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A Feasibility Study of the Translation of Cognitive Behaviour Therapy for Psychosis into an Australian Adult Mental Health Clinical Setting

Published online by Cambridge University Press:  03 March 2020

Lee Beames ,
Esben Strodl ,
Frances Dark ,
Jennifer Wilson ,
Judith Sheridan  and
Nicholas Kerswell
Lee Beames*
Affiliation:
Metro North Mental Health Services, Chermside, Queensland, Australia
Esben Strodl
Affiliation:
School of Psychology and Counselling, Queensland University of Technology, Kelvin Grove, Queensland, Australia
Frances Dark
Affiliation:
Metro South Mental Health Service, Brisbane, Queensland, Australia
Jennifer Wilson
Affiliation:
Private Practice, Brisbane, Queensland, Australia
Judith Sheridan
Affiliation:
School of Psychology and Counselling, Queensland University of Technology, Kelvin Grove, Queensland, Australia
Nicholas Kerswell
Affiliation:
School of Psychology and Counselling, Queensland University of Technology, Kelvin Grove, Queensland, Australia
*
*Corresponding author: Lee Beames, Metro North Mental Health Services, The Prince Charles Hospital, Rode Rd, Chermside, QLD, Australia. Email: lee@psychologyconsultants.com.au
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Abstract

There is evidence that Cognitive Behaviour Therapy for Psychosis (CBTp) is an effective intervention for reducing psychotic symptoms. The recently updated Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines (RANZCP CPG) recommend CBTp for the therapeutic management of schizophrenia and related disorders. Translational research is required to examine how well CBTp can be applied into public mental health services. This feasibility study aimed to provide preliminary evidence on how acceptable, implementable, and adaptable individual or group CBTp may be within a public mental health service in Australia. Twenty-seven participants initially agreed to participate in the study with 16 participants being randomised to either group or individual therapy, 11 starting therapy and 7 completing therapy. The intervention involved approximately 20 h of manualised CBTp. Attendance was higher in the individual therapy. Subjective reports indicated that the therapy was acceptable to all completers. Participants who engaged in individual or group CBTp experienced a similar level of reduction in the severity of hallucinations and delusions. Individual CBTp may be a feasible, acceptable, and effective intervention to include in Australian public mental health services. A pilot trial is now required to provide further evidence for and guidance of how best to translate CBTp protocols to Australian mental health services.

Keywords

cognitive behaviour therapy for psychosismental health servicespsychosistranslational research
Type
Standard Paper
Information
Behaviour Change , Volume 37 , Issue 1 , April 2020 , pp. 22 - 32
Copyright
Copyright © The Author(s) 2020. Published by Cambridge University Press

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