Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-19T01:15:59.089Z Has data issue: false hasContentIssue false
  • English
  • Français

Cognitive Behaviour Therapy for Psychosis in High Secure Services: An Exploratory Hermeneutic Review of the International Literature

Published online by Cambridge University Press:  02 May 2016

Jonathon Slater  and
Michael Townend
Jonathon Slater*
Affiliation:
Nottinghamshire Healthcare NHS Foundation Trust, UK
Michael Townend
Affiliation:
University of Derby, UK
*
Correspondence to Jonathon Slater, Rampton Hospital, Retford, Notts, DN22 0PD, UK. e-mail: jonathon.slater@ nottshc.nhs.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention. Aims: This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research. Method: A pragmatic approach was utilized through an iterative literature search strategy and hermeneutic source analysis of the identified studies. Results: Fourteen studies were identified from HS contexts from within the UK and internationally. These included group, individual therapy and CBTp linked milieus. Conclusions: CBTp is an active component of treatment in HS contexts. Some modes of delivery seem to have greater levels of efficacy with more typical HS patients. The literature indicates key differences between HS and non-HS applied CBTp. Continued application and evaluation of CBTp in HS conditions is warranted.

Keywords

Psychosishigh secure serviceshermeneuticsliterature review
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 6 , November 2016 , pp. 652 - 672
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Benn, A. (2002). Cognitive behaviour therapy for psychosis in conditions of High Security. cases 13 (Malcolm) and 14 (Colin). In Kingdon, D.G. and Turkington, D. (Eds), The Case Study Guide to Cognitive Behaviour Therapy of Psychosis. Chichester: John Wiley and Sons.Google Scholar
Bentall, R. P. and Haddock, G. (2000). Cognitive behaviour therapy for auditory hallucinations. In Mercer, D., Mason, T., McKeown, S. and McCann, G. (Eds), Forensic Mental Healthcare: a case study approach. London: Churchill Livingstone.Google Scholar
Blackburn, I., James, I. A., Milne, D. L., Baker, C., Standart, S., Garland, A., et al. (2001). The Revised Cognitive Therapy Scale (CTS-R): psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431–446 CrossRefGoogle Scholar
Boell, S. K. and Cecez-Kecmanovic, D. (2010). Literature reviews and the Hermeneutic Circle. Australian Academic and Research Libraries, 41, 129–144.Google Scholar
Brand, E. F. J. M., Diks, G. J. M., Vanemmerik, J. L. and Raes, B. C. M. (1998). Diagnostiek en onderzoek, Utrecht: Dr. F.S. Meijers Instituut.Google Scholar
Burns, A. M., Erickson, D. H. and Brenner, C. A. (2014). Cognitive-behavioral therapy for medication-resistant psychosis: a meta-analytic review. Psychiatric Services, 65, 874–80.CrossRefGoogle ScholarPubMed
Cawthorne, P. (2003) Cognitive Behavioural Therapy for Psychosis in Forensic Settings: Results of a Case Series Following the State Hospital Pilot Protocol. University of Dundee, Unpublished.Google Scholar
Cooper, B. (2009). Cognitive Behaviour Therapy Approaches for Inpatient Teams: pilot study. Carlyle Ward, Ashworth Hospital, Mersey Care NHS Trust.Google Scholar
Cooper, B. (2010). Cognitive Behaviour Therapy Approaches for Inpatient Teams: pilot study Carlyle Ward - Evaluation Report, Ashworth Hospital, Mersey Care NHS Trust.Google Scholar
Curran, J., Houghton, S. and Grant, A. (2010). Developments within the Cognitve Behavioural Psychotherapies. In Grant, A., Townend, M., Mulhern, R. and Short, N. (Eds.), Cognitive Behaviour Therapy in Mental Health Care (2nd edn). London: Sage Publications.Google Scholar
Ewers, P., Leadley, K. and Kinderman, P. (2000). Cognitive therapy for delusions. In Mercer, D., Mason, T., McKeown, S. and McCann, G. (Eds), Forensic Mental Healthcare: a case study approach. London: Churchill Livingstone.Google Scholar
Field, A. (2000). Discovering Statistics Using SPSS for Windows, London: Sage Publications.Google Scholar
Fineberg, N. A., Haddad, P. M., Carpenter, L., Gannon, B., Sharpe, R., Young, A. H., et al. (2013). The size, burden and cost of disorders of the brain in the UK. Journal of Psychopharmacology, 27, 761–770.CrossRefGoogle ScholarPubMed
Fowler, D., Garety, P. and Kuipers, E. (1995). Cognitive Behavioural Therapy for Psychosis: theory and practice. Chichester: John Wiley & Sons.Google Scholar
Garrett, M. and Lerman, M. (2007). Frontline reports: CBT for psychosis for long-term inpatients with a forensic history. Psychiatric Services, 58, 712–713.Google Scholar
Gilbert, P. (2001). Evolutionary approaches to psychopathology: the role of natural defences. Australian and New Zealand Journal of Psychiatry, 35, 17–27.Google Scholar
Great, Britain (1983). Mental Health Act 1983: Elizabeth II. Chapter 20. London: Her Majesty's Stationery Office.Google Scholar
Great, Britain (2007). Mental Health Act 2007: Elizabeth II. Chapter 12. London: Her Majesty's Stationery Office.Google Scholar
Hall, P. L. and Tarrier, N. (2003). The cognitive-behavioural treatment of low self-esteem in psychotic patients: a pilot study. Behaviour Research and Therapy, 41, 317–332.Google Scholar
Hornsveld, R. H. J. and Nijman, H. L. I. (2005). Evaluation of a cognitive-behavioral program for chronically psychotic forensic inpatients. International Journal of Law and Psychiatry, 28, 246–254.CrossRefGoogle ScholarPubMed
Jones, C., Hacker, D., Cormac, I., Meaden, A. and Irving, C. B. (2012). Cognitive behaviour therapy versus other psychosocial treatments for schizophrenia. Cochrane Database of Systematic Reviews. Published online 08.04.12.Google Scholar
Laithwaite, H. (2010). Recovery After Psychosis: a compassion focused recovery approach to psychosis in a forensic mental health setting, Unpublished PhD Thesis, University of Glasgow.Google Scholar
Laithwaite, H., O'Hanlon, M., Collins, P., Doyle, P., Abraham, L., Porter, S., et al. (2009). Recovery After Psychosis (RAP): a compassion focused programme for individuals residing in High Security settings. Behavioural and Cognitive Psychotherapy, 37, 511–526.Google Scholar
Laithwaite, H. M., Gumley, A., Benn, A., Scott, E., Downey, K., Black, K., et al. (2007). Self-esteem and psychosis: a pilot study investigating the effectiveness of a self-esteem programme on the self-esteem and positive symptomatology of mentally disordered offenders. Behavioural and Cognitive Psychotherapy, 35, 569–577.Google Scholar
Laverty, S.M. (2003). Hermeneutic phenomenology and phenomenology: a comparison of historical and methodological considerations. International Journal of Qualitative Methods, 2, 21–35.Google Scholar
Mahood, Q., Van Eerd, D. and Irvin, E. (2014). Searching for grey literature for systematic reviews: challenges and benefits. Research Synthesis Methods, 5, 221–234.Google Scholar
Morgan, D. L. (2014). Pragmatism as a paradigm for social research. Qualitative Inquiry, 20, 1045–1053.Google Scholar
Morrison, A. P., Renton, J. C., Dunn, H., Williams, S. and Bentall, R. P. (2004). Cognitive Therapy For Psychosis: a formulation based approach, Hove: Brunner-Routledge.Google Scholar
Morrison, A. P., Turkington, D., Pyle, M., Spencer, H., Brabban, A., Dunn, G., et al., (2014). Cognitive therapy for people with schizophrenia spectrum disorders not taking antipsychotic drugs: a single-blind randomised controlled trial. The Lancet, 383, 1395–1403.CrossRefGoogle Scholar
NCCMH (2014). Psychosis and Schizophrenia in Adults: The NICE Guideline on Treatment and Management, Leicester and London, The British Psychological Society and Royal College of Psychiatrists.Google Scholar
NHS Commissioning Board (2012). Securing Equity and Excellence in Commissioning Specialised Services. www.england.nhs.uk Accessed 15.08.14Google Scholar
NICE (2009). Schizophrenia: core interventions in the treatment and management of schizophrenia in adults in primary and secondary care (an update of NICE clinical guideline 1). London: National Institute of Health and Clinical Excellence.Google Scholar
NICE (2014). Psychosis and schizophrenia in adults: treatment and management. NICE Clinical Guideline 178, www.nice.org.uk/guidance/CG178 Google Scholar
Nijman, H., De Kruyk, C. and Van Nieuwenhuizen, C. (2004). Behavioral changes during forensic psychiatric (TBS) treatment in the Netherlands. International Journal of Law and Psychiatry, 27, 79–85.Google Scholar
Pappas, C. and Williams, I. (2011). Grey literature: its emerging importance. Journal of Hospital Librarianship, 11, 228–234.Google Scholar
Patterson, E. A. and Williams, D. R. (2002). Collecting and Analysising Qualitative Data: hermeneutic principles, methods and case examples. Illinois: Sagamore Publishing.Google Scholar
Perry, T., Barkham, M. and Evans, C. (2013). The CORE-OM and CORE-OM (SV) in secure settings: a template analysis of the experiences of male patients and their staff. Journal of Forensic Practice, 15, 32–43.Google Scholar
Rogers, J. (2006). Handbook of Cognitive Rehabilitation: a practical guide for staff working with clients who have cognitive difficulty. Liverpool: Mersey NHS Trust.Google Scholar
Rogers, P. and Curran, J. (2004). Working with people in forensic settings. In Grant, A., Mills, J., Mulhern, R. and Short, N. (Eds.), Cognitive Behavioural Therapy in Mental Healthcare. London: Sage Publications.Google Scholar
Rosenthal, R. (1979). The file drawer problem and tolerance for null results. Psychological Bulletin, 86, 638–641.Google Scholar
Savage, L. (2009). Introducing cognitive rehabilitation into a psychosocial model of care: Lawrence Savage describes the development of a rehabilitation unit in a high secure setting where service users are managed using a programme of cognitive rehabilitation therapy in combination with psychosocial interventions. Mental Health Practice, 13, 29–33.Google Scholar
Savage, L. and McKeown, M. (1997). Towards a new model of practice for a high dependency unit. Psychiatric Care, 4, 182–186.Google Scholar
Slater, J. (2011). Cognitive Behaviour Therapy for Psychosis in Conditions of High Security: a case study analysis of impact on psychosis experiences and risk. University of Derby, Unpublished.Google Scholar
Slater, J., Tapp, J., Dudley, A., Cooper, B. and Cawthorne, P. (2014). Cognitive Behaviour for Psychosis in Conditions of High Security: a UK overview. Presentation at 14th Annual Meeting of the International Association of Forensic Mental Health Services in Toronto, Canada. Unpublished.Google Scholar
Steel, C. (2008). Cognitive behaviour therapy for psychosis: current evidence and future directions. Behavioural and Cognitive Psychotherapy, 36, 705–712.CrossRefGoogle Scholar
Tapp, J., Perkins, D., Warren, F., Fife-Schaw, C. and Moore, E. (2013). A critical analysis of clinical evidence from high Secure forensic inpatient services. International Journal of Forensic Mental Health, 12, 68–82.Google Scholar
Turkington, D., Kingdon, D., Rathod, S., Hammond, K., Pelton, J. and Mehta, R. (2006). Outcomes of an effectiveness trial of cognitive-behavioural intervention by mental health nurses in schizophrenia. The British Journal of Psychiatry, 189, 36–40.Google Scholar
Vallentine, V., Tapp, J., Dudley, A., Wilson, C. and Moore, E. (2010). Psycho-educational groupwork for detained offender patients: understanding mental illness. The Journal of Forensic Psychiatry and Psychology, 21, 393–406.Google Scholar
Williams, E. (2004). Interventions for Schizophrenia. Bicester: Speechmark.Google Scholar
Williams, E., Ferrito, M. and Tapp, J. (2014). Cognitive-behaviour therapy for schizophrenia in a forensic mental health setting. Journal of Forensic Practice, 16, 1–10.Google Scholar
Wykes, T., Steel, C., Everitt, B. and Tarrier, N. (2008). Cognitive behavior therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin, 34, 523–537.Google Scholar
Submit a response

Comments

No Comments have been published for this article.