A narrative review of the barriers to the implementation of cognitive behavioural therapy for psychosis

ABSTRACT

Cognitive Behavioural Therapy for Psychosis (CBTp) is recommended in National Institute for Health and Care Excellence (NICE) Guidelines (2014) and Scottish Intercollegiate Guidelines Network (SIGN) Guidelines (2013) and is widely accepted as a helpful approach for people with lived experience of psychosis or schizophrenia. Despite this, research suggests that implementation rates across the UK remain extremely low and people with a psychotic spectrum disorder struggle to gain access to CBTp.

Objective: To review current research evidence on the barriers to the implementation of CBTp in the UK.

Design: Narrative review of the literature.

Method: Using narrative synthesis the data from 18 relevant articles were extracted concerning the barriers to the implementation of CBTp.

Conclusions: Key barriers identified in the literature include organisational, staff and service user barriers.

KEYWORDS:

• Schizophrenia
• psychosis
• cognitive behavioural therapy
• NICE
• SIGN

Disclosure statement

No potential conflict of interest was reported by the authors.