Views of young people in Malaysia on mental health, help‐seeking and unusual psychological experiences
Full Article Clio Berry, Daniel Michelson, Ellisha Othman, Jun C. Tan, Brioney Gee, Joanne Hodgekins, Rory E. Byrne, Alvin Lai Oon Ng Nigel V. Marsh Sian Coker, and David Fowler ABSTRACT Aim Mental health problems are prevalent among young people in Malaysia yet access to specialist mental health care is extremely limited. More context‐specific research is needed to understand the factors affecting help‐seeking in youth, when mental health problems typically have first onset. We...
Assessing social recovery of vulnerable youth in global mental health settings: a pilot study of clinical research tools in Malaysia
Full Article Clio Berry, Ellisha Othman, Jun Chuen Tan, Brioney Gee, Rory Edward Byrne, Joanne Hodgekins, Daniel Michelson, Alvin Lai Oon Ng, Nigel V. Marsh, Sian Coker and David Fowler ABSTRACT Background A social recovery approach to youth mental health focuses on increasing the time spent in valuable and meaningful structured activities, with a view to preventing enduring mental health problems and social disability. In Malaysia, access to mental health care is particularly limited...
Social Recovery Therapy in improving activity and social outcomes in early psychosis: Current evidence and longer term outcomes
Full Article David Fowler, Joanne Hodgekins, and Paul French Abstract Background Social Recovery Therapy (SRT) is a cognitive behavioural therapy which targets young people with early psychosis who have complex problems associated with severe social disability. This paper provides a narrative overview of current evidence for SRT and reports new data on a 2 year follow-up of participants recruited into the Improving Social Recovery in Early Psychosis (ISREP) trial. Method In the ISREP study 50 participants...
Creating an innovative youth mental health service in the United Kingdom: The Norfolk Youth Service
Full Article Jon Wilson, Tim Clarke, Rebecca Lower, Uju Ugochukwu, Sarah Maxwell, Jo Hodgekins, Karen Wheeler, Andy Goff, Robert Mack, Rebecca Horne, and David Fowler Abstract Young people attempting to access mental health services in the United Kingdom often find traditional models of care outdated, rigid, inaccessible and unappealing. Policy recommendations, research and service user opinion suggest that reform is needed to reflect the changing needs of young people. There is significant motivation...
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...
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 and recovery from psychosis in the ISREP Trial: Mediating effects of hope and positive beliefs on activity
Full Article Joanne Hodgekins and David Fowler Abstract Objective: Hope and positive self-concept have been highlighted as important components of recovery from psychosis. This study investigated the impact of a recovery-focused intervention on these dimensions, as well as their role as mediators of functional outcome. Methods: Seventy-seven participants in recovery from psychosis were recruited into a randomized controlled trial of social recovery–focused cognitive-behavioural therapy (SRCBT). The primary outcome was hours spent weekly in structured...
Early detection and psychosocial intervention for young people who are at risk of developing long term socially disabling severe mental illness: Should we give equal priority to functional recovery and complex emotional dysfunction as to psychotic symptoms
Full Article David G. Fowler, Joanne Hodgekins, Katya Arena, Ruth Turner, Rebecca Lower, Karen Wheeler, Emma Corlett, Tony Reilly, and Jon Wilson Abstract There has been considerable progress in the development of early detection and intervention services for cases who may be at risk of developing psychotic disorder. This paper reviews the state of the progress so far, including discussion of the validity of cases selected using the PACE prodromal symptoms criteria, and...