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Background

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On a worldwide scale, mental health service delivery is associated with under-investment, excessive waiting times, lack of choice, significant demands on patients, large workforce variation and poorly informed by the evidence base (Ngui et al., 2010). This has resulted in increased demands for parity of esteem between mental and physical healthcare to improve access to evidence-based treatment, meet patient aspirations, provide high-quality care and give equal status to training and practice (Royal College of Psychiatrists, 2013). Across England, efforts to achieve parity of esteem resulted in the publication of the No Health without Mental Health (Department of Health, 2011) mental health strategy. This strategy identifies long-term ambitions to transform mental healthcare with Closing the Gap: Priorities for Essential Change in Mental Health (Department of Health, 2014) translating these ambitions into short-term action. To achieve these ambitions, however, it was recognised that a new mental health programme would be required for implementation across England.

Low-intensity CBT Skills and Interventions

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