title: On poverty, politics and psychology: the socioeconomic gradient of mental healthcare utilisation and outcomes.
abstract: Since 2008, the Improving Access to Psychological Therapies (IAPT) programme has disseminated evidence-based interventions for depression and anxiety problems. In order to maintain quality standards, government policy in England sets the expectation that 50% of treated patients should meet recovery criteria according to validated patient-reported outcome measures. Using national IAPT data, we found evidence suggesting that the prevalence of mental health problems is greater in poorer areas and that these areas had lower average recovery rates. After adjusting benchmarks for local index of multiple deprivation, we found significant differences between unadjusted (72.5%) and adjusted (43.1%) proportions of underperforming clinical commissioning group areas.
authors.affiliation: Jaime Delgadillo, PhD, Leeds Community Healthcare NHS Trust and Department of Health Sciences, University of York, York; Miqdad Asaria, MSc, Centre for Health Economics, University of York, York; Shehzad Ali, PhD, Department of Health Sciences and Centre for Health Economics, University of York, York; Simon Gilbody, DPhil, FRCPsych, Hull York Medical School and Department of Health Sciences, University of York, York, UK jaime.delgadillo@nhs.net.
authors.forename: Jaime
authors.initials: J
authors.lastname: Delgadillo
authors.affiliation: Jaime Delgadillo, PhD, Leeds Community Healthcare NHS Trust and Department of Health Sciences, University of York, York; Miqdad Asaria, MSc, Centre for Health Economics, University of York, York; Shehzad Ali, PhD, Department of Health Sciences and Centre for Health Economics, University of York, York; Simon Gilbody, DPhil, FRCPsych, Hull York Medical School and Department of Health Sciences, University of York, York, UK.
authors.forename: Miqdad
authors.initials: M
authors.lastname: Asaria
authors.affiliation: Jaime Delgadillo, PhD, Leeds Community Healthcare NHS Trust and Department of Health Sciences, University of York, York; Miqdad Asaria, MSc, Centre for Health Economics, University of York, York; Shehzad Ali, PhD, Department of Health Sciences and Centre for Health Economics, University of York, York; Simon Gilbody, DPhil, FRCPsych, Hull York Medical School and Department of Health Sciences, University of York, York, UK.
authors.forename: Shehzad
authors.initials: S
authors.lastname: Ali
authors.affiliation: Jaime Delgadillo, PhD, Leeds Community Healthcare NHS Trust and Department of Health Sciences, University of York, York; Miqdad Asaria, MSc, Centre for Health Economics, University of York, York; Shehzad Ali, PhD, Department of Health Sciences and Centre for Health Economics, University of York, York; Simon Gilbody, DPhil, FRCPsych, Hull York Medical School and Department of Health Sciences, University of York, York, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Gilbody
mesh_terms: D004739:England; D006801:Humans; D008605:Mental Health Services / Q000706:statistics & numerical data*; D011057:Politics; D011203:Poverty / Q000706:statistics & numerical data*; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*