Abstract
Objectives: This article aims to describe the use of repertory grid to assess participant’s perception of a psychoeducation programme for psychosis, prior to and following on from attendance at an eleven week group intervention, delivered across high and medium secure forensic services in Scotland. Design: As part of a wider randomised controlled trial, a cohort of patients (n=18) were selected to discuss their views on what might change as a result of attending the Coping With Mental Illness (CWMI) group, a psychoeducation group, designed for people who suffer from psychosis. Methods: Group participants received 22 sessions of psycho-education. Participants were assessed using structured interviews at two time points, pre and post intervention, using repertory grids. Results: A specialised computer programme (Gridsuite) was used to analyse data generated from the repertory grids. Principal component analysis indicated a number of factors were responsible for the change in participants’ experience of the group. Conclusions: Conclusions suggest that repertory grid is a useful alternative to interview when exploring views of psychological interventions in a group of mentally disordered offenders. There is evidence to suggest that the intervention did prompt a change in patient perception.
Highlights
Psycho-education is a mechanism by which people with mental health problems, their carers and families are offered information about mental disorder with an aim of empowerment [1], prevention of relapse [2], improvement in general mental health and well-being [3], quality of life [4,2], improvement in compliance [5], social interaction [6] and preventing relapse and re-hospitalisation [7,8,9].Various outcome measures have been used to establish the efficacy of psycho-education programmes for people suffering from psychosis
Conclusions suggest that Repertory Grid is a useful alternative to interview when exploring views of psychological interventions in a group of mentally disordered offenders
Dave was born in the West of Scotland, has a dual diagnosis of paranoid psychosis and anti-social personality disorder and has been a patient in The State Hospital (TSH) for eighteen months, following the attempted murder of his uncle
Summary
Psycho-education is a mechanism by which people with mental health problems, their carers and families are offered information about mental disorder with an aim of empowerment [1], prevention of relapse [2], improvement in general mental health and well-being [3], quality of life [4,2], improvement in compliance [5], social interaction [6] and preventing relapse and re-hospitalisation [7,8,9]. Various outcome measures have been used to establish the efficacy of psycho-education programmes for people suffering from psychosis. Studies which have sought to explore such outcomes have used a range of well-established psychometric tools [3]. These tools gather information on what has changed but fail to capture why participants feel change has occurred. In keeping with the quantitative nature of the overall study, and associated time constraints for the wider study, it was considered both relevant and appropriate to include a more structured approach to gathering participant perception
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