title: Cognitive Behaviour Therapy for Psychosis in High Secure Services: An Exploratory Hermeneutic Review of the International Literature.
abstract: BACKGROUND
  Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention.
  
  
  OBJECTIVE
  This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research.
  
  
  METHODS
  A pragmatic approach was utilized through an iterative literature search strategy and hermeneutic source analysis of the identified studies.
  
  
  RESULTS
  Fourteen studies were identified from HS contexts from within the UK and internationally. These included group, individual therapy and CBTp linked milieus.
  
  
  CONCLUSIONS
  CBTp is an active component of treatment in HS contexts. Some modes of delivery seem to have greater levels of efficacy with more typical HS patients. The literature indicates key differences between HS and non-HS applied CBTp. Continued application and evaluation of CBTp in HS conditions is warranted.
authors.affiliation: Nottinghamshire Healthcare NHS Foundation Trust,UK.
authors.forename: Jonathon
authors.initials: J
authors.lastname: Slater
authors.affiliation: University of Derby,UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Townend
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D066297:Hermeneutics; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000628:therapy; D012637:Security Measures
keywords: Psychosis; hermeneutics; high secure services; literature review