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Delivery of cognitive remediation therapy within a specialist inpatient psychosis service: a health-care assistant's perspective

Published online by Cambridge University Press:  28 May 2014

Franchesca Olaifa
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
Genevieve Somerton
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
Juliana Onwumere
Affiliation:
South London and Maudsley NHS Foundation Trust, UK Institute of Psychiatry, Kings College London, UK
Pamela Jacobsen*
Affiliation:
South London and Maudsley NHS Foundation Trust, UK Institute of Psychiatry, Kings College London, UK
*
Correspondence to: Dr Pamela Jacobsen, Orchard House, Lambeth Hospital, Landor Road, London, SW9 9NU. E-mail: [email protected]
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Abstract

Cognitive remediation therapy (CRT) is a psychological therapy which has been shown to be effective in improving cognitive functioning in service users with schizophrenia spectrum disorders. There are challenges to routinely implementing CRT within inpatient services due to a limited availability of therapists to deliver it. This paper describes a model of service delivery piloted in a specialist inpatient psychosis service which included health-care assistants (HCAs) working under the supervision of a clinical psychologist to help deliver CRT. The experience of the HCAs in undertaking this work is described from a first-person perspective.

Type
Brief Report
Copyright
Copyright © NAPICU 2014 

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References

Cresswell, J., Beavon, M. (2010) Accreditation for inpatient mental health services (AIMS): standards for inpatient wards – working-age adults, 4th ed. Royal College of Psychiatrists, CRTU040, 40 pp.Google Scholar
Green, M.F., Kern, R.S., Braff, D.L., Mintz, J. (2000) Neurocognitive deficits and functional outcome in schizophrenia: are we measuring the “right stuff”? Schizophrenia Bulletin. 26(1): 119136.Google Scholar
Grynszpan, O., Perbal, S., Pelissolo, A., Fossati, P., Jouvent, R., Dubal, S., Perez-Diaz, F. (2011) Efficacy and specificity of computer-assisted cognitive remediation in schizophrenia: a meta-analytical study. Psychological Medicine. 41(1): 163173.Google Scholar
Heinrichs, R.W., Zakzanis, K.K. (1998) Neurocognitive deficit in schizophrenia: a quantitative review of the evidence. Neuropsychology. 12(3): 426445.Google Scholar
Marder, S.R. (2006) Drug initiatives to improve cognitive function. Journal of Clinical Psychiatry. 67: 3135.Google ScholarPubMed
McGurk, S.R., Twamley, E.W., Sitzer, D.I., McHugo, G.J., Mueser, K.T. (2007) A meta-analysis of cognitive remediation in schizophrenia. American Journal of Psychiatry. 164(12): 17911802.Google Scholar
National Institute for Health and Care Excellence (2014) Psychosis and schizophrenia in adults: treatment and management. NICE, CG178, 59 pp.Google Scholar
Pilling, S., Bebbington, P., Kuipers, E., Garety, P., Geddes, J., Martindale, B., Orbach, G., Morgan, C. (2002) Psychological treatments in schizophrenia: II. meta-analyses of randomized controlled trials of social skills training and cognitive remediation. Psychological Medicine. 32(5): 783791.Google Scholar
Rose, D., Wykes, T., Farrier, D., Doran, A.-M., Sporle, T., Bogner, D. (2008) What do clients think of cognitive remediation therapy?: A consumer-led investigation of satisfaction and side effect. American Journal of Psychiatric Rehabilitation. 11(2): 181204.Google Scholar
The Schizophrenia Commission (2012) The abandoned illness: a report by the Schizophrenia Commission. London: Rethink Mental Illness, 88 pp.Google Scholar
Tchanturia, K., Lloyd, S., Lang, K. (2013) Cognitive remediation therapy for anorexia nervosa: current evidence and future research directions. International Journal of Eating Disorders. 46(5): 492495.Google Scholar
Vidal-Estrada, R., Bosch-Munso, R., Nogueira-Morais, M., Casas-Brugue, M., Ramos-Quiroga, J.A. (2012) Psychological treatment of attention deficit hyperactivity disorder in adults: a systematic review. Actas Espanolas De Psiquiatria. 40(3): 147154.Google Scholar
Wood, H., Cupitt, C., Lavender, T. (2013) The experience of cognitive impairment in people with psychosis. Clinical Psychology & Psychotherapy. Published online 27 November 2013, doi: 10.1002/cpp.1878.Google Scholar
Wykes, T., Reeder, C. (2005). Cognitive remediation therapy for schizophrenia. Hove, Sussex: Routledge, 315 pp.Google Scholar
Wykes, T., Huddy, V., Cellard, C., McGurk, S.R., Czobor, P. (2011) A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes. American Journal of Psychiatry. 168(5): 472485.Google Scholar