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For patients experiencing practical and social problems (including housing, debt, and legal issues, lack of social support and/or employment difficulties), signposting to statutory and/or third sector organisations may be an alternative to initiating treatment at Step 2/3. Signposting will also be an essential component of an effective Step 2 LI intervention where involvement of additional support and advocacy services is considered to facilitate and enhance engagement with treatment and its effects (e.g. see Beck et al. 2019). Unemployment has been frequently linked to poorer outcomes in therapy (e.g. see Delgadillo et al., 2016); and within the IAPT programme recognition of the relationship between employment and mental wellbeing has led to the development of employment advisors to support patients seek meaningful employment whilst engaging with their LICBT intervention (Hogarth et al., 2013).