Severe Mental Illness

The Improving Access to Psychological Therapies for Severe Mental Illness (IAPT for SMI) project aims to increase public access to a range of NICE approved psychological therapies for psychosis, bipolar disorder and personality disorders.

In line with Ministerial commitments, the programme now intends to extend the benefits of improved access to psychological therapies to a wider range of people and this includes those with a Severe Mental Illness. Talking Therapies: A Four-Year Plan of Action, that accompanies the 2011 mental health strategy, sets out the policy priorities.

The long-term ambition of the IAPT for SMI project is to ensure that evidence based psychological therapies are routinely available as a frontline treatment of all people with psychosis, bipolar disorder and personality disorders who could benefit from them..Competency Frameworks

Competence Frameworks and Curriculum

The competence frameworks describes the method for identifying competences for staff working with people with personality disorder, psychosis and bipolar disorder. It identifies the ‘therapeutic stance, values and assumptions' for work in these areas.

Personality Disorder: A competence framework for psychological interventions with people with personality disorder (Anthony D. Roth & Stephen Pilling)

Psychosis & Bipolar Disorder: A competence framework for psychological interventions with people with psychosis and bipolar disorder (Anthony D. Roth and Stephen Pilling)

Frequently Asked Questions

IAPT for SMI Frequesntly Ask Questions including details on IAPT for SMI demonstration sites.

SMI Conference - March 2013

How do we make psychological therapies more available and effective for people with severe mental illness?

Speeches and presentations available here

National Press

A clinical psychologist from the South London and Maudsley's (SLaM) psychological interventions clinic for outpatients with psychosis (PICuP) talks about a typical (albeit unpredictable) day within the early intervention branch of the service.

Clinical psychologist: I learn from my clients about what it is to be human- The Guardian

NHS IAPT services for depression and anxiety

For information on local NHS services treating depression and anxiety a provisional directory is available on this site via links below


East Midlands

East of England


North East

North West

South Central

South East Coast

South West

West Midlands

Yorkshire and Humber