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Table 1 Actionable service improvement ideas generated from projects in first stage of the IQuESTS research programme

From: Squaring the circle: a priority-setting method for evidence-based service development, reconciling research with multiple stakeholder views

No. Title and description of actionable service improvement Source of idea
Education and guided self-help ideas  
1 Widening access to non-therapy services – to help service users build and strengthen their support networks by engaging (or re-engaging) with activities and/or services they valued in the community. Stage 1a
2 Educating staff and families about depression – to provide psycho-educational materials and training opportunities to friends, family, and carers of people with longer-term depression as well as professionals. Stage 1b
3 Guided self-help with the use of tools and resources – helping patients to navigate the wealth of existing written and on-line information and self-help resources available. Stage 1b
4 Sign-posting & improving access to a menu of options alongside therapy including, for example: Stage 1b
• Pets for Companions
• Complementary Therapies
• Voluntary work or job search activity
• Physical exercise
Support and treatment ideas (within psychotherapy services)  
5 Peer buddy programme – developing one-to-one peer mentoring to help with initial engagement and to run alongside therapy. Stage 1b
6 Improved brokerage/ensuring informed choice pre-therapy start – focussing on quality of information and communication about available choices prior to therapy. Stage 1b
7 Peer Support Group post treatment – professionally facilitated and peer managed support groups to reinforce and maintain the gains made in therapy. Stage 1b
8 Motivational Interviewing and Goal setting – using these as a specific technique/intervention within therapy. Stage 1b
9 Mindfulness based relapse prevention – professionally led, group-based training in mindfulness techniques at the end of therapy. Steering Group/Core Team meeting
10 Wellness Recovery Action Plan (WRAP) & relapse prevention – using the WRAP tool as a specific intervention in relapse prevention planning. Stage 1b
Care pathway related ideas  
11 Self-referral back to therapist after discharge – enabling service users to access the same or a different therapist without professional re-referral after completion of therapy. Stage 1a
12 Integrating care co-ordination and psychological services – providing case management for people using social care and health services. Stage 1a
13 Developing a common assessment and monitoring tool for use across the care pathway – to reduce the burden on service users of providing the same information repeatedly across mental health services. Stage 1a
14 Physical health reviews/physical health link workers – conducting physical health assessments alongside mental health reviews for psychotherapy patients, to ensure physical health needs are not neglected. Steering Group/Core Team meeting
15 Improving access for Black and Minority Ethnic (BME) people into services – developing and increasing outreach and engagement activities with BME communities. Steering Group/Core Team meeting
16 Better management and prevention of drop-out – using evidence-based techniques (intention implementation planning) to minimize non-attendance during therapy. Steering Group/Core Team meeting
Complementary Activities  
17 Green activities – promoting volunteering in conservation and allotment gardening. Stage 1b
18 Help to get started and continue doing things – providing occupational therapy assistance for people to help with routine activities of daily living. Stage 1b
19 Incorporating balance of activities and routines - encouraging a focus on balance of activities in developing new routines. Stage 1b
20 Work for well-being – investigating and taking up opportunities for voluntary and paid work. Stage 1b