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dc.contributor.authorThomas, F
dc.contributor.authorHansford, L
dc.contributor.authorFord, J
dc.contributor.authorWyatt, K
dc.contributor.authorMcCabe, R
dc.contributor.authorByng, R
dc.date.accessioned2019-11-20T16:38:41Z
dc.date.issued2019-10-04
dc.description.abstractBackground: Improving Access to Psychological Therapies (IAPT) constitutes a key element of England’s national mental health strategy. Accessing IAPT usually requires patients to self-refer on the advice of their GP. Little is known about how GPs perceive and communicate IAPT services with patients from low-income communities, nor how the notion of self-referral is understood and responded to by such patients. Aims: This paper examines how IAPT referrals are made by GPs and how these referrals are perceived and acted on by patients from low-income backgrounds Method: Findings are drawn from in-depth interviews with low-income patients experiencing mental distress (n = 80); interviews with GPs (n = 10); secondary analysis of video-recorded GP-patient consultations for mental health (n = 26). Results: GPs generally supported self-referral, perceiving it an important initial step towards patient recovery. Most patients however, perceived self-referral as an obstacle to accessing IAPT, and felt their mental health needs were being undermined. The way that IAPT was discussed and the pathway for referral appears to affect uptake of these services. Conclusions: A number of factors deter low-income patients from self-referring for IAPT. Understanding these issues is necessary in enabling the development of more effective referral and support mechanisms within primary care.en_GB
dc.description.sponsorshipEconomic and Social Research Council (ESRC)en_GB
dc.identifier.citationPublished online 4 November 2019en_GB
dc.identifier.doi10.1080/09638237.2019.1677876
dc.identifier.grantnumberES/N018281/1en_GB
dc.identifier.urihttp://hdl.handle.net/10871/39647
dc.language.isoenen_GB
dc.publisherTaylor & Francisen_GB
dc.rights© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_GB
dc.subjectMental healthen_GB
dc.subjectImproving Access to Psychological Therapies (IAPT)en_GB
dc.subjectreferralen_GB
dc.subjectself-referralen_GB
dc.subjectlow-income patientsen_GB
dc.titleHow accessible and acceptable are current GP referral mechanisms for IAPT for low-income patients? Lay and primary care perspectivesen_GB
dc.typeArticleen_GB
dc.date.available2019-11-20T16:38:41Z
dc.identifier.issn0963-8237
dc.descriptionThis is the final version. Available on open access from Taylor & Francis via the DOI in this recorden_GB
dc.descriptionData access statement: The anonymised data generated from this study are available from the UK Data Service, subject to registration at 10.5255/UKDA-SN-853788en_GB
dc.identifier.journalJournal of Mental Healthen_GB
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_GB
dcterms.dateAccepted2019-06-15
exeter.funder::Economic and Social Research Council (ESRC)en_GB
rioxxterms.versionVoRen_GB
rioxxterms.licenseref.startdate2019-11-04
rioxxterms.typeJournal Article/Reviewen_GB
refterms.dateFCD2019-11-20T16:36:59Z
refterms.versionFCDVoR
refterms.dateFOA2019-11-20T16:38:44Z
refterms.panelDen_GB
refterms.depositExceptionpublishedGoldOA


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© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's licence is described as © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.