O'Leary, Caitlyn, Wynne, Joshua and Kunorubwe, Taf ![]() |
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Abstract
Existing research shows that clients from diverse backgrounds often experience poorer access to, and outcomes from, psychological therapy in primary care mental health services in England. These challenges may be further compounded for clients with limited English proficiency or those who prefer to access therapy in another language. Guidance on interpreter-mediated therapy provides important recommendations to support equitable access, effective communication, culturally sensitive care, and parity of outcomes. However, these guidelines are not always consistently implemented in practice. This study aimed to explore staff experiences and perspectives on the barriers to interpreter-mediated therapy within Talking Therapies for Anxiety and Depression (TTad). Data were collected via an online survey completed by 133 staff members, and analysed using reflexive thematic analysis (RTA). Four key themes were identified: (1) individual-level barriers, (2) service-level barriers, (3) organisational-level barriers, and (4) overlapping barriers. Findings highlight that while these barriers operate at distinct levels, they are also interdependent and often overlap. Addressing them therefore requires a comprehensive approach that accounts for their interconnected nature. Priorities include improved training for both therapists and interpreters, streamlined administrative processes, adequate funding, and stronger adherence to best practice guidelines. Future research and ongoing efforts to implement and monitor these changes will be essential to improving access and outcomes for clients within TTad.
Item Type: | Conference or Workshop Item (Poster) |
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Status: | Unpublished |
Schools: | Schools > Psychology |
Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
Related URLs: | |
Date of First Compliant Deposit: | 6 September 2025 |
Date of Acceptance: | 5 September 2025 |
Last Modified: | 16 Sep 2025 13:15 |
URI: | https://orca.cardiff.ac.uk/id/eprint/180950 |
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