Delivery of cognitive-behaviour therapy for psychosis : a service user preference trial

Haddock, Gillian and Berry, Katherine and Davies, Gabriel and Dunn, Graham and Harris, Kamelia and Hartley, Samantha and Holland, Fiona and Kelly, James Andrew and Law, Heather and Morrison, Anthony P. and Mulligan, John and Neil, Sandra T. and Pitt, Liz and Rivers, Zoe and Taylor, Christopher, D. J. and Wass, Rachel and Welford, Mary and Woodward, Sarah and Barrowclough, Christine (2018) Delivery of cognitive-behaviour therapy for psychosis : a service user preference trial. Journal of Mental Health, 27 (4). pp. 336-344. ISSN 0963-8237

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Background: Clinical guidelines recommend cognitive behaviour therapy (CBT) for people with psychosis, however, implementation is poor and not everyone wishes to engage with therapy. Understanding service user (SU) preferences for receiving such treatments is a priority for services. Aims: To explore SU preferences and outcomes of different methods of delivering CBT for psychosis. Method: SUs experiencing psychosis could choose between treatment as usual (TAU); TAU plus telephone-delivered CBT with self-help, CBT recovery manual (TS); high support CBT (HS – TAU plus TS plus group sessions) or randomisation. Participants received their option of choice and were followed-up on several outcomes over 9 and 15 months. Results: Of 89 people recruited, three chose to be randomised and 86 expressed a treatment preference (32 chose TAU, 34 chose TS, 23 chose HS). There were few differences between those who chose therapy compared to those who chose TAU. Those who had more positive impacts from their symptoms were significantly more likely to choose TAU. Conclusions: Most people had strong preferences about treatment delivery and a substantial number did not wish to receive additional therapy. These findings have to be considered when planning and allocating resources for people with psychosis.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Mental Health
Additional Information:
This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Mental Health on 22/12/2017, available online:
Uncontrolled Keywords:
?? psychiatry and mental health ??
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Deposited On:
15 Apr 2019 12:55
Last Modified:
31 Dec 2023 01:04