Cognitive-behavioural therapy for psychosis: Implications for the way that psychosis is managed within community mental health teams

Abstract

An expanding literature into cognitive-behavioural therapy (CBT) for psychosis is broadening the options for serving these individuals in their communities. This does, however, pose a number of challenges for the community team, to the extent that some have suggested that this role should be reserved for specialist services: At the level of individual staff members, training and supervision needs must be satisfied, while nurturing new attitudes towards the work they undertake with their clients; on a broader level, organisational changes are necessary to modify the distribution of cases across team members, and to re-think the format and timing of intervention. This article seeks to identify the challenges of developing CBT for psychosis within generic teams, and considers how these may be met