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, 39 (2), 57-60

Children and Young People's Improving Access to Psychological Therapies: Inspiring Innovation or More of the Same?


Children and Young People's Improving Access to Psychological Therapies: Inspiring Innovation or More of the Same?

Sami Timimi. BJPsych Bull.


In 2007 the UK Government announced a substantial expansion of funding for psychological therapies for those presenting with common mental health problems. This 'Improving Access to Psychological Therapies' (IAPT) project was widely welcomed, however, evidence backed, economic, and conceptual critiques were voiced from the start and the project remains controversial. In 2011, the UK government announced it was extending the IAPT project to encompass services for children and young people with the aim of 'transforming' the way mental health services are delivered to them. Here I critically reflect on the problems associated first with IAPT and then with CYP-IAPT and ponder whether CYP-IAPT is significantly different to the problematic adult IAPT project or more of the same.

Conflict of interest statement

Declaration of interest S.T. is co-developer of the Outcomes Orientated Child and Adolescent Mental Health Services (OO-CAMHS) and the Outcome Orientated Approaches to Mental Health Services (OO-AMHS) projects that are part of the Partners for Change Outcome Management Systems (PCOMS) international group of projects for developing evidence-based recovery-orientated models of mental health service delivery.

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    1. Bracken P, Thomas P, Timimi S, Asen E, Behr G, Beuster C, et al. Psychiatry beyond the current paradigm. Br J Psychiatry 2012; 201: 430–4. - PubMed
    1. Dunacn B, Miller S, Wampold B, Hubble M. The Heart and Soul of Change (2nd edn). American Psychological Association, 2010.
    1. Wampold BE. The Great Psychotherapy Debate: Models, Methods, and Findings. Erlbaum, 2001.
    1. Castonguay LG, Beutler LE. Common and unique principles of therapeutic change: what do we know and what do we need to know? In Principles of Therapeutic Change that Work (eds LG Castonguay and LE Beutler). Oxford University Press, 2005.
    1. Shapiro DA, Startup M, Harper H, Reynolds S, Suokas A. The high-water mark of the drug metaphor: A meta-analytic critique of process-outcome research. In Reassessing Psychotherapy Research (ed Russell RL, editor. ). Guilford Press, 1994.