An exploration of what service users value about early intervention in psychosis services

Barr, Karen P.; Ormrod, John; Dudley, Robert

doi:10.1111/papt.12051

Cited by 14 publications

(32 citation statements)

References 32 publications

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“…Three key themes were identified; 'Consistency and Communication', 'Normalising and Validating', and 'Pushing Boundaries'. All themes emphasised the importance of the relationships with either the EIP service staff or fellow SUs, which replicated the findings from previous research into the experience of EIP service users (Lester, et al, 2011;Harris, et al, 2012;Barr, Ormrod, & Dudley, 2015). To the best of the authors' knowledge, this is the first EIP service evaluation to suggest, from the perspective of SUs, the potential value of taking a graded approach to building trust and pushing boundaries through activities and peer support in EIP services.…”

Section: Discussionsupporting

confidence: 72%

“…Participants also reported that the EIPS helped to support their sense of agency through a process of accepting their experiences, taking control of their care and developing a more positive sense of self. Barr et al (2015) used Q-Methodology to investigate what SUs found most valuable about EIPSs and identified four key factors: the therapeutic relationship, medical care, psychological interventions and support, coping and recovery. Relationships with EIPS workers were again identified as the most valued aspect of the service, with active listening, empathic validation and consistency of care named as key aspects.…”

Section: Introductionmentioning

confidence: 99%

“…Participants also reported that the EIP service helped to support their 'sense of agency' through a process of accepting their experiences, taking control of their care, and developing a more positive 'sense of self'. Barr, Ormrod, and Dudley (2015)…”

mentioning

confidence: 99%

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Service user perspectives of an early intervention in psychosis service: a service evaluation

Watkins¹,

Sanderson²,

Richards³

2018

MHRJ

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Introduction: Early Intervention in Psychosis (EIP) services are recommended for people who experience a first episode of psychosis in the UK. Further research to understand the experience of people using EIP services is needed in order to improve these services. Purpose: This study aimed to understand SUs' perspectives of an EIP service. It was conducted as part of a service evaluation which aimed to identify areas for service improvement Method: Individual interviews (n=9) and one focus group (n=7) were conducted. Discussions focused on open questions pertaining to Service Users' (SUs) experiences of accessing the EIP service. Results: Inductive thematic analysis was used and three main themes were generated; Consistency and Communication, facilitating therapeutic relationships between EIP service staff and SU's. Pushing Boundaries, relating to the importance of services taking a graded approach to developing therapeutic relationships and (re)engaging in activities; and Normalising and Validating experiences of psychosis. Discussion: Participants emphasised the importance of relationships with EIP service staff and fellow SUs and highlighted how SUs can feel fearful and vulnerable when staff are not accessible or they view their care as inconsistent. Participants further emphasised the need for practitioners to balance an approach that de-stigmatises psychotic experiences whilst validating distress. Implications for Practice: Consistency of support from EIP services can be as important as flexibility. Clinicians should carefully consider the balance between validating and normalising distressing experiences associated with Psychosis. Offering social activities with other SUs can facilitate therapeutic relationships and recovery but the results suggest that this should be facilitated in a graded way.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

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Service user perspectives of an early intervention in psychosis service: a service evaluation

Watkins¹,

Sanderson²,

Richards³

2018

MHRJ

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“…Psychosis is a multifaceted experience that is characterised by a loss of touch with reality and it encompasses positive, negative and depressive symptoms (Sax et al, 1996). Psychosis is often a distressing and a debilitating experience (Barr, Ormrod & Dudley, 2015) that impacts on a person's self-concept, confidence, hopes (Connell et al, 2015) self-esteem, social roles (Braehler & Schwannauer, 2012) and it can result in a feeling of having lost oneself (Lester et al, 2011).…”

Section: Psychosis Subjective Wellbeing and Strength-based Ppismentioning

confidence: 99%

An exploration of strength use and its relationship with life satisfaction, positive self-beliefs and paranoid ideation

McTiernan¹,

Gullon-Scott²,

Dudley³

2020

Intnl. J. Wellbeing

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Paranoid ideation is often preceded by negative interactions impacting on peoples' sense of self and wellbeing. The National Health Service in the United Kingdom is promoting wellbeing but there is a paucity of research. The authentic happiness theory and a strength intervention were drawn upon in a preliminary investigation of the relationships between strength-use, wellbeing and paranoia. In a cross-sectional study, students (N=531) completed measures of strength-use, wellbeing, self-beliefs and paranoia. Pearson's correlations, hierarchical multiple regression analysis, moderation analysis and mediation analysis were used to analyse the data. Strength-use was positively associated with life satisfaction and positive self-beliefs. There was a negative correlation between life satisfaction and paranoia, and higher positive self-beliefs were associated with lower paranoia. Paranoid ideation significantly predicted lower life satisfaction after controlling other symptoms of psychosis. Strength-use moderated the relationship between paranoia and life satisfaction. As hypothesised life satisfaction and positive self-beliefs mediated the relationship between strength-use and paranoia. The findings support delivering strength-use interventions to harness clients' wellbeing.

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“…youth-friendliness, informality, genuineness, and flexibility tailored to individual needs which facilitated engagement (Byrne and Morrison, 2014;Barr et al, 2015;Lester et al, 2011;Uttinger et al, 2018); when opening-up, being listened to and receiving empathic non-judgemental responses (Byrne and Morrison, 2014;Barr et al, 2015;Uttinger et al, 2018). Users valued working collaboratively with HCPs (Byrne and Morrison, 2010;Harris et al, 2012) and consistency in seeing the same person regularly, having HCPs sticking with them when things were difficult (Barr et al, 2015) and building a long-term relationship with one person with whom they could talk freely, and feel understood, which facilitated engagement (Byrne and Morrison, 2014;Lester et al, 2011). When this was compromised, users reported disruption in having to repeat things to various HCPs, which affected the ability to build trust (Lester et al, 2011;Uttinger et al, 2018).…”

Section: Therapeutic Relationshipsmentioning

confidence: 99%

A qualitative systematic review of Early Intervention in Psychosis service user perspectives regarding valued aspects of treatment with a focus on cognitive behavioural therapy

Cox

Miller

2021

tCBT

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Background: Despite the increasing evidence base and focus given to Early Intervention in Psychosis (EIP) services, qualitative literature remains sparse, particularly in relation to the ‘At Risk Mental State’ (ARMS) group. Although research has looked to service user experience within EIP, data have not been collated to understand valued aspects of treatment across both EIP groups: first episode psychosis (FEP) and ARMS, particularly regarding cognitive behavioural therapy (CBT). Aims: To conduct a systematic review of qualitative literature to examine service user perspectives on support provided in EIP treatment with a focus on CBT. Method: This was a thematic synthesis of qualitative studies. Nine studies were included in the analysis identified through a systematic database search and citation tracking. Studies were critically appraised using the critical appraisal skills programme tool. Results: Nine studies were identified for inclusion. Six analytical themes and 20 descriptive categories were identified. Conclusions: User perspectives confirm previous findings highlighting importance of therapeutic relationships for treatment success. Normalisation, learning and understanding were valued across both groups, which increased coping, and can be facilitated throughout the EIP journey. Harnessing the support of those involved in users’ care and understanding these relationships further enhances interventions utilised. Understanding the stage the individual is at regarding their experiences is essential in relation to targeting support. Transdiagnostic aspects of CBT were valued across both groups. ARMS referred to more specific strategies and there were some differences regarding coping styles and flexibility preferences; however, this may be due to group differences in problem trajectory and care provision.

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An exploration of what service users value about early intervention in psychosis services

Cited by 14 publications

References 32 publications

Service user perspectives of an early intervention in psychosis service: a service evaluation

Service user perspectives of an early intervention in psychosis service: a service evaluation

An exploration of strength use and its relationship with life satisfaction, positive self-beliefs and paranoid ideation

A qualitative systematic review of Early Intervention in Psychosis service user perspectives regarding valued aspects of treatment with a focus on cognitive behavioural therapy

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