1st Edition

Innovations in Psychosocial Interventions for Psychosis Working with the hard to reach

By Alan Meaden, Andrew Fox Copyright 2015
    268 Pages
    by Routledge

    268 Pages
    by Routledge

    Despite the steady acceptance of psychological interventions for people with psychosis in routine practice many people continue to experience problems in their recovery. The need to develop new approaches, particularly for those who are more difficult to engage and have significant co-morbidities is therefore important. Innovations in Psychosocial Interventions for Psychosis positions psychological formulation as a key organising principle for the delivery of care within multidisciplinary teams. The interventions described all have the common theme of supporting recovery and achieving goals that are of primary importance to the service user which targets interventions on broader obstacles to recovery.

    Along with their experienced contributors, Alan Meaden and Andrew Fox introduce new developments in psychological interventions for people affected by psychosis who are hard to reach, working in a variety of settings with people at various stages of recovery. The book is divided into three parts. In part one brief interventions and approaches aimed at promoting engagement are described as interventions in their own right. Part two is focused on longer-term interventions with individuals. Some of these highlight new developments in the evidence base whilst others draw on work applied less frequently to psychosis drawing from the broader psychological therapy practice-based evidence field. In part three attention is given to innovations in group settings and those aimed at promoting greater multidisciplinary working in settings where a whole team approach is needed.

    Each chapter describes the theory underpinning a different approach, its development, key strategies, principles and stages, and contain case examples that illustrate the use of the approach in a clinical setting. Innovations in Psychosocial Interventions for Psychosis will be an invaluable resource to professionals working with this client group, including clinical and counselling psychologists, psychiatrists, and other allied health professionals.

    Meaden, Fox, The Need for Innovation When Providing Services for the Difficult to Engage. Part I: Innovations in Engagement and Brief Therapies. van Rensburg, The Adapted Open Dialogue Approach. Barker, Using Pre-therapy in Forensic Settings. Gillespie, Adapting Relapse Prevention Strategies for use with Difficult to Engage Populations. Allen, Brief Interventions and Single Sessions as Stages in a Change Process for People with Psychosis. Part Two: Innovations in Interventions for Individuals. Bernard, Jackson, Birchwood, Cognitive Behavioural Therapy for Emotional Dysfunction Following Psychosis: The role of emotional (dys)regulation. Mayhew, Compassionate Focused Therapy for People Experiencing Psychosis. Amphlett, An Existential Approach to Therapy: Core Values and Therapeutic Principles. Fox, Harrop, Enhancing Social Participation and Recovery Through a Cognitive Developmental Approach. Hewson, Telling Stories and Re-authoring Lives: A Narrative Approach to Individuals with Psychosis. Part Three: Innovations in Group and Whole Team Interventions. Bennett, Pearson, Group Rational Emotive Behaviour Therapy for Paranoia. Meaden, Fox, Hacker, Team-Based Cognitive Therapy for Distress and Problematic. Meaden, Fox, Hacker, Behaviour Associated with Positive Symptoms. Meaden, Hewson, Long-term Supportive Psychotherapy as a Team-Based Therapy. Fox, Meaden, Team-Based Cognitive Therapy for Problematic Behaviour Associated with Negative Symptoms. Fox, Meaden, Concluding Remarks.


    Alan Meaden is a consultant clinical psychologist at the Birmingham and Solihull Mental Health NHS Foundation Trust and is the lead for the trust’s Assertive Outreach and Non-Acute Inpatient Services.

    Andrew Fox is a senior clinical psychologist at Birmingham and Solihull Mental Health NHS Foundation Trust.

    "This book is a perfect example of 'practice-based evidence': experienced clinicians sharing their hard-won expertise with difficult to engage service-users. The approaches described are built upon evidenced-based psychological therapies, and anchored to the same values, but adapted and improvised according to the reality of clinical diversity and the variety of contexts in which people with psychosis are seen. This is the 'go-to' book for when the going gets tough." – Dr Emmanuelle Peters, Reader in Clinical Psychology, Institute of Psychiatry, Psychology & Neuroscience PICuP Clinic Director (Psychological Interventions Clinic for outpatients with Psychosis), South London and Maudsley NHS Foundation Trust