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WELLFOCUS

The WELLFOCUS Study investigated wellbeing and psychosis, and was conducted at King’s College London from 2011 until 2016. It was funded by a grant from Guy’s and Thomas’ Charity (reference G101016).

The WELLFOCUS study was informed by positive psychology here, and based on the understanding of wellbeing in mental health which has changed over time here. We reviewed determinants of hope here and then developed a conceptual framework for understanding wellbeing in psychosis here and how wellbeing changes over time here. We interviewed mental health staff to investigate how they viewed wellbeing for themselves and the people they worked with here. We then modified an existing positive psychology intervention – Positive Psychotherapy – for use in psychosis here, and published the resulting WELLFOCUS Manual and translations here. Novel components of the intervention include forgiveness here and therapist self-disclosure here.

We tested this new intervention in a randomised controlled trial, based on a published protocol here. The trial results indicated the intervention had a positive impact on symptoms here, and included a process evaluation to understand how the intervention was experienced here. The intervention is being modified for use in mental health in-patient settings here.

The intervention was revised in the light of findings, and published as a finalised treatment manual called Positive Psychotherapy for Psychosis here. The intervention has also been evaluated in a randomised controlled trial in Hong Kong, showing benefits for wellbeing, hope and self-efficacy here. Findings from WELLFOCUS and other recovery and wellbeing studies were synthesised in a scholarly edited book here.