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Exploring the implementation of cognitive behaviour therapy for psychosis using the Normalization Process Theory
Nikos Xanidis1, Andrew Gumley1
1Glasgow Institute of Health and Wellbeing, Gartnavel Royal Hospital, University of Glasgow, UK.
Psychology and Psychotherapy
|January 24, 2019
Summary
Implementing Cognitive Behavioural Therapy for psychosis (CBTp) faces barriers related to professional understanding and service investment. Strong clinical leadership is vital for successful CBTp integration and improved patient access.
Area of Science:
- Mental Health Services Research
- Psychotherapy Implementation Science
Background:
- Access to Cognitive Behavioural Therapy for psychosis (CBTp) is limited for many individuals with psychosis.
- Normalization Process Theory (NPT) offers a framework for understanding intervention implementation in clinical settings.
Purpose of the Study:
- To explore mental health professionals' views on implementing CBTp.
- To identify barriers and facilitators to CBTp implementation using the NPT framework.
Main Methods:
- Qualitative methodology employing semi-structured focus groups and individual interviews.
- 14 mental health professionals from community and crisis teams participated.
- Thematic analysis and NPT framework were used to analyze data.
Main Results:
- Five overarching themes emerged, including engagement barriers, contextual issues, optimization strategies, positive attitudes, and implementation expectations.
- Difficulties in understanding CBTp among professionals created service-level barriers.
- Most themes aligned with the NPT framework.
Conclusions:
- Implementation of CBTp is influenced by a mix of barriers and facilitators.
- Addressing difficulties in understanding CBTp and investing in services are crucial.
- Effective clinical leadership is essential for enhancing stakeholder coherence and collective action in CBTp implementation.
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