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A study on the feasibility of delivering a psychologically-informed ward-based intervention on an acute mental health ward

Research output: Contribution to journalArticlepeer-review

Jessica Raphael, Taryn Hutchinson, Gillian Haddock, Richard Emsley, Sandra Bucci, Karina Lovell, Dawn Edge, Owen Price, Alisa Udachina, Christine Day, Catherine Cross, Craig Peak, Richard Drake, Katherine Berry

Original languageEnglish
Pages (from-to)1587-1597
Number of pages11
JournalClinical psychology & psychotherapy
Volume28
Issue number6
Early online date5 May 2021
DOIs
E-pub ahead of print5 May 2021
Published1 Nov 2021

Bibliographical note

Funding Information: We would like to thank both participating NHS Trusts and all those took part and who helped us to gather data. This project is funded by the National Institute for Health Research (NIHR), Improving access to psychological therapy on acute mental health wards NIHR programme (RP‐PG‐0216‐20009), Programme Grant for Applied Research. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2021 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.

King's Authors

Abstract

Acute mental health inpatient wards have been criticized for being nontherapeutic. The study aimed to test the feasibility of delivering a psychologically informed intervention in these settings. This single-arm study evaluated the feasibility of clinical psychologists delivering a ward-based psychological service model over a 6-month period on two acute mental health wards. Data were gathered to assess trial design parameters and the feasibility of gathering patient/staff outcome data. Psychologists were able to deliver key elements of the intervention. Baseline staff and patient participant recruitment targets were met. However, there was significant patient attrition at follow-up, with incorrect contact details on discharge being the primary reason. Implementation of a ward-based psychological intervention appears feasible when implemented flexibly. It is feasible to recruit staff and patient participants and to collect staff outcome measures over a 6-month period. However, greater efforts need to be taken to trace patient movement following discharge.

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