= 59, = 7.7), particularly (n = 26, = 7.8) and (n mean CBT techniques mean psychoeducation = 15, = 7.3). mean In terms of helpful outcomes, clients in the ACIs referred to behavioural (n = 18, 100%) and developing (n = 13, 7.2%). The change/problem solving insight development of was also the most commonly cited helpful outcome on the HAT insight forms (n = 99, = 7.8), as well as the development of (n = 42, mean alternative perspectives = 7.7). On the HAT forms, participants also described the development of mean changed (n = 25, = 8.2), (n = 24, = 8), and self-images mean changed emotions mean new coping (n = 23, = 7.4). strategies mean Ratings of measures rated the Goals Form as the most helpful measure (mean = 4.2, SD = 1.2), Clients’ followed by the HAT Form (mean = 3.9, SD = 1.2), and the TPF-A (mean = 3.8, SD = 1.2) (Table 4). The modal rating for each of these three forms was 5 (very The form that helpful). was rated as least helpful was the WAI-S, with a mean rating of 3.1 (SD = 1.0) and a modal and median score of 3 (neither helpful or unhelpful). Discussion The findings from this study suggest that the majority of clients in pluralistic therapy for depression experienced clinical improvements: with reduced levels of anxiety and depression and greater attainment of personal goals. Changes in mental wellbeing for clients who engaged with therapy were consistent with outcomes for the Improving Access to Psychological Therapies Programme (Gyani et al., 2013): for reliable recovery, PfD = 43.6%,
= 59, mean = 7.7), particularly CBT techniques (n = 26, mean = 7.8) and psychoeducation (n = 15, mean = 7.3). In terms of helpful outcomes, clients in the ACIs referred to behavioural change/problem solving (n = 18, 100%) and developing insight (n = 13, 7.2%). The development of insight was also the most commonly cited helpful outcome on the HAT forms (n = 99, mean = 7.8), as well as the development of alternative perspectives (n = 42, mean = 7.7). On the HAT forms, participants also described the development of changed self-images (n = 25, mean = 8.2), changed emotions (n = 24, mean = 8), and new coping strategies (n = 23, mean = 7.4). Ratings of measures Clients’ rated the Goals Form as the most helpful measure (mean = 4.2, SD = 1.2), followed by the HAT Form (mean = 3.9, SD = 1.2), and the TPF-A (mean = 3.8, SD = 1.2) (Table 4). The modal rating for each of these three forms was 5 (very helpful). The form that was rated as least helpful was the WAI-S, with a mean rating of 3.1 (SD = 1.0) and a modal and median score of 3 (neither helpful or unhelpful). Discussion The findings from this study suggest that the majority of clients in pluralistic therapy for depression experienced clinical improvements: with reduced levels of anxiety and depression and greater attainment of personal goals. Changes in mental wellbeing for clients who engaged with therapy were consistent with outcomes for the Improving Access to Psychological Therapies Programme (Gyani et al., 2013): for reliable recovery, PfD = 43.6%,
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