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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
South London and Maudsley NHS Foundation Trust, UK
Genevieve Somerton
South London and Maudsley NHS Foundation Trust, UK
Juliana Onwumere
South London and Maudsley NHS Foundation Trust, UK Institute of Psychiatry, Kings College London, UK
Pamela Jacobsen*
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:
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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.

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Copyright © NAPICU 2014 

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