Service‐users’ experiences of an early intervention in psychosis service: An interpretative phenomenological analysis

Harris, Katy; Collinson, Christine; Nair, Roshan das

doi:10.1111/j.2044-8341.2011.02043.x

Cited by 23 publications

(67 citation statements)

References 88 publications

(169 reference statements)

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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 valued support from their families and appreciated it when the EIP service collaborated with their family. Harris, Collinson, and Das Nair (2012) conducted interviews with eight EIP service users and analysed the results using Interpretvie Phenemonological Analysis (IPA). The authors identified an overall theme of 'personal journey of recovery' and five superordinate themes of stigma, relationships, understanding the experiences, sense of agency, and impact on sense of self.…”

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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%

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confidence: 99%

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

Watkins¹,

Sanderson²,

Richards³

2018

MHRJ

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“…Such methods are frequently used in evaluation research to explain how a program or intervention operates. Harris and colleagues (2012) used qualitative methods to help understand why Early Intervention in Psychosis (EIP) services are effective by exploring the personal experiences of a small sample of services users. Byng et al (2008) used qualitative methods to conduct a process evaluation of a complex intervention for shared care in mental health.…”

Section: Rationale For Using Qualitative Methodsmentioning

confidence: 99%

“…Other methods used in qualitative studies to enhance rigor of analysis include triangulation of viewpoints by purposefully interviewing people in various roles within an organization, peer debriefing and support meetings among research team members, and providing a detailed audit trail during analysis (Harris, Collinson, & das Nair, 2012; Miles & Huberman, 1994; Mendenhall, Kapp, Rand, Robbins, & Stipp, 2013). …”

Section: Characteristics Of Qualitative Methodsmentioning

confidence: 99%

“…Gianakis and Carey (2011) utilized Interpretative Phenomenological Analysis (IPA: Smith, 1996), a cyclical iterative process with a constant revisiting of transcripts to insure the superordinate themes generated directly relate to the shared experience of the participants, in their investigation of the phenomenological experience of psychological change following distress from a range of problems in individuals who have not used psychotherapy to resolve those problems. Harris and colleagues (2012) used IPA to explore the experiences of being in contact with Early Intervention in Psychosis (EIP) services in a small sample of service users.…”

Section: Characteristics Of Qualitative Methodsmentioning

confidence: 99%

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Qualitative and Mixed Methods in Mental Health Services and Implementation Research

Palinkas

2014

Journal of Clinical Child & Adolescent Psychology

257

202

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Qualitative and mixed methods play a prominent role in mental health services research. However, the standards for their use are not always evident, especially for those not trained in such methods. This paper reviews the rationale and common approaches to using qualitative and mixed methods in mental health services and implementation research based on a review of the papers included in this special series along with representative examples from the literature. Qualitative methods are used to provide a “thick description” or depth of understanding to complement breadth of understanding afforded by quantitative methods, elicit the perspective of those being studied, explore issues that have not been well studied, develop conceptual theories or test hypotheses, or evaluate the process of a phenomenon or intervention. Qualitative methods adhere to many of the same principles of scientific rigor as quantitative methods, but often differ with respect to study design, data collection and data analysis strategies. For instance, participants for qualitative studies are usually sampled purposefully rather than at random and the design usually reflects an iterative process alternating between data collection and analysis. The most common techniques for data collection are individual semi-structured interviews, focus groups, document reviews, and participant observation. Strategies for analysis are usually inductive, based on principles of grounded theory or phenomenology. Qualitative methods are also used in combination with quantitative methods in mixed method designs for convergence, complementarity, expansion, development, and sampling. Rigorously applied qualitative methods offer great potential in contributing to the scientific foundation of mental health services research.

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Practitioner psychologists' perspectives on working with clients with psychosis in a South‐East Asian city‐state: A qualitative investigation

Wen,

Mankiewicz

2024

Couns and Psychother Res

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ObjectivePrevious qualitative studies have investigated the experiences of undergoing an evidence‐based psychotherapy for psychosis among individuals affected by such condition. However, the literature investigating the perspectives, experiences and needs of psychological practitioners providing the treatment remains considerably underrepresented. In the context of Asian cultures, where pervasive stigma towards psychosis and mental health services exists and interferes with proactive help‐seeking, such research appears even more pertinent. To address the gap in the existing literature, this study utilised qualitative methodology to investigate the experiences of practitioner psychologists working with clients with psychosis in a South‐East Asian city‐state.MethodSix fully qualified participants were recruited from the local mental health services via convenience sampling. Semi‐structured qualitative interviews were conducted. Transcribed verbatim data were then subjected to inductive thematic analysis.ResultsFour superordinate themes emerged, as follows: therapeutic alliance, cognitive behavioural therapy for psychosis (CBTp) as primary approach, cultural influences and needs of practitioners.ConclusionsResults indicated that both practitioner psychologists and their clients contributed collaboratively to the establishment of therapeutic alliance. Although CBTp was utilised as a principal psychotherapeutic approach, acceptance and commitment therapy (ACT) was also valued. Necessary adaptations in the treatment were reflected on to address the specificity of local cultures, including the use of language and addressing pervasive public stigma. The necessity of multidisciplinary collaboration, localised training and supervision was also expressed.

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Service‐users’ experiences of an early intervention in psychosis service: An interpretative phenomenological analysis

Abstract: Harris, Katy (2010) Service users' experiences of an early intervention in psychosis service: an interpretative phenomenological analysis. DClinPsy thesis, University of Nottingham. Access from the University of Nottingham repository:

Cited by 23 publications

References 88 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

Qualitative and Mixed Methods in Mental Health Services and Implementation Research

Practitioner psychologists' perspectives on working with clients with psychosis in a South‐East Asian city‐state: A qualitative investigation

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