A local government authority in south-east England was interested in auditing the profile of individuals
accessing clinical services for treatment for depression in the local area, and examining outcome effectiveness
measures related to this treatment. A sample of 298 individuals who had been referred for individual highintensity
psychological treatment for moderate levels of depression from a range of NHS and private services
in the area were interviewed immediately prior to treatment and immediately after treatment on a range of
demographic, social and treatment-related variables. None of the participants received anti-depressant drugs
over the survey period. Service managers, government health policy experts and health workers were keen to
address three broad areas:
1. Client profile: what are the socio-demographic characteristics of individuals accessing treatment
services for depression in this area?
2. The treatment process: how long did individuals wait for treatment, how many sessions did they
attend, and how satisfied with treatment were they?
3. Treatment outcomes: how effective are the different service types and therapeutic approaches in
treating depression and improving general well-being?

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