Case report: Brief Trans-diagnostic CBT for Distressed Carers of Service User with First Episode Psychosis Distress

Miv Riley, Lancashire Care NHS Foundation Trust

Congratulations to Miv Riley who has recently presented a poster at the BABCP Conference in Madrid on a case report of using brief trans-diagnostic CBT to help a distressed carer of an individual with first episode psychosis.

Click here to request a copy of the conference abstract from the Library.

Five years of specialised early intervention versus two years of specialised early intervention followed by three years of standard treatment for patients with a first episode psychosis: randomised, superiority, parallel group trial in Denmark (OPUS II)

BMJ 2017;356:i6681 – January 2017

This randomised, superiority, parallel group trial aims to compare the effects of five years of specialised early intervention (SEI) treatment for first episode schizophrenia spectrum disorder with the standard two years of SEI plus three years of treatment as usual.

Click here to access the full text paper.


ApTiC: A feasibility trial of a communication method using mobile technology to improve assessment within an early intervention service

European Psychiatry, Volume 33, Supplement, March 2016, Pages S608

Authors: M. Riley, M. Lovell, N. Gire, S. Lane, P.J. Taylor, M. Fitzsimmons, I.B. Chaudhry, P. Bee, K. Lovell, N. Husain

Miv Riley and other staff members from Lancashire Care have published an article in European Psychiatry.

The objective of the study was to develop an interactive tool that can assist service user’s communication of distress, whilst employing a psychoeducational approach to the use of an informal therapeutic measurement scale; subjective units of distress (SUDs) and early warning signs (EWS). The ApTiC mobile intervention will include ten numerically graded emoticons from low to extreme distress.  The present study aims to examine the feasibility and acceptability of the ApTic mobile intervention in preparation for a larger randomised controlled trial.

Please request this paper from the Library.  Click here to email the Library.

Guidance for reporting against access and waiting time standards: Children and young people with an eating disorder; early intervention in psychosis

NHS England, March 2016

This document aims to explain how the indicators for the referral to treatment waiting time elements of the two standards are constructed and confirms the data that will need to be submitted as part of the new Mental Health Services Data Set (MHSDS) to measure progress and inform future development.

Click here to view the document.

Experience of Psychosocial Formulation within a Biopsychosocial Model of Care for First- Episode Psychosis


Dr Victoria Cairns, Dr Graeme Reid, Dr Craig Murray, Dr Stephen Weatherhead.

Dr Graeme Reid, Consultant Clinical Psychologist at Lancashire Care, has co-authored this paper.  The study aims to explore the experience of people with first episode psychosis engaging with a process of psychosocial formulation whilst also being supported by clinicians representing a biological understanding of psychosis.

Click here to read the full text paper.

This article is Open Access.


The HELPER programme: HEalthy Living and Prevention of Early Relapse – three exploratory randomised controlled trials of phase-specific interventions in first-episode psychosis.

Marshall M, Barrowclough C, Drake R, Husain N, Lobban F, Lovell K, Wearden A, Bradshaw T, Day C, Fitzsimmons M, Pedley R, Piccuci R, Picken A, Larkin W, Tomenson B, Warburton J, Gregg L.

Programme Grants for Applied Research; Vol. 3, No. 2.

Schizophrenia represents a substantial cost to the NHS and society because it is common (lifetime prevalence around 0.5–1%); it begins in adolescence or early adulthood and often causes lifelong impairment. The first 3 years are a ‘critical period’ in which the course of the illness is determined. Hence under the NHS Plan, specialist early intervention in psychosis services were established to care for people who develop psychosis between the ages of 14 and 35 years for the first 3 years of their illness. However, there has been a lack of evidence-based treatments specifically designed for the early years. This is important because emerging evidence has shown that in the critical period it is vital to avoid relapse and prevent deterioration in physical health, as both can drastically reduce the chances of a full recovery….

Congratulations to Prof Max Marshall, Mike Fitzsimmons and Warren Larkin of LCFT on the publication of this new research.

Click here to access the full text paper.

Early intervention for children with learning disabilities whose behaviours challenge

The Challenging Behaviour Foundation, December 2014

At the end of last year, the Challenging Behaviour Foundation brought a group of Academic Experts together to consider the available evidence and data on children with learning disabilities and behaviour described as challenging.  This work forms part of the Early Intervention Project.   As a result, an evidence briefing paper has now been published. The paper is supported by a data supplement and the methodology for estimating the number of children in England with learning disabilities and behaviours that challenge.

Click here for further information and to download the papers.