RECRUITINGINTERVENTIONAL

Acceptability and Feasibility of a Brief Paranoia Intervention.

Assessing the Acceptability and Feasibility of TRUST, a Brief Intervention for Paranoia in Adolescents.

About This Trial

The goal of this feasibility and acceptability trial is to test whether a new brief talking therapy can be successfully provided to and is suitable for adolescents (16-18) who are seeking help from Child and Adolescent Mental Health Services (CAMHS). The main research question for the current study is: Is it feasible and acceptable to offer a brief values-based (helping young people identify what matters most to them) and imagery (using imagination to visualise positive experiences) intervention for adolescents experiencing paranoia in CAMHS? It also aims to identify preliminary clinical outcomes, particularly changes in paranoia severity as measured by the Revised Green et al., Paranoid Thoughts Scale (R-GPTS). Participants will complete an eligibility assessment and those eligible will be offered a six-session intervention. Assessment measures will be completed before, during and after the intervention.

Who May Be Eligible (Plain English)

Who May Qualify: - Aged 16-18 - Seeking help from a Child and Adolescent Mental Health Service (CAMHS) - A score ≥ 11 on the R-GPTS (Scale B) - Sufficient understanding of English - Capacity to consent, as assessed during the initial interview - Wanting support with paranoia - Low- moderate mental health risks (emotional difficulties that impact functioning, but no immediate risk to safety e.g., no suicidal intent). Who Should NOT Join This Trial: - Severe comorbid diagnoses apparent at the initial assessment (e.g., a primary alcohol or substance dependence issue measured using standardised assessments) - The presence of a developmental disability or cognitive impairment that would interfere with participation. - Concurrent participation in another psychological therapy - High levels of current risk (e.g., significant and immediate concerns about the young person's safety, such as suicidal intent). Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Aged 16-18 * Seeking help from a Child and Adolescent Mental Health Service (CAMHS) * A score ≥ 11 on the R-GPTS (Scale B) * Sufficient understanding of English * Capacity to consent, as assessed during the initial interview * Wanting support with paranoia * Low- moderate mental health risks (emotional difficulties that impact functioning, but no immediate risk to safety e.g., no suicidal intent). Exclusion Criteria: * Severe comorbid diagnoses apparent at the initial assessment (e.g., a primary alcohol or substance dependence issue measured using standardised assessments) * The presence of a developmental disability or cognitive impairment that would interfere with participation. * Concurrent participation in another psychological therapy * High levels of current risk (e.g., significant and immediate concerns about the young person's safety, such as suicidal intent).

Treatments Being Tested

BEHAVIORAL

TRUST

Participants will receive TRUST, a six-session individual psychological intervention designed for adolescents who experience frequent or distressing suspicious thoughts about others. The intervention includes values-based work to identify what matters most to the young person, and mental imagery techniques aimed at modifying distressing beliefs about the self and others. Session 1: Assessment, Formulation and Psychoeducation Session 2: Values and value based goals Session 3-5: Harnessing imagery to pursue values and imagery focussed strategies to change negative beliefs about self and others Session 6: Bringing it all together and review.

Locations (1)

Westminster's Child and Adolescent Mental Health Service

London, United Kingdom