Exploring current perceptions and experiences of working with older adults within an IAPT service: Barriers and ways to overcome

Abstract

The aging population is increasing rapidly however research continues to show a decline in the number of older adults accessing and seeking psychological treatment since the Covid-19 pandemic. This study aims to identify perceived barriers to access and engagement within an IAPT service and explores possible ways these might be overcome. 24 IAPT clinicians completed an online survey exploring their experiences of working psychologically with older adults. Content analysis revealed three key themes and subthemes related to barriers: (1) Technology (Confidence, Ability, Reluctance, Access), (2) Health (Commitment, Assistance, Mobility, Impairments), (3) Client engagement (Expectation, Understanding, Stigma, Motivation) and three themes with subthemes for overcoming these barriers: (1) Therapist flexibility (Slower pace, Adaptations, Signposting) (2) Client autonomy (Socialisation, Client values, expectations); (3) Therapeutic alliance (Honesty, Listening to needs, Collaboration). It is hoped these findings help to raise awareness and recognition of potential challenges associated with older adult access and engagement as experienced by IAPT clinicians and begins to highlight possible ways these might be overcome.