Doctorate in Clinical Psychology: Main Research Portfolio.

: (Alternative Format Thesis) 1) A systematic review of the outcomes that acute mental health inpatient trials of psychological therapies measure; 2) An audit of Gloucester Recovery team referrals and whether service users are offered evidence-based treatment; 3) What should inpatient psychological therapies be for? Qualitative views of service users on outcomes.

Abstract

Objectives: There is limited research on what, when and how outcomes should be measured in psychological therapy trials in acute mental health inpatient wards. This study aimed to consider what outcomes service user’s think are important to measure.

Methods: This qualitative study explored the views of 14 participants, who had an inpatient admission within the last year, on outcomes of psychological therapies using semi-structured interviews. Data were analysed using a critical realist perspective with both inductive and deductive coding.

Results: The 126 outcomes that were important to participants were mapped onto a taxonomy domain and levels of the socio-ecological framework. Most of the outcomes were mapped to the intrapersonal and interpersonal level. Two themes were created: (1) What does getting better look like, and (2) Who gets to say what better looks like.

Conclusions: Our results highlight the need for improved access to psychological therapy, patient reported and generated outcomes, disseminating research and training enhancing psychological safety and therapeutic relationships.

Date of Award	22 Sept 2023
Original language	English
Awarding Institution	University of Bath
Supervisor	Pamela Jacobsen (Supervisor)