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Cognitive Behaviour Therapy for Psychosis in High Secure Services: An Exploratory Hermeneutic Review of the International Literature

Published online by Cambridge University Press:  02 May 2016

Jonathon Slater  and
Michael Townend
Jonathon Slater*
Affiliation:
Nottinghamshire Healthcare NHS Foundation Trust, UK
Michael Townend
Affiliation:
University of Derby, UK
*
Correspondence to Jonathon Slater, Rampton Hospital, Retford, Notts, DN22 0PD, UK. e-mail: jonathon.slater@ nottshc.nhs.uk
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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.

Keywords

Psychosishigh secure serviceshermeneuticsliterature review
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 6 , November 2016 , pp. 652 - 672
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

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