和福利中康复并重返工作岗位的人数从 3683 人增加到 18039 人。
心理治疗临床指南是提高精神卫生服务可及性和效率的前提。综合方法使精神卫生服务能够更好地覆盖人群。常规收集患者层面的治疗结果数据在精神卫生保健系统的价值和功能方面发挥着重要作用。
