Qualitative Evaluation of Acceptability and Feasibility of a Behavioral Intervention to Reduce Violence Among Young Adults with Early Psychosis.

Autor: Rolin SA; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA. stephanie.rolin@nyspi.columbia.edu., Caffrey D; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Flores MG; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA., Mootz J; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Bello I; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Nossel I; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Compton MT; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Stanley B; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Wainberg ML; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Dixon LB; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA., Appelbaum PS; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA., Pope LG; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.; New York State Psychiatric Institute, New York, USA.
Jazyk: angličtina
Zdroj: Community mental health journal [Community Ment Health J] 2024 Aug 22. Date of Electronic Publication: 2024 Aug 22.
DOI: 10.1007/s10597-024-01343-x
Abstrakt: Young adults with early psychosis are at higher risk of violent behavior, but no studies have explored using CBT-based interventions to reduce violence in specialized early intervention services (EIS) settings. This study describes formative research about the acceptability and feasibility of the Psychological Intervention for Complex PTSD and Schizophrenia-Spectrum disorder (PICASSO) to reduce violence, using interviews with EIS participants and staff. Generated themes regarding acceptability included negative experiences of violence and the desire to control and minimize violence. Themes regarding feasibility raised concerns about time constraints, consistency of participation in the intervention, and implementation issues in the context of stigma related to both psychosis and perpetration of violence. Findings from this study suggest there is a need for an intervention addressing violence risk. If adequate resources are devoted to addressing implementation issues, a CBT intervention for violence like PICASSO appears both acceptable and feasible for EIS participants and staff.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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