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.


Some psychosis cases an ‘immune disorder’

BBC News, 8 December 2016

Some patients sectioned with psychotic conditions, such as schizophrenia or bipolar disorder, may actually have a treatable immune disorder, say Oxford University scientists.

A study in the Lancet Psychiatry suggests up to one in 11 cases of psychosis may involve antibodies attacking parts of the brain…

Click here to read the full story.

Prevalence and clinical characteristics of serum neuronal cell surface antibodies in first-episode psychosis: a case-control study

Lancet Psychiatry, December 2016

Psychosis is a common presenting feature in antibody-mediated encephalitis, for which prompt recognition and treatment usually leads to remission. This study aims to investigate whether people with circumscribed schizophrenia-like illnesses have such antibodies—especially antibodies against the N-methyl-D-aspartate receptor (NMDAR)—more commonly than do healthy controls.

Click here to send an email to the Library to request this article.

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.

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.


Pathways to Recovery: A case for adoption of systematic pathways in psychosis

Imperial College Health Partners, September 2015

This joint briefing paper published with Wessex AHSN, sets out how ICHP have developed new, integrated care pathways for mental health that prescribe time frames around clinical interventions and service delivery.  These new psychosis pathways aim to reduce the impact of disease and promote recovery by ensuring that every individual gets the best evidence based care at the right time and in the right place. The approach has used a robust methodology which can be adopted for use across the wider NHS. This document describes the approach used in developing the pathways and provides a guide for patients, carers, provider organisations and commissioners on adoption and implementation.

Click here for further information and to download the briefing paper.