Who gets evidence-based therapy for psychosis in the six months following a psychiatric hospital admission? Follow-up data from an inpatient randomised controlled trial

Maria Stefanova; Gemma Taylor; Pamela Jacobsen

doi:10.1016/j.psychres.2020.113605

Who gets evidence-based therapy for psychosis in the six months following a psychiatric hospital admission? Follow-up data from an inpatient randomised controlled trial

Maria Stefanova, Gemma Taylor, Pamela Jacobsen

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Abstract

A major barrier to clinicians referring service users with psychosis for psychological therapies is the belief that they will not engage. We investigated therapy receipt after discharge, in a sample of service users who had already demonstrated willingness to engage in psychological therapy during an inpatient admission. We found only one-third of service users (33%; 16/48) had received at least 1 session of evidence-based therapy at 6-month follow-up after discharge. We found that therapy receipt was more common for service users with i) lower delusional distress at discharge, ii) BME background, and iii) discharged to an Early Intervention (EI) service.

Original language	English
Article number	113605
Journal	Psychiatry Research
Volume	295
Early online date	4 Dec 2020
DOIs	https://doi.org/10.1016/j.psychres.2020.113605
Publication status	Published - 31 Jan 2021

Funding

This paper presents independent research funded by the National Institute for Health Research (NIHR). PJ was supported by a NIHR Doctoral Research Fellowship (DRF-2014-07-003). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. MS was supported by a British Psychological Society Undergraduate Research Assistant Scheme Award. GT is funded by a Cancer Research UK Postdoctoral Fellowship (C56067/A21330). The funding bodies had no role in the design of the study, collection, analysis, interpretation of data or writing of the manuscript.

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abstract = "A major barrier to clinicians referring service users with psychosis for psychological therapies is the belief that they will not engage. We investigated therapy receipt after discharge, in a sample of service users who had already demonstrated willingness to engage in psychological therapy during an inpatient admission. We found only one-third of service users (33%; 16/48) had received at least 1 session of evidence-based therapy at 6-month follow-up after discharge. We found that therapy receipt was more common for service users with i) lower delusional distress at discharge, ii) BME background, and iii) discharged to an Early Intervention (EI) service. ",

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Who gets evidence-based therapy for psychosis in the six months following a psychiatric hospital admission? Follow-up data from an inpatient randomised controlled trial

Abstract

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