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Let’s not go there: exploring the delivery of trauma-focused interventions in people with psychosis

Chadwick, Eleanor; (2020) Let’s not go there: exploring the delivery of trauma-focused interventions in people with psychosis. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Post-Traumatic Stress Disorder (PTSD) is prevalent in people with psychosis. Trauma-focused interventions are increasingly supported for this group by research trials and clinical guidelines. However, in clinical practice, trauma continues to be under-recognised and under-treated. This thesis explores pertinent barriers and facilitators to delivering trauma-focused interventions for people with psychosis. It is presented in three parts. Part 1: A Systematic Review This review examines available qualitative data regarding staff perceptions of the barriers and facilitators to delivering psychological interventions in clinical practice. Findings from twelve studies are presented in a narrative synthesis. Results identify a number of common factors which inhibit the delivery of psychological interventions for mental health disorders. Clinical and research implications of findings are discussed. Part 2: An Empirical Paper This paper explores the barriers and facilitators to trauma-focused interventions for people with psychosis through a Grounded Theory approach. Interviews were completed with 18 individuals working in the commissioning and delivery of clinical services for people with psychosis. Analysis generated a three-factor conceptualization of the barriers and facilitators to treatment with this clinical population. Recommendations are made for strategies to increase access to trauma-focused interventions for this group. Part 3: A Critical Appraisal This chapter offers a critical reflection on the process of research and follows the journey of clinical research from study design, recruitment, and interview through to analysis and writing. It considers the context within which research takes place including philosophical and theoretical underpinnings as well as tempo-socio-cultural context.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Let’s not go there: exploring the delivery of trauma-focused interventions in people with psychosis
Event: UCL (University College London)
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2020. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10112797
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