Psychological therapies and interventions specification: consultation analysis

4 Outcome 1: High-quality care and support that is right for me

Introduction

Part two of the consultation asked for feedback on each of the seven outcomes of the draft specification for psychological therapies and interventions.

This chapter presents feedback on Outcome 1 which states that “Everyone accessing psychological care deserves to receive a high-quality level of care, and the right support that they need, all delivered by appropriately trained professionals.” It then sets out a number of statements that describes how this will be achieved.

Question 8

How far do you agree that the statements within Outcome 1 will improve the experiences of people accessing psychological therapies and interventions?

Table C5 presents the quantitative response to Question 8. This shows that:

• a majority of all consultation respondents who answered Question 8 either agreed or strongly agreed (72%) that the statements within Outcome 1 will improve the experiences of people accessing psychological therapies and interventions
• 21% neither agreed nor disagreed
• 8% either disagreed or strongly disagreed

Question 9

How far do you agree that the statements within Outcome 1 will improve the outcomes of people accessing and using psychological therapies and interventions?

Table C6 presents the quantitative response to Question 9. This shows that:

• three-fifths of all consultation respondents who answered Question 9 either agreed or strongly agreed (60%) that the statements within Outcome 1 will improve the outcomes of people accessing psychological therapies and interventions
• a relatively large proportion of respondents neither agreed nor disagreed (31%) with this statement
• 9% either disagreed or strongly disagreed

Question 10

How far do you agree that the statements within Outcome 1 fully sets out to individuals, their families and carers what they can expect when they access high-quality care and support?

Table C7 presents the quantitative response to Question 10. This shows that:

• almost three-quarters of all consultation respondents who answered Question 10 either agreed or strongly agreed (74%) that the statements within Outcome 1 clearly set out to individuals, their families and carers what they can expect when they access high-quality care and support
• 16% neither agreed or disagreed
• 9% either disagreed or strongly disagreed

Question 11

We know that currently not everyone has the same experiences or outcomes when they access psychological therapies and interventions. We want the specification to help make sure that services meet your needs whoever you are and whatever your background. How far do you agree that the statements within Outcome 1 will help do this?

Table C8 presents the quantitative response to Question 11. This shows that:

• almost two-thirds of all consultation respondents who answered Question 11 either agreed or strongly agreed (61%) that the statements within Outcome 1 will help to support equitable access to psychological therapies and interventions
• a relatively large proportion of respondents neither agreed nor disagreed (29%) with this statement
• 10% either disagreed or strongly disagreed

Question 12

The statements within Outcome 1 are intended to make sure that you get the right support that you need, all delivered by appropriately trained professionals. How far do you agree that the statements within Outcome 1 will help do this?

Table C9 presents the quantitative response to Question 12. This shows that:

• around two-thirds of all consultation respondents who answered Question 12 either agreed or strongly agreed (65%) that the statements within Outcome 1 will help to make sure that individuals get the right support that they need, all delivered by appropriately trained professionals
• a relatively large proportion of respondents neither agreed nor disagreed (27%) with this statement
• 7% either disagreed or strongly disagreed

Question 13

Do you have any other comments about the statements in Outcome 1?

Almost three-quarters (72%) of all consultation respondents answered Question 13 which asked respondents whether they had any comments regarding Outcome 1. The main themes are presented below.

Theme 1: A repeat of key themes that emerged from the consultation

Some respondents repeated points they made earlier and to other consultation questions - see Chapter 2 for more detail. For example:

• it was important not to create unrealistic expectations
• more detail was requested on how Outcome 1 would be implemented in practice
• it was imperative that the specification seeks to address wider determinants of mental health to reduce inequalities
• the emphasis on a broader range of psychological therapies and interventions was welcomed, in particular the explicit reference to peer support – a wider point raised was that there could be more reference to the role of specialist therapies (art and music therapies were mentioned) and signposting to such provision

Theme 2: Feedback on specific statements

Some respondents provided feedback on specific statements in Outcome 1 that they could be amended, reworded, reframed, enhanced, and/or further strengthened in some way. This feedback in part reflects calls from respondents for more detail, specification and/or greater clarity on these statements, including terms used.

More detail is provided in Appendix D, however, a couple of selected examples include:

• reference to psychological formulations, particularly whether they are always appropriate or necessary in all cases
• how the specification will consider that the provision of psychological care varies across Scotland’s urban and more rural and remote areas