Stress and Coping in IAPT Staff: a Mixed Methods Study

Walklet, Elaine; Percy, Carol

doi:10.18552/aprj.v1i2.146

Cited by 7 publications

(18 citation statements)

References 24 publications

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“…Whilst there were no significant differences reported in terms of any of the variables of interest for those who dropped out before completing the measures a second time and those who did not, the over-representation of IAPT trainees amongst non-completers further indicates that caution must again be applied when interpreting these results for IAPT trainees. In contrast to the two studies discussed above, the studies of Walklet and Percy (2014) and Kostaki (2018) reported comparatively high levels of stress in IAPT professionals. Kostaki's (2018) study of 207 IAPT clinicians used the Perceived Stress Scale (Cohen and Williamson, 1988) to measure stress and reported that IAPT professionals experience higher levels of stress than normative data for the measure and are 'among the higher end' of scorers recorded for healthcare professionals (Kostaki, 2018).…”

Section: Levels Of Stress and Burnout In Iapt Trainees Stressmentioning

confidence: 68%

“…The eight studies included in the review form a varied collection of research, employing quantitative, qualitative and mixed methods approaches. Only two of the studies are published in peer-reviewed journals (Walklet and Percy, 2014;Westwood et al, 2017); the remaining six are doctoral theses. Both the total number of participants and the proportion of those who were IAPT trainees varied significantly between studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Several studies reported data for both qualified and trainee IAPT staff. Of these, two studies (Kostaki, 2018;Turnpenny, 2017) reported data in a manner that enabled comparison between these groups, whilst others (Walklet and Percy, 2014;Westwood et al, 2017) did not distinguish in the presentation of results between trainee and qualified staff. There was significant variation in use of measures with each of these studies employing a different measure for stress and burnout.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Four studies reported quantitative data regarding stress in IAPT professionals (Barns, 2017;Kostaki, 2018;McAuley, 2010;Walklet and Percy, 2014). Of these, two studies reported levels of stress in the 'normal' or 'mild' ranges, and two reported elevated levels of stress.…”

Section: Levels Of Stress and Burnout In Iapt Trainees Stressmentioning

confidence: 99%

“…Kostaki's (2018) study of 207 IAPT clinicians used the Perceived Stress Scale (Cohen and Williamson, 1988) to measure stress and reported that IAPT professionals experience higher levels of stress than normative data for the measure and are 'among the higher end' of scorers recorded for healthcare professionals (Kostaki, 2018). Using the GHQ-12 (Goldberg and Williams, 1988), Walklet and Percy (2014) reported that 29.5% of the IAPT professionals included in their study (n = 44) met clinical 'caseness'. They comment that this finding indicates relatively high levels of stress in IAPT employees, similar to levels previously identified in mental health nurses, but lower than those reported in mental health social workers or clinical psychologists.…”

Section: Levels Of Stress and Burnout In Iapt Trainees Stressmentioning

confidence: 99%

See 4 more Smart Citations

Stress and burnout in Improving Access to Psychological Therapies (IAPT) trainees: a systematic review

Owen

Crouch-Read

Smith

et al. 2021

tCBT

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For more than a decade, Improving Access to Psychological Therapies (IAPT) has been training a new workforce of psychological therapists. Despite evidence of stress and burnout both in trainee mental health professionals, and qualified IAPT clinicians, little is known about these topics in IAPT trainees. Consequently, this systematic review sought to establish the current state of the literature regarding stress and burnout in IAPT trainees. Electronic databases were searched to identify all published and available unpublished work relating to the topic. On the basis of pre-established eligibility criteria, eight studies (including six unpublished doctoral theses) were identified and assessed for quality. This review identifies that research into the experience of IAPT trainees is under-developed. Existing evidence tentatively suggests that IAPT trainees may experience levels of stress and burnout that are higher than their qualified peers and among the higher end of healthcare professionals more generally. The experience of fulfilling dual roles as mental health professionals and university students concurrently appears to be a significant source of stress for IAPT trainees. More research regarding the levels and sources of stress and burnout in IAPT trainees is urgently needed to confirm and extend these findings. Recommendations for future research in the area are given. Key learning aims (1) To establish the current state of the literature regarding stress and burnout in IAPT trainees. (2) To raise practitioner, service and education-provider awareness regarding the levels and perceived sources of stress and burnout in IAPT trainees. (3) To make recommendations regarding future research on the topic.

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Section: Levels Of Stress and Burnout In Iapt Trainees Stressmentioning

confidence: 68%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Levels Of Stress and Burnout In Iapt Trainees Stressmentioning

confidence: 99%

Section: Levels Of Stress and Burnout In Iapt Trainees Stressmentioning

confidence: 99%

See 3 more Smart Citations

Stress and burnout in Improving Access to Psychological Therapies (IAPT) trainees: a systematic review

Owen

Crouch-Read

Smith

et al. 2021

tCBT

View full text Add to dashboard Cite

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A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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In the UK in 2007 a national experiment was initiated with the aim of tackling “Britain's Biggest Social Problem”—Depression. Improving Access to Psychological Therapies (IAPT) was devised as the solution. A universal free‐to‐access talking therapies program would make available evidence‐based treatment to all adults with depression. NICE (National Institute for Health and Care Excellence), the body that decides on what is cost‐effective, said CBT, not antidepressants, should be its first line offer. The starting gun was fired. The promise from IAPT was 3‐fold: to scale up access to CBT rapidly; to achieve recovery targets that would reduce the prevalence of depression over time; and—most ambitious of all—to ensure the Treasury would see a return on its investment by reducing the economic burden from depression. People who were on invalidity benefits due to depression would be supported back into employment. It was a New Deal for depression. As well as for CBT. But did it work? A decade and a half on with IAPT, are we in any position to give an answer? This paper will seek to draw lessons about “What Worked”, and what didn't, to ask ourselves a question: are we—those of us in the applied psychoanalytic community—willing to garner what can be learned from IAPT to advocate a new deal for evidence‐based psychoanalysis? Faced with challenges from unemployment and widening inequalities, against a backdrop where global economic recovery must heed the existential threats from climate change and ongoing warfare, to say nothing of the scale of loss and grief for those already impacted by bereavement due to the pandemic, the need for some such deal could not be more urgent.

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Stress, resilience and coping in psychological wellbeing practitioner trainees: a mixed-methods study

Owen

Cross

Mergia

et al. 2022

tCBT

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In this study, a convergent parallel mixed-methods design was used to explore stress, resilience and coping in psychological wellbeing practitioner (PWP) trainees (n = 90) at the beginning of their training. Psychometric tests were used to measure levels of self-reported stress, resilience and dispositional coping styles. Open-text survey data regarding the perceived sources of stress at the beginning of training were also qualitatively analysed using thematic analysis (TA). Results indicated that in the early weeks of their training, trainees reported lower levels of resilience and higher levels of stress than those found in the general population. Statistically significant negative correlations were found between stress and resilience, and between stress and the coping styles ‘Planning’, and ‘Active Coping’. Statistically significant positive correlations were found between stress and the coping styles of ‘Denial’ and ‘Focus on and Venting of Emotions’. The qualitative findings provided a context within which to understand these quantitative results. The three themes ‘I can find the unknown quite unsettling’, ‘I question my competences’ and ‘Learning, consolidating and putting it all into practice’ were generated through the qualitative analysis. These themes were connected by an over-arching theme which suggests that the perceived responsibility of the role is an important source of stress for PWP trainees. Implications for future research and the training of PWPs are discussed. Key learning aims (1) To establish the levels and perceived sources of stress in trainee PWPs at the beginning of their training. (2) To identify relationships between stress and resilience, and between stress and styles of coping at the beginning of training. (3) To use a mixed-methods approach to provide a comprehensive account of stress at the outset of training.

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Stress and Coping in IAPT Staff: a Mixed Methods Study

Cited by 7 publications

References 24 publications

Stress and burnout in Improving Access to Psychological Therapies (IAPT) trainees: a systematic review

Stress and burnout in Improving Access to Psychological Therapies (IAPT) trainees: a systematic review

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Stress, resilience and coping in psychological wellbeing practitioner trainees: a mixed-methods study

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