Cognitive Behavioural Therapy for Psychotic Symptoms Preface A substantial body of evidence now documents the significant prevalence of psychotic disorders mental health problems in the Australian community. The recent “NationalSurvey of Mental Health and Wellbeing” reported that 4 to 7 people per 1000 of the Australian adult population have a psychotic disorder. This statistic translates to morethan 100,000 Australian adults and clearly indicates that that there are a significantnumber of people who are struggling with the severely debilitating symptoms andexperiences associated with psychosis. Unfortunately people with psychosis in oursociety also carry a significant burden of distress, disability and social dysfunction andthere is an identified lack of community based rehabilitation programmes that could help address these issues (Jablensky, et al 1999).The extent and complexity of mental health and psychosocial problems, places enormouspressure on treatment facilities to provide appropriate and effective interventions. Thistreatment protocol helps address this need. It was developed by the Centre for ClinicalInterventions (CCI), which provides specialist clinical treatments, training and clinicallyapplied research programs. CCI was established to provide a scientific environmentwithin which evidence supported clinical practice and the theoretical understanding ofpsychopathology are investigated, with the aim of decreasing patient distress andincreasing patient empowerment. The establishment of CCI has allowed clinical practice,training and research to be mutually interactive and balanced.This treatment protocol is the application of evidence based psychological practice toPsychotic Disorders. The manual has been written by clinicians for clinicians and presentsa clinical guide based on empirical foundations and clinical evaluation.The treatment protocol provides the therapist with a comprehensive, detailed and systematic approach to treatment delivery. The manual is divided into modules, whichdescribe the treatment components of this individual therapy. Importantly, the manualdoes more than describe the content of ‘what to do’, but also describes the process by which each treatment component is delivered. Details about evaluation procedures arealso included, as are activities and handouts for clients, self-monitoring diaries andmaterials to be used by the clinician.I would like to express our gratitude to the Office of Mental Health of the Department of health for their support of the quality improvement work carried out at CCI.I would especially like to express our respect and gratitude to the clients who have so courageously participated in our interventions and thus traveled with us along the path to scientific discovery.Whilst this manual provides a comprehensive guide to mental health practitioners, key competencies are required, and it is highly recommended that in order to apply the protocol most effectively appropriate training and supervision is undertaken
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