Teaching Guide - IRIS Early Intervention in Psychosis

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Manchester Mental Health & Social Trust - Early Interventions Training

Unit 3 – Interventions in First Episode Psychosis

Session 3.1 – Psychological interventions in early psychosis

Putting the Session into Context:

This session is useful both for those who have little experience of mental health problems and for those who require a brief overview of the psychological interventions that are available. It is a brief session, for information only. There is limited interactive element and therefore should only be included at the request of the group as part of the collaborative process of developing an individualised programme and to ensure that information about these interventions is included somewhere.

Teaching materials required

 Lap top and projector or acetates and OHP

 Reflective workbook

 Evaluation Sheets

Training Outcomes:

After completion of this unit participants will be expected to:

 Have gained an understanding of the concept of psychological intervention in psychosis.

 To be aware of the range of psychological interventions currently available.

 To be aware of the evidence base for the efficacy of these approaches.

References

Barrowclough C and Tarrier N (1992) Families of schizophrenic patients: Cognitive behavioural intervention. London, Chapman Hall.

Birchwood M, Smith J, Macmillan F, Hogg B, Prasad R, Harvey C and

Bering S (1989) Predicting relapse in schizophrenia: The development and implementation of an early signs monitoring system using patients and families as observers. A preliminary investigation. Psychological

Medicine , 19, 649

– 656.

Haddock G, Barrowclough C, Moring J et al (2002) Cognitive behaviour therapy for patients with co-existing psychosis and substance use problems. In AP Morrison (ed) A casebook of cognitive therapy for psychosis. Hove, Brunner Routledge.

Herz M and Melville C (1980) Relapse in schizophrenia. American

Journal of Psychiatry , 137, 801 – 805.

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Manchester Mental Health & Social Trust - Early Interventions Training

Kemp R, Haywood P, Applethwaite G et al (1996) Compliance therapy in psychotic patients: Randomised controlled trial. British Medical

Journal 312, 345 – 349.

Kuipers E, Garety P, Fowler D et al (1997) The London-East Anglia randomised controlled trial of cognitive behaviour therapy for psychosis: Effects of the treatment phase. British Journal of Psychiatry

117, 319

– 325.

Miller WR and Rollnick S (1991) Motivational interviewing: Preparing people to change addictive behaviour. New York, Guilford Press.

Morrison AP, French P, Walford L, Lewis SW, Kilcommons A, Green J,

Parker S and Bentall RP (2004) Cognitive therapy for the prevention of psychosis in people at ultra-high risk: Randomised controlled trial.

British Journal of Psychiatry 185, 291 - 297.

National Institute for Clinical Excellence (2002) Schizophrenia: Core interventions in the treatment and management of schizophrenia in primary and secondary care. London, National Institute of Clinical

Excellence.

Prochaska JO and DiClemente PP (1982) Transtheoretical therapy:

Toward a more integrative model of change. Psychotherapy: Theory,

Research and Practice 199, 276

– 288.

Robinson D, Woerner M, Alvir JM, Bilder R, Goldman R, Geisler S,

Koreen A, Sheitman B, Chakos M, Mayerhoff D and Lieberman JA

(1999) Predictors of relapse following responses from a first episode of schizophrenia or schizoaffective disorder. Archives of General

Psychiatry , 56, 241

– 247.

Rollnick S and Miller WR (1995) What is motivational interviewing?

Behavioural and Cognitive Psychotherapy, 23, 325

– 334.

Sensky T, Turkington D, Kingdon D et al (2000) A randomised controlled trial of cognitive behavioural therapy for persistent symptoms in schizophrenia resistant to medication. Archives of General

Psychiatry 57 (2) 165 – 172.

Tarrier N, Beckett R, Harwood S et al (1993) A trial of two cognitivebehavioural methods of treating drug resistant residual psychotic symptoms in schizophrenic patients: I. Outcome. British Journal of

Psychiatry, 162, 524 – 532.

Tarrier N, Yusupoff L, Kinney C et al (1998) A randomised controlled trial of intensive cognitive therapy for chronic schizophrenia. British

Medical Journal 317, 301

– 307.

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Further Reading :

.

Cormac, I., Jones, C., Campbell, C., Silveira de Mota Neto J. (2005)

Cognitive-behaviour therapy for schizophrenia (Cochrane Review) in:

The Cochrane Library. Issue 4, 2003, Oxford: Update Software.

Johnstone et al ( 1992) The Northwick Park Functional Psychosis

Study: diagnosis and outcome . Psychological Medicine

Knight A (2002) Relapse prevention Intervention. In N Harris, S

Williams and T Bradshaw (eds) Psychosocial interventions for people with schizophrenia. Basingstoke, Palgrave MacMillan.

Pharoah FM, Mari JJ and Streiner D (2005) Family intervention for schizophrenia. (Cochrane Review) The Cochrane Library Issue 3,

Oxford Update Software.

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