Abstract
BackgroundThere is no current guidance on where Mindfulness for Psychosis groups should best be situated within care pathways. The objectives of this paper are to (1) describe a novel care pathway tested out in a psychiatric outpatient service in Hong Kong, and (2) to present feasibility outcomes on attendance and drop-out, and routine clinical outcomes.MethodsA new mindfulness pathway was set up, for service users with psychosis who had first completed a course of Cognitive Behavioural Therapy for psychosis (CBTp). After attending an orientation ‘taster’ session, service users could then attended a 4-session weekly Mindfulness for Psychosis group, followed by optional monthly follow-up sessions.ResultsA high proportion of service users referred into the pathway (19/22; 86%) went on to attend a Mindfulness for Psychosis group after attending an orientation ‘taster’ session. Attendance at group sessions was high, with all participants attending at least 2/4 group sessions, and no drop-outs. Attendance at monthly follow-up groups was also high, with 84% (16/19) attending at least one monthly follow-up. Routine clinical outcome data showed a reduction in negative symptoms of psychosis, and an increase in mindfulness and mindful responding in daily life, from pre- to post group.ConclusionsOffering service users with psychosis the opportunity to attend a mindfulness for psychosis group after completing a course of CBTp was highly acceptable, as evidenced by high attendance, and low drop-out. Possible benefits in terms of improving negative symptoms may be particularly important in promoting recovery through improved everyday functioning.
Highlights
In the acute phase of a psychotic disorder, people may struggle with distressing symptoms, such as voices, and delusional beliefs [1]
Participants In this paper, we describe the care pathway and routine outcomes for service users who attended 1 of 6 mindfulness groups, which were run between June 2017 and October 2019 (28 months)
Each item is rated on a scale from 1 to 10, with scores averaged across all 4 items so that total scores range from 1–10, with higher scores indicated a greater degree of everyday mindfulness
Summary
In the acute phase of a psychotic disorder, people may struggle with distressing symptoms, such as voices, and delusional beliefs [1]. Qualitative studies of Mindfulness for Psychosis groups [8,9,10,11] show that participants commonly report feeling more able to observe and let go of their habitual reaction towards difficult experiences. Check in Ground rules Mindful breathing/movement/walking Practice review (in-session and home practice) Mindful living Closing test–retest reliability, good internal consistency, and established construct validity [24]. The SMQ is a 16-item, selfreport questionnaire which measures the degree to which individuals mindfully respond to distressing thoughts and images. It has been validated for use in in a clinical sample of people experiencing distressing psychotic symptoms [29]. The objectives of this paper are to (1) describe a novel care pathway tested out in a psychiatric outpatient service in Hong Kong, and (2) to present feasibility outcomes on attendance and drop-out, and routine clinical outcomes
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