Psychological interventions for housebound people with psychosis: service user and therapist perspectives in South East London.

TY - JOUR

T1 - Psychological interventions for housebound people with psychosis: service user and therapist perspectives in South East London.

AU - Iredale, Catherine

AU - Fornells-Ambrojo, Miriam

AU - Jolley, Suzanne

PY - 2015/10/15

Y1 - 2015/10/15

N2 - Psychological interventions for housebound people with psychosis: service user and therapist perspectives in South East London. Background: People with psychosis often have difficulty leaving their homes to perform tasks of daily living, which also limits their access to clinic-based interventions to support recovery. Home-based psychological therapy may offer a solution. Aims: To examine service user and therapist perspectives on i) houseboundness in psychosis and ii) the value of home-based psychological interventions, as a first step towards a systematic evaluation. Method: Semi-structured interviews with ten service users and twelve therapists from a large inner city mental health NHS Foundation Trust were thematically analysed. Results: Houseboundness most commonly resulted from anxiety, paranoia and amotivation, indicating the potential usefulness of targeted psychological therapies. Home-based therapy was offered unsystematically, with variable goals. Although beneficial for engagement and assessment, little gain was reported from undertaking a full course of therapy at home. Conclusions: Home visits could be offered by psychological therapists to engage and assess housebound service users, but home-based therapy may be best offered on a short-term basis, targeting paranoia, anxiety and amotivation to increase access to other resources. Given the increased cost associated with home-based psychological interventions, a systematic evaluation of their impact is warranted.

AB - Psychological interventions for housebound people with psychosis: service user and therapist perspectives in South East London. Background: People with psychosis often have difficulty leaving their homes to perform tasks of daily living, which also limits their access to clinic-based interventions to support recovery. Home-based psychological therapy may offer a solution. Aims: To examine service user and therapist perspectives on i) houseboundness in psychosis and ii) the value of home-based psychological interventions, as a first step towards a systematic evaluation. Method: Semi-structured interviews with ten service users and twelve therapists from a large inner city mental health NHS Foundation Trust were thematically analysed. Results: Houseboundness most commonly resulted from anxiety, paranoia and amotivation, indicating the potential usefulness of targeted psychological therapies. Home-based therapy was offered unsystematically, with variable goals. Although beneficial for engagement and assessment, little gain was reported from undertaking a full course of therapy at home. Conclusions: Home visits could be offered by psychological therapists to engage and assess housebound service users, but home-based therapy may be best offered on a short-term basis, targeting paranoia, anxiety and amotivation to increase access to other resources. Given the increased cost associated with home-based psychological interventions, a systematic evaluation of their impact is warranted.

U2 - 10.3109/09638237.2015.1078882

DO - 10.3109/09638237.2015.1078882

M3 - Article

SN - 0963-8237

SP - 1

EP - 8

JO - Journal of Mental Health

JF - Journal of Mental Health

ER -