The EPISODE II trial of cognitive and family therapy for relapse prevention in early psychosis: Rationale and sample characteristics

Gleeson, John; Wade, Darryl; Castle, David; Gee, Donna; Crisp, Kingsley; Pearce, Tracey; Newman, Belinda; Cotton, Sue; Álvarez‐Jiménez, Mario; Gilbert, Monica; McGorry, Patrick D.

doi:10.1080/09638230701504999

Cited by 21 publications

(16 citation statements)

References 51 publications

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“…This represents a number similar to the recruitment rate of a randomized controlled trial of CBT for young people with psychosis (Gleeson et al, 2008) and, as such, provides validation to our analysis of the interview summaries. Although around a third of participants were judged to be uninterested in therapy, around a quarter of participants were judged to be unsure or their interest was unable to be assessed.…”

Section: Discussionmentioning

confidence: 95%

“…Furthermore, in a trial of CBT for adults with psychosis, Startup and colleagues noted that 35.8% of potential participants who they approached declined to participate (Startup, Jackson, & Bendix, 2004). A higher refusal rate of 59.6% was observed in a relapse-prevention treatment trial for younger outpatients with remitted first episode psychosis (Gleeson et al, 2008). Finally, in a trial of cognitive therapy for 'non-affective psychosis' conducted by Drury and colleagues (Drury, Birchwood, Cochrane, & Macmillan, 1996), only 34.2% of identified potential participants went on to randomization.…”

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confidence: 99%

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Are Young People Hospitalised with Psychosis Interested in Psychological Therapy?

Mitchison

Jakes

Kelly

et al. 2013

Clin Psychology and Psychoth

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The reasons why some patients with psychosis are not interested in receiving psychological therapy may relate to past negative experiences with psychologists, negative perceptions of psychologists as a group and low perceived efficacy of therapy. These barriers may be addressed through interactions with psychotic patients during an admission to a hospital that disconfirms these perceptions and provides a positive alternative experience with a psychologist. Patients who are hospitalized with psychosis may be interested in receiving psychological therapy; however, the reason for this likely will not be to address psychotic symptoms. Rather, the therapist should be willing to work with the patient on a range of other presenting problems. If a patient has a lack of insight into their psychotic symptoms, this does not always negate them from perceiving other psychological problems for which they may desire support in addressing. Thus, therapists should be encouraged to approach all psychotic patients on a ward, even when there is an apparent lack of awareness of their psychotic symptoms. The themes related to patients' perspectives were generated from psychologists' summaries of interviews with patients and not directly from verbatim transcripts. Although this meant that the reasons given for participants being interested or not interested in therapy were interpreted by the psychologist, efforts were made to relate the exact reasons provided by the participants. Eighteen (29%) of the potential participants were not interviewed, usually as a result of their being discharged or transferred prior to arrangement of an interview. This meant we were unable to capture the views of these patients. Discharge prior to being seen by a psychologist is a barrier to engaging a patient in therapy and preventing them falling through the gaps of service provision.

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Section: Discussionmentioning

confidence: 95%

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confidence: 99%

Are Young People Hospitalised with Psychosis Interested in Psychological Therapy?

Mitchison

Jakes

Kelly

et al. 2013

Clin Psychology and Psychoth

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“…Reasons for exclusions have been reported elsewhere. 15 Patients who consented and did not consent did not differ significantly on the following variables: sex, age, marital status, highest level of education, weeks in the service, levels of unemployment, and living arrangements (that is, percentage living with family). Further, there were no significant differences between the CBT and the treatment as usual groups about any of the demographics or clinical variables.…”

Section: Participant Characteristicsmentioning

confidence: 96%

Predictors of Adherence to Cognitive-Behavioural Therapy in First-Episode Psychosis

et al. 2009

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“…14 The symptoms of first-episode psychosis and the stigma of mental illness produce 'a maelstrom of emotions' -anxiety, confusion, guilt, blame, helplessness, a sense of isolation -as family members struggle to understand what has happened to their loved ones. 16 Research undertaken by Gleeson et al 17 indicated that a majority (56%) of family members scored at or above a total mean of 5 points on the General Health Questionnaire, recognized as the standard threshold for 'caseness'. Family members themselves were suffering from anxiety or depression of severe enough intensity to warrant the need for treatment.…”

Section: The Needs Of Families In First-episode Psychosismentioning

confidence: 99%

Family peer support work in an early intervention youth mental health service

Leggatt

Woodhead

2015

Early Intervention Psych

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This paper describes the evolution of a family peer support programme in an early intervention service in Melbourne, Australia. In response to policy directions from Federal and State governments calling for carer participation in public mental health services, and feedback from the families of young people at Orygen Youth Health, the 'Families Helping Families' project was developed. The positive acceptance by families of this innovative programme also warrants further exploration. The programme has overcome many organizational hurdles associated with specifically trained and employed family carers working alongside professional mental health clinicians. This article describes the change processes involved in implementing this programme and documents preliminary expressions of the benefits of family peer support. The contribution of lived experience in treatment and consumer care plans needs rigorous research and evaluation.

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The EPISODE II trial of cognitive and family therapy for relapse prevention in early psychosis: Rationale and sample characteristics

Cited by 21 publications

References 51 publications

Are Young People Hospitalised with Psychosis Interested in Psychological Therapy?

Are Young People Hospitalised with Psychosis Interested in Psychological Therapy?

Predictors of Adherence to Cognitive-Behavioural Therapy in First-Episode Psychosis

Family peer support work in an early intervention youth mental health service

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