uACT Launch on Saturday 29th January 2022, 10am – 1pm. 

The campaign for universal Access to Counselling and Psychotherapy (uACT) launches on Saturday 29th January 2022, 10am – 1pm. 

Join us, and add your voice to a campaign to bring care and connection back to the heart of our communities. Let’s push back against the ruthless rationale of the market and the undermining of the genuine, meaningful relationships that are fundamental to people’s basic needs.

Register on Eventbrite here

In the UK, counsellors and psychotherapists are working at one of the fault lines of a crumbling social contract. We are in the grip of what Government and the media call a “mental health crisis”, to which the response is diagnostic labels, pseudo-medical treatments and interventions designed to promote “happiness” and “wellbeing”. We believe this is dehumanising, creating a focus on individual ill-health that separates us and draw us away from the restorative potential of deeper human connection.

For decades now, the hostile takeover of NHS counselling and psychotherapy by a narrow range of “evidence-based” psychological therapies has been eroding real therapeutic relationships, which have now been all but stripped out of NHS and third sector mental health services.

The Improving Access to Psychological Therapies (IAPT) programme has reorganised front line, primary care psychological services into a “cost effective” menu of short-term, utilitarian behavioural exercises. 

IAPT uses misleading data to report success, inflating “recovery rates” and using standardised measures to claim recovery regardless of whether service users perceive any meaningful improvement or feel recovered. In fact, one fifth of clients receive only two sessions, and some never see a therapist – face to face or online – because their treatment comes in the form of a self-help workbooks and apps.

Meanwhile, the IAPT workforce is burning out, demoralised and worn down by a working culture often more focussed on form-filling, data manipulation and hitting targets than helping people. 2015 figures from a British Psychological Society survey reveal that being employed as an IAPT therapist is worse for your mental health than almost any other job in the UK. It is a failing provision, serving a failing social system. 

In secondary care (where people are referred by their GP or primary care provider), almost all longer-term therapy provision has been removed in favour of cheaper, short-term Cognitive Behavioural Therapy and manualised treatments. 

Mental health services are chronically under-funded and under-staffed, with services for children and young people particularly badly affected. Around 75 percent of young people experiencing a mental health problem are forced to wait so long their condition gets worse, some receiving no treatment at all, while specialist services are turning away one in four children referred by GPs or teachers. We must do better.

For decades, across society, the financial and political interests of the dominant ideology have been prioritised at the expense of the emotional, psychological, and material wealth of most people. We see this reflected not only in mental health provision, but across all domestic policy, from education to health and social care; housing to social welfare and benefits; and the trend away from liveable wages and decent working conditions.

Counsellors and psychotherapists with a critical understanding of these developments have been campaigning for years to protect and promote relational therapy as a space for open and mutual exploration of meaning and engagement in our lives – even while the machinery of utilitarian, transactional policy making continues to expand.

It is time for therapists and others concerned about the quality of relational life in our society to come together and take a stand.

Join us on 29th January to share our experiences and ideas about how we can ACT together to: 

• stand up against the unilateral imposition of utilitarian psychological therapies 

• campaign for more client-centred and community-based responses for everyone in need of psychological support, and

• share with each other alternative ways of working, as therapists with a commitment to the social model of emotional life and its struggles

Programme

10.00 – 11.30am: Speakers Alia Butt and James Davies followed by questions and discussion.

11.30am – 12.00pm: Break out groups to discuss ideas for campaigning .

12.00 – 1.00pm: Sharing ideas for campaigning, networking and planning for the future

Speakers

Alia Butt is a psychotherapist and a highly specialised CAMHS practitioner within the NHS. Convener of NHS Staff Voices, part of Keep Our NHS Public and a policial activist working across campaigns including Women Will Not Be Silenced.

James Davies gained his PhD in social and medical anthropology from the University of Oxford in 2006. He also qualified as a psychotherapist, working in organisations such as the NHS. James is a Reader in social anthropology and mental health at the University of Roehampton, London. He is author of the bestseller Cracked: why psychiatry is doing more harm than good, and the more recent Sedated: how modern capitalism created our mental health epidemic.

Register on Eventbrite here

For more information email: mailto:ua2counandt@gmail.com

Campaigning for universal Access to Counselling and psychoTherapy

Manifesto

Over the past 20 years, counselling and psychotherapy, as provided by the NHS and charities, has been reorganised into an assembly line of formulaic, ‘medical model’ diagnosis and treatment, backed by misleading statistics.

Since 2008, IAPT (the Improving Access to Psychological Therapies service) has monopolised funding for therapy provided in the public and third sectors. IAPT is based on a pseudo-scientific model of ‘evidence-based’ short-term CBT (cognitive behavioural therapy). It is increasingly provided digitally rather than face to face with a therapist.

Most IAPT practitioners share the same ethical and professional values as other counsellors and psychotherapists. However, the dominance and rigidity of the IAPT model and its managerial and political priorities is currently constraining the creative potential of therapeutic relationships for clients and practitioners alike. Both have become cogs in the machinery of the government’s management of the country’s mental health.

For practitioners, the pay and working conditions of counsellors and psychotherapists in the public and charity sectors has been deteriorating for years. Many therapists are currently working for very low pay, long hours, sometimes on part-time, gig-economy contracts. At the same time, many trainee and newly-qualified therapists are working for no pay at all as so-called “volunteers”, a growing army of free labour in a health sector desperately understaffed.

Meanwhile, for people looking for therapy, IAPT offers very little choice – of therapist, therapeutic approach or setting. However, people are different. Behavioural and short-term therapies are not right for everyone. Many would benefit from a therapist who takes one of the many other approaches available in the rich field of counselling and psychotherapy.  All of this may help explain why two-thirds of referrals to the IAPT service never complete a course of treatment.  

We are campaigning for people to have access to a wide range of counselling and psychotherapy in the NHS, and for it to be available through local community services and charities, as well as in schools and colleges. We want services to respond to the needs of local communities and to be client-led rather than provider prescribed. 

We also want therapists to be made available to work with community groups across a range of settings where their skills and experience can facilitate peer-led initiatives in support of mental health. This is because we also respect the capacity individuals and communities have to support each other with the empathy and emotional wisdom of their everyday lives – independently of professional services.

The campaign for universal Access to Counselling and psycho Therapy (uACT) is working for fundamental change in the organisation of support for people experiencing emotional suffering and distress.

We want this support to be organised around the following principles:

  • community led, not provider led
  • client led, not diagnosis led 
  • client need, not imposed time frames
  • lasting changes, not quick fixes
  • client/counsellor relationships, not manuals or websites
  • listening to clients, not telling them
  • life changes, not short-term goals
  • emotional depth, not positive thinking
  • understanding people, not collecting statistics
  • benefit for clients, not benefit for service funding
  • relational approach to assessing progress, not tick-box number crunching