Publications

Metacognitive beliefs as psychological predictors of social functioning: An investigation with young people at risk of psychosis

Full Article   Measha Bright, Sophie Parker, Paul French, David Fowler, Andrew Gumley, Anthony P. Morrison, Max Birchwood, Peter B. Jones, Suzanne L.K. Stewart, and Adrian Wells   Abstract Poor social functioning has been found to be present in those at risk for psychosis. This study aimed to examine metacognitive beliefs as potential predictors of structured activity (measure of social functioning) in those with an At Risk Mental State (ARMS). Regression and correlation analyses were...

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...

The course of negative symptom in first episode psychosis and the relationship with social recovery

Full Article Brioney Gee, Jo Hodgekins, David Fowler, Max Marshall, Linda Everard, Helen Lester, Peter B. Jones, Tim Amos, Swaran P. Singh, Vimal Sharma, Nick Freemantle, and Max Birchwood   Abstract Aims To investigate trajectories of negative symptoms during the first 12 months of treatment for first episode psychosis (FEP), their predictors and relationship to social recovery.   Method 1006 participants were followed up for 12 months following acceptance into Early Intervention in Psychosis services. Negative symptom trajectories...

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...

CBT to address and prevent social disability in early and emerging psychosis

Full Article David Fowler, Paul French, Jo Hodgekins, Rebecca Lower, Ruth Turner, Simon Burton, and Jon Wilson   Summary This chapter contains sections titled: The Problem Specific Characteristics of a Multisystemic Cognitive Behavioural Approach: The Need to Weave in Systemic and Assertive Case Management Practice in Delivering CBT to Promote Social Recovery Research Evidence Future and Ongoing Trials Time Use as the Primary Outcome A Cognitive Behavioural Model of Social Disability in Psychosis as...

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...