Abstract
Objectives: This study explored the prevalence of childhood sexual/physical abuse (CSA/CPA) as identified by practitioners in Improving Access to Psychological Therapies (IAPT) services and clarified differences in clients’ characteristics with and without a history of CSA/CPA.
Methods: A retrospective analysis of a large dataset comprised of IAPT routine data and data from a local service evaluation reporting on clients’ presenting problems.
Results: Fourteen percent of IAPT clients (n= 1,315) were identified with a record of CSA/CPA. CSA/CPA history was associated with longer duration and earlier age of onset of condition(s), greater number of presenting problems and posttraumatic stress disorder co-occurrence, higher intensity treatment delivery and lower recovery rates.
Conclusions: CSA/CPA history appears as an important feature in a sizable minority of IAPT clients; further work is required to meet clients’ trauma-related needs.
Methods: A retrospective analysis of a large dataset comprised of IAPT routine data and data from a local service evaluation reporting on clients’ presenting problems.
Results: Fourteen percent of IAPT clients (n= 1,315) were identified with a record of CSA/CPA. CSA/CPA history was associated with longer duration and earlier age of onset of condition(s), greater number of presenting problems and posttraumatic stress disorder co-occurrence, higher intensity treatment delivery and lower recovery rates.
Conclusions: CSA/CPA history appears as an important feature in a sizable minority of IAPT clients; further work is required to meet clients’ trauma-related needs.
Original language | English |
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Journal | British Journal of Clinical Psychology |
Publication status | Accepted/In press - 12 May 2021 |