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HOW DOES RACE AND MIGRATION AFFECT IAPT USE? Yesterday we published an examination of inequalities in IAPT use in Southeast London. IAPT is a programme established in 2007-8 aiming to deliver accessible psychological therapies for people with common mental disorders in England.
Various studies of caseloads and comparison with local population data suggest under-representation of ethnic minority people and migrants, in IAPT services.
But we found very little research on this that accounted for the systematic differences in exposure to adversity, psychiatric symptoms, and socioeconomic disadvantage experienced by people from ethnic minority communities in Southeast London.
So we used a cohort study with linkage to IAPT records to estimate the overall incidence of IAPT use, describe differences by ethnic group and by migration status/recency, and look at the impact of some of these potential alternative explanations for differences in IAPT use.
For migrants we also considered differences by self-reported reason for migration(whether they migrated for asylum or for other reasons).
RESULTS! We did not find statistical evidence that Black and South Asian people were accessing IAPT less frequently than White people. Migrants residing in the UK for less than 10 years were more than half as likely to use IAPT, indicating some inequality in access here.
We think that more needs to be understood about different barriers to accessing psychological provision affecting minority ethnic groups, and understand possible challenges faced by recent migrants in accessing psychological therapies.
This work was only possible through Fellowship funding @wellcometrust and support for data linkage from the @NIHRMaudsleyBRC . Thanks to authors @SarPsych @SohailJannesari @jamesmaccabe @JayDasMunshi @dineshbhugra @MatthewHotopf @HatchStephani for their support.
Hopefully this work is of interest: @MaudsleyNHS @MaudsleyCPG @RichardLayard @KSBhui @NHSEnglandLDN @NHS_RHO @rcpsych
Paper is here OPEN ACCESS! https://link.springer.com/article/10.1007/s00127-021-02035-7 @sppe @wacp06 @SocialEpi_HSPR @ISES_Epi
We also found some interesting differences in IAPT use between Lambeth and Southwark boroughs! @richardjpinder @EdDavie @nhslambethccg @NHSSouthwarkCCG @Families_MH @kingshealth
