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- Title
The cognitive–phenomenological assessment of delusions and hallucinations at the early intervention in psychosis service stage: The results of a quality improvement project.
- Authors
Isaacson, Maria; Hazell, Cassie M.; Cape, John; Hickson, Emily; Islam, Faaizah; Gill, Amber; Simon, Kathleen; Patel, Ruchit; Souray, Jonathan; Raune, David
- Abstract
Aim: Clinical assessments are vital for gaining an understanding of a patients' presenting problem. A priority for Early Intervention in Psychosis Service staff is understanding and supporting their patients' experiences of hallucinations and/or delusions. We aimed to identify what cognitive–phenomenology dimensions of hallucinations and delusions EIPS staff were assessing with their patients. Methods: We developed a brief checklist of cognitive–phenomenological dimensions of hallucinations and delusions called the Lived Experience Symptom Survey (LESS) based on relevant literature. As part of a Quality Improvement Project, we reviewed the health records of a sub‐sample of EIPS patients using the LESS identifying whether each dimension was present or absent. Results: We found that all patients had been asked about the content of their hallucinations and/or delusions, and the majority had been asked about the valence of this content. Despite patients having experienced psychosis for almost 2 years on average, less than half of patients were asked about the potential or actual harm associated with these symptoms. All other cognitive–phenomenological dimensions were assessed inconsistently. Conclusions: The assessment of hallucination and delusions in our EIPS was inconsistent and incomprehensive. These findings require replication in other EIPS' but may point to a need for guidelines and training around how to conduct a thorough assessment of hallucinations and delusions for current and future EIPS staff. Improved assessment of these symptoms will aid the development of risk assessments and treatment plans.
- Subjects
DELUSIONS; PATIENTS' attitudes; HALLUCINATIONS; PSYCHOSES; MEDICAL records; VITAL statistics
- Publication
Early Intervention in Psychiatry, 2022, Vol 16, Issue 12, p1345
- ISSN
1751-7885
- Publication type
Article
- DOI
10.1111/eip.13283