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Since the second half of the 2000s, Canada and England have instituted differing reforms to address the inadequate provision and quality of mental health services in both nations. With growing evidence demonstrating the success and cost-effectiveness of psychotherapy, the English reform sought to expand the delivery of psychological services through the Improving Access to Psychological Therapies program (IAPT) focusing on cognitive behavioural therapy (CBT). In contrast, Canadian interventions at the federal level were centred on knowledge exchange and advocacy, primarily through the Mental Health Commission of Canada. While significant improvements were made during this period to increase CBT access in England, there continues to be an insufficient availability of psychological services to meet the growing need in Canada. While a national roll-out akin to the IAPT program in England is unlikely in Canada, similar reforms could be initiated at the provincial level of government. Indeed, several provincial governments have acknowledged the need for an expansion of CBT services and, over the last decade, some have tried to make CBT techniques more widely accessible. We review the case of the Bounce Back program developed in British Columbia (BC) to illustrate this potential in the Canadian context. Best practices indicate that care is needed beyond the provision of psychiatric services and pharmacotherapy alone, and the initial results of both the IAPT program and BC’s Bounce Back program strongly suggest that it is possible to provide these cost-effective services in a public system. Depuis la seconde moitie des annees 2000, le Canada et l'Angleterre ont mis en place des reformes differentes pour tenter de remedier aux problemes d’acces et de qualite des soins de sante mentale. Fondee sur des donnees probantes, la reforme anglaise a cherche a ameliorer l’acces aux services de psychotherapie par le programme Improving Access to Psychological Therapies (IAPT) mettant l'accent sur la psychotherapie cognitivo-comportementale (PCC). En revanche, les interventions canadiennes au niveau federal ont ete centrees sur le partage des connaissances et les programmes de sensibilisation, principalement par le biais de la Commission de la sante mentale du Canada. Ainsi, l’on observe une amelioration notable de l’acces a la PCC en Angleterre depuis la mise en œuvre de ces reformes, mais pas dans le contexte Canadien. Or, s’il est improbable d’envisager un programme federal du meme type que l’IAPT au canada, des reformes similaires pourraient neanmoins etre initiees au niveau des provinces et territoires. En effet, plusieurs gouvernements provinciaux ont reconnu la necessite d'une expansion des services de PCC. Nous examinons le cas du programme Bounce Back developpe en Colombie-Britannique pour illustrer ce potentiel dans le contexte canadien. Les meilleures pratiques indiquent que la PCC est une composante necessaire de l’eventail des services de sante mentale, et autant les resultats du programme IAPT que ceux du programme Bounce Back de la Colombie-Britannique suggerent fortement qu'il est possible de fournir ces services de maniere efficiente dans un systeme public.

Incorporating Cognitive Behavioural Therapy into a Public Health Care System: Canada and England Compared