Views of services users and staff on a combined money advice and psychological therapy service within IAPT.

BACKGROUND: Research has indicated that having financial difficulties may increase mental health problems and prevent recovery when receiving psychological treatment. A combined approach within the Improving Access to Psychological Therapies (IAPT) service could help clients by tackling their financial difficulties alongside supporting their mental health. AIMS: We aimed to explore the experiences and views of a potential combined intervention by speaking to IAPT service users who have/had experiences of money worries, as well as IAPT therapists and Citizen's Advice (CA) money advisers. METHOD: We conducted online semi-structured interviews with 16 IAPT service users, 14 IAPT therapists/practitioners, and 6 CA money advisors. Interviews were transcribed verbatim and analysed thematically. RESULTS: Themes discussed including the impact of money worries and mental health, the benefits of a combined intervention, how and when it should be introduced to clients and delivered, and how information should be shared between the services. It was felt by most participants that such an intervention would improve mental health and provide a more holistic service with a better referral pathway. CONCLUSIONS: Our findings provide a blueprint for a combined money advice and psychological therapy service within IAPT, which both service users and staff identified would be beneficial.

Pupil Size as a Gateway Into Conscious Interpretation of Brightness.

Although retinal illumination is the main determinant of pupil size, evidence indicates that extra-retinal factors, including attention and contextual information, also modulate the pupillary response. For example, stimuli that evoke the idea of brightness (e.g., pictures of the sun) induce pupillary constriction compared to control stimuli of matched luminance. Is conscious appraisal of these stimuli necessary for the pupillary constriction to occur? Participants' pupil diameter was recorded while sun pictures and their phase-scrambled versions were shown to the left eye. A stream of Mondrian patterns was displayed to the right eye to produce continuous flash suppression, which rendered the left-eye stimuli invisible on some trials. Results revealed that when participants were aware of the sun pictures their pupils constricted relative to the control stimuli. This was not the case when the pictures were successfully suppressed from awareness, demonstrating that pupil size is highly sensitive to the contents of consciousness.