Cognitive behaviour therapy for psychosis in high secure services: An exploratory hermeneutic review of the international literature

Journal article


Slater, Jonathon and Townend, Michael 2016. Cognitive behaviour therapy for psychosis in high secure services: An exploratory hermeneutic review of the international literature. Behavioural and Cognitive Psychotherapy. https://doi.org/10.1017/S1352465816000084
AuthorsSlater, Jonathon and Townend, Michael
Abstract

Background: Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention. Aims: This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research. Method: A pragmatic approach was utilized through an iterative literature search strategy and hermeneutic source analysis of the identified studies. Results: Fourteen studies were identified from HS contexts from within the UK and internationally. These included group, individual therapy and CBTp linked milieus. Conclusions: CBTp is an active component of treatment in HS contexts. Some modes of delivery seem to have greater levels of efficacy with more typical HS patients. The literature indicates key differences between HS and non-HS applied CBTp. Continued application and evaluation of CBTp in HS conditions is warranted.

Background:
Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention.
Aims:
This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research.
Method:
A pragmatic approach was utilized through an iterative literature search strategy and hermeneutic source analysis of the identified studies.
Results:
Fourteen studies were identified from HS contexts from within the UK and internationally. These included group, individual therapy and CBTp linked milieus.
Conclusions:
CBTp is an active component of treatment in HS contexts. Some modes of delivery seem to have greater levels of efficacy with more typical HS patients. The literature indicates key differences between HS and non-HS applied CBTp. Continued application and evaluation of CBTp in HS conditions is warranted.

KeywordsPsychosis; High secure healthcare; Psychological intervention; Cognitive behaviour therapy
Year2016
JournalBehavioural and Cognitive Psychotherapy
PublisherCambridge University Press
ISSN1352-4658
1469-1833
Digital Object Identifier (DOI)https://doi.org/10.1017/S1352465816000084
Web address (URL)http://hdl.handle.net/10545/621072
http://creativecommons.org/licenses/by/4.0/
hdl:10545/621072
Publication dates02 May 2016
Publication process dates
Deposited25 Nov 2016, 14:21
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ContributorsUniversity of Derby
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