The practical possibility of recognising need, seeking and receiving appropriate support, and continuing to effective treatment. Referral counts, treatment starts, treatment completion and clinical benefit are different stages. Equity assessment must include eligible people who never enter or discontinue care.[ref]
The historical English programme expanding evidence-based psychological care for depression and anxiety. Sessional outcome measurement made service results unusually complete and publicly inspectable. The clinical effects of particular feedback arrangements should be distinguished from the feasibility and transparency of collecting data.[ref]
An arrangement offering an appropriate initial level of intervention with planned monitoring and escalation when necessary. Lower-intensity care must not become an indefinite holding pathway for nonresponders or replace immediate specialist assessment where indicated.
A condition that obstructs recognising need, seeking support, entering care or receiving effective intervention. Cost, scheduling, language, service navigation and digital exclusion may operate at different points and require different responses.

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