None listed
Conditions
Brief summary
This study aims to determine the efficacy of the Narrative Enhancement Cognitive Therapy (NECT) program in reducing SS in Australian youth (16 to 24 years) treated for mental illness and moderate to severe SS. This quantitative project will involve a randomised controlled trial (RCT) assessing the effectiveness of the manualised group program, which has been designed to reduce SS in youth with a mental illness and will be further adapted to the Australian context. A total of 110 youth will be required at baseline of the RCT. It is hypothesised that the NECT program will improve SS, overall mental and physical health, and wellbeing in this vulnerable population.
Interventions
A manualised group program targeted towards the self-stigma (SS) associated with having a mental illness in the western Australian youth population. The NECT program by Yanos (2018). further adapted for use in the Australian youth mental health population will be used. The Australian adaption of NECT for youth will be a manualised group program designed delivered in 12 60–90-minute weekly sessions. NECT groups are conducted by one-two facilitators, with eight persons per group. The intervention
A manualised group program targeted towards the self-stigma (SS) associated with having a mental illness in the western Australian youth population. The NECT program by Yanos (2018). further adapted for use in the Australian youth mental health population will be used. The Australian adaption of NECT for youth will be a manualised group program designed delivered in 12 60–90-minute weekly sessions. NECT groups are conducted by one-two facilitators, with eight persons per group. The intervention will take place in a meeting room at Fiona Stanley Hospital and Zoom sessions will also be made available. Attendance to treatment will be documented for participants in the NECT program. In each session, group members reading from the manual in each session, complete written tasks, and discuss their opinions and experiences. The NECT program by Yanos (2018) aims to provide improvements in SS and associated outcomes through three approaches: • Delivering education that challenges and refutes mental health stereotypes • Offering ‘cognitive restructuring’ to be used as a positive coping strategy in place of avoidant coping strategies • Teaching ‘narrative insight’, which enables participants to gain empowerment from their personal experiences The structure of the program is comprised of five core sections: 1. Introduction • Exploring self and illness and how they relate 2. Psychoeducation • Mental health, stigma and recovery • Issues surrounding disclosure 3. Cognitive Restructuring • Teaching and counteracting internalised stigma • Develop coping skills for dealing with stigma, stress, anxiety and depressed mood 4. Narrative Enhancement • Process of telling and retelling stories to gain purpose and meaning • Intergrading more empowering themes into their personal narratives 5. Conclusion • Ask each participant to describe themselves and their relationship with mental illness • Summary of group achievements All clinicians involved in delivering the program will receive long distance training by the programs authors and treatment fidelity will be monitored using the NECT fidelity scale.
Sponsors
Edith Cowan University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
16 Years to 24 Years
Healthy volunteers
No
Inclusion criteria
The participants will be recruited from an associated study which is assessing the prevalence of internalised stigma in the mental health community. Moderate-high measures of internalised stigma Aged 16-24 years Capacity to provide consent Fluent in English Moderate to high internalised stigma as indicated by a score of 2> on the ISMI, in an associated study.
Exclusion criteria
Are unable to complete the survey Are assessed as unable to have the capacity to understand their role in completing the survey and therefore provide valid consent.
Outcome results
None listed