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Article ID: CBB273628370

Access, accountability, and the proliferation of psychological therapy: On the introduction of the IAPT initiative and the transformation of mental healthcare (August 2019)

Social Studies of Science
Volume: 49
Issue: 4
Pages: 627-650

DOI: 10.1177/0306312719834070

URI: https://doi.org/10.1177/0306312719834070

Publication Date: August 2019
Edition Details: Special Issue: From Person to Population and Back: Exploring Accountability in Public Health
Language: English

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Public health Medicine Mental health and illness Psychology Technoscience; science and technology studies Therapeutic practice; therapy; treatment Life sciences 21st century Great Britain

Psychological therapy today plays a key role in UK public mental health. In large part, this has been through the development of the (specifically English) Improving Access to Psychological Therapies (IAPT) programme. Through IAPT, millions of citizens have encountered interventions such as cognitive behaviour therapy, largely for the treatment of depression and anxiety. This article interrogates how this national response to problems of mental ill-health – and the problematization itself – was developed, accounted for, and sustained. By imbricating economic expertise with accounts of mental ill-health and mechanisms of treatment, IAPT has revivified psychological framings of pathology and therapy. However, it has done so in ways that are more familiar within biomedical contexts (e.g. through recourse to randomized controlled trial studies). Today, the initiative is a principal player in relation to which other services are increasingly developed. Indeed, in many respects IAPT has transformed from content to context within UK public mental health (in a process of what I term ‘contextification’). By documenting these developments, this paper contributes to re-centring questions about the place and role of psychology in contemporary healthcare. Doing so helps to complicate assumptions about the dominance of linear forms of (de)biomedicalization in health-systems.

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Associated with

Article Klaus Hoeyer; Susanne Bauer; Martyn Pickersgill (August 2019) Datafication and accountability in public health: Introduction to a special issue. Social Studies of Science (pp. 459-475). unapi

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https://data.isiscb.org/isis/citation/CBB273628370/

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