Model of Care
                 Adults Accessing 
                 Talking Therapies 
                 while Attending Specialist 
                 Mental Health Services
                         Version 1.0
                      Published Date: April 2021
                      ISBN: 978-1-78602-176-2
                      Health Service Executive
          1. Contents
          Foreword 4
          Message from the HSE National Director, Community Operations                                        5
          Executive Summary                                                                                   6
          A Note on Terminology                                                                               8
          List of Project Membership                                                                          9
          1. Introduction                                                                                    11
          2. Background 12
            2.1 Prevalence of Mental Health Difficulties in Ireland                                          12
            2.2 Services Sought by Service Users, Family Members and Carers                                  12
            2.3 The Case for Investing in Talking Therapies                                                  13
          3. Rationale and Scope                                                                             14
          4. Aims and Objectives                                                                             14
          5. Core Values and Principles                                                                      15
          6. The Effectiveness of Talking Therapies                                                          16
            6.1 Current Evidence-base for Talking Therapies                                                  16
            6.2 Influence of Common Factors                                                                  17
            6.3 Complex Psychological Needs                                                                  17
            6.4 Interventions that are Sensitive to the Cultural Needs of Specific Populations               19
            6.5 Consideration of Unintended Potentially Adverse Effects of Psychotherapy                     20
            6.6 Caseload Management                                                                          20
          7. Current Talking Therapy Services for Adults in Ireland                                          21
            7.1 A Collaborative Layered Care Delivery Model for Talking Therapies 22
            7.2 Levels of Intensity of Talking Therapy                                                       24
            7.3 Assessing Need, Formulation and Matching to Therapies                                        27
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