/ / / mind.org.uk samaritans.org.uk
The Haringey, Enfield and Barnet IAPT service is part of a national initiative to improve access to psychological therapy for people with Common Mental Illness (CMI). The service aims to provide easy access to friendly, responsive, evidence based effective psychological treatment for people with mild to moderate/severe depressive and anxiety based emotional disorders.
Common Mental Illness (CMI) is the collective term used to refer to anxiety, depression, phobias, obsessive-compulsive and panic disorders. These disorders constitute non-severe mental health problems in that patients are not deemed to be seriously mentally ill, to access the specialist mental health services. They are one of the biggest public health problems (NICE, 2004). Depression is the most common mental disorder in the community setting, and is a major cause of disability across the world (NICE, 2004). The World Health Organisation (WHO) has identified CMI as one of the key target areas for health promotion.
It estimates that by 2020 depression will be the second most disabling condition in the world (WHO, 2002). In the UK, CMI accounts for one third of days off sick and one fifth of all consultations with the GP (Lloyd, 2006). Early identification and treatment reduces the suffering and the fiscal burden, both at the individual and society levels (NICE, 2004). The World Health Organisation (WHO) describes mental health as a state of well-being and not merely the absence of disease. The emphasis on disease prevention and health promotion is the driving force behind the Department of Healthâ€™s policy on making primary care services accessible and effective in treating mental illness (DoH, 2003). The majority of CMI, about 95%, is managed exclusively in primary care. The detection rates vary widely and appear to be influenced by both the doctor and patient factors. The choice of interventions and their effectiveness also vary, and are influenced by patient factors.
A review by the National Institute for Health and Clinical Excellence (NICE, 2004) found that only 24% of people with one or more common mental disorder were receiving treatment, compared to those with severe mental illness where 84% were in receipt of treatment. Of those under treatment 20% were on medication. Only 9 % were receiving counselling or talking therapy