Investigating barriers to implementation of the NICE Guidelines for Depression: a staff survey with Community Mental Health Teams.

Abstract:

:Clinical guidelines have been designed to lead to significant and consistent improvements in health care but are rarely fully implemented within healthcare services. The study involved a survey of staff at four Community Mental Health Teams, which aimed to assess their knowledge and use of both the psychological recommendations of the National Institute for Health and Clinical Excellence (NICE) guidelines for Depression and specifically of cognitive-behavioural therapy (CBT) based interventions. It also aimed to assess team members' clinical assessment skills and decision-making patterns when making recommendations about services for patients with depression. The results indicated that while over 90% of staff said they were using the NICE guidelines for Depression, less than 20% were very confident in using them. Most staff had knowledge about CBT and most (88%) would be very willing to refer to CBT but mentioned problems such as lack of resources and/or social problems affecting service delivery. Most staff were generally able to correctly identify the severity and type of depression. Despite this, some staff were making decisions that were not in accordance with the NICE recommendations. Reasons for these patterns are discussed.

authors

Rhodes L,Genders R,Owen R,O'Hanlon K,Brown JS

doi

10.1111/j.1365-2850.2009.01488.x

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

147-51

issue

2

eissn

1351-0126

issn

1365-2850

pii

JPM1488

journal_volume

17

pub_type

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