Social recovery therapy in combination with early intervention services for enhancement of social recovery in patients with first-episode psychosis (SUPEREDEN3): A single-blind, randomised controlled trial
Full Article David Fowler, Jo Hodgekins, Paul French, Max Marshall, Nick Freemantle, Paul McCrone, Linda Everard, Anna Lavis, Peter Jones, Tim Amos, Swaran Singh, Vimal Sharma, and Max Birchwood Abstract Background Provision of early intervention services has increased the rate of social recovery in patients with first-episode psychosis; however, many individuals have continuing severe and persistent problems with social functioning. We aimed to assess the efficacy of early intervention services augmented with social recovery...
Lived experiences of negative symptoms in first‐episode psychosis: A qualitative secondary analysis
Full Article Brioney Gee, Joanne Hodgekins, Anna Lavis, Caitlin Notley, Max Birchwood, Linda Everard, Nick Freemantle, Peter B. Jones, Swaran P. Singh, Tim Amos, Max Marshall, Vimal Sharma, Jo Smith, and David Fowler Aim Exploring how negative symptoms are experienced and understood by individuals with lived experience of psychosis has the potential to offer insights into the complex psychosocial processes underlying negative symptom presentations. The aim of the current study was to investigate...
Creating an innovative youth mental health service in the United Kingdom: The Norfolk Youth Service
Full Article Jon Wilson, Tim Clarke, Rebecca Lower, Uju Ugochukwu, Sarah Maxwell, Jo Hodgekins, Karen Wheeler, Andy Goff, Robert Mack, Rebecca Horne, and David Fowler Abstract Young people attempting to access mental health services in the United Kingdom often find traditional models of care outdated, rigid, inaccessible and unappealing. Policy recommendations, research and service user opinion suggest that reform is needed to reflect the changing needs of young people. There is significant motivation...
Pathways to care of young people accessing a pilot specialist youth mental health service in Norfolk, United Kingdom
Full Article Jo Hodgekins, Timothy Clarke, Hannah Cole, Constantina Markides, Uju Ugochukwu, Peter Cairns, Rebecca Lower, David Fowler, and Jon Wilson Aim Pathways to care (PtC) are a means of examining and understanding routes into mental health care. It is important to examine PtC in order to identify ways in which individuals access services, as well as highlighting barriers or delays to appropriate treatment. This study aimed to examine PtC experienced by young...
Prevention and treatment of long-term social disability amongst young people with emerging severe mental illness with social recovery therapy (The PRODIGY Trial): Study protocol for a randomised controlled trial
Full Article David Fowler, Paul French, Robin Banerjee, Garry Barton, Clio Berry, Rory Byrne, Timothy Clarke, Rick Fraser, Brioney Gee, Kathryn Greenwood, Caitlin Notley, Sophie Parker, Lee Shepstone, Jon Wilson, Alison R. Yung and Joanne Hodgekins Abstract Background Young people who have social disability associated with severe and complex mental health problems are an important group in need of early intervention. Their problems often date back to childhood and become chronic at an early...
Participant views on involvement in a trial of social recovery cognitive-behavioural therapy
Full Article Caitlin Notley, Rose Christopher, Joanne Hodgekins, Rory Byrne, Paul French and David Fowler Abstract Background The PRODIGY trial (Prevention of long term social disability amongst young people with emerging psychological difficulties, ISRCTN47998710) is a pilot trial of social recovery cognitive–behavioural therapy (SRCBT). Aims The PRODIGY qualitative substudy aimed to (a) explore individual experiences of participating in the pilot randomised, controlled trial (recruitment, randomisation, assessment) and initial views of therapy, and (b) to explore perceived...
Comparing time use in individuals at different stages of psychosis and a non-clinical comparison group
Full Article Abstract Social functioning difficulties are a common and disabling feature of psychosis and have also been identified in the prodromal phase. However, debate exists about how such difficulties should be defined and measured. Time spent in structured activity has previously been linked to increased psychological wellbeing in non-clinical samples and may provide a useful way of assessing social functioning in clinical settings. The current study compared hours in structured activity, assessed...
Evaluating an early intervention in psychosis service for ‘high‐risk’ adolescents: Symptomatic and social recovery outcomes
Full Article Rebecca Lower, Jonathan Wilson, Evelina Medin, Emma Corlett, Ruth Turner, Karen Wheeler, and David Fowler Abstract Aim This study presents client characteristics and treatment outcomes for a group of young people seen by Central Norfolk Early Intervention Team (CNEIT). The team offers an intensive outreach model of treatment to young people with complex co‐morbid emotional, behavioural and social problems, as well as the presence of psychotic symptoms. Methods Outcomes include both client self‐report and...
Investigating trajectories of social recovery in individuals with first-episode psychosis: A latent class growth analysis
Full Article Abstract Background Social disability is a hallmark of severe mental illness yet individual differences and factors predicting outcome are largely unknown. Aim To explore trajectories and predictors of social recovery following a first episode of psychosis (FEP). Method A sample of 764 individuals with FEP were assessed on entry into early intervention in psychosis (EIP) services and followed up over 12 months. Social recovery profiles were examined using latent class growth analysis. Results Three types of social...
Adolescents and young adults who are not in employment, education, or training
Full Article Jan Scott, David Fowler, Pat McGorry, Max Birchwood, Eoin Killackey, Helen Christensen, Nicholas Glozier, Alison Yung, Paddy Power, Merete Nordentoft, Swaran Singh, Elisa Brietzke, Simon Davidson, Philippe Conus, Frank Bellivier, Richard Delorme, Ianin Macmillan, John Buchanan, Francesc Colom, Eduard Vieta, Michael Bauer, Philip McGuire, Kathleen Merikangas, and Ian Hickie Abstract Their problems are more than economic The term NEET (not in employment, education, or training) refers to economically inactive adolescents and young...
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