{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:18:31Z","timestamp":1787015911044,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Trauma\u2010focused interventions have been shown to be effective treatments for post\u2010traumatic stress disorder (PTSD), and clinical guidelines support their use with people with psychosis. Despite this, they are used relatively infrequently in this population. We sought to explore UK health care professionals\u2019 perceptions of what impedes or facilitates the use of trauma\u2010focused interventions among people with psychosis and PTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study using constructivist grounded theory methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi\u2010structured interviews with 18\u00a0health care professionals working within the commissioning and delivery of clinical services for people with psychosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three inter\u2010related barriers to the use of trauma\u2010focused interventions were conceptualized: coherent understanding; structural support; and safe space.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delivery of trauma\u2010focused interventions within routine clinical practice may be supported by attention to the coherent integration of discussion of trauma into the clinical discourse of services; the processes, pathways, and organizational culture that facilitate access to treatment; and training that targets clinician confidence and skills.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12387","type":"journal-article","created":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T01:44:09Z","timestamp":1644111849000},"page":"541-560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Barriers to delivering trauma\u2010focused interventions for people with psychosis and post\u2010traumatic stress disorder: A qualitative study of health care professionals\u2019 views"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3167-0088","authenticated-orcid":false,"given":"Eleanor","family":"Chadwick","sequence":"first","affiliation":[{"name":"Department of Clinical, Educational and Health Psychology UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1238-2440","authenticated-orcid":false,"given":"Jo","family":"Billings","sequence":"additional","affiliation":[{"name":"Division of Psychiatry UCL  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbp148"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31823d54be"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e318257cdf2"},{"key":"e_1_2_11_5_1","volume-title":"Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in adults","author":"American Psychological Association","year":"2017"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(03)00138-4"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2013.01.011"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.08.037"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838009334448"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.181.2.158"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02999-x"},{"issue":"2","key":"e_1_2_11_12_1","first-page":"47","article-title":"Experience of psychosocial formulation within a biopsychosocial model of care for first\u2010 episode psychosis","volume":"19","author":"Cairns V. A.","year":"2015","journal-title":"International Journal of Psychosocial Rehabilitation"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2018.1512265"},{"key":"e_1_2_11_14_1","volume-title":"Constructing grounded theory","author":"Charmaz K.","year":"2014"},{"issue":"3","key":"e_1_2_11_15_1","first-page":"1027","article-title":"Prevalence of posttraumatic stress disorder in schizophrenia spectrum disorders: A systematic review","volume":"8","author":"Dallel S.","year":"2018","journal-title":"Neuropsychiatry (London)"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.148486"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466599162782"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.11.143"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2006.57.7.1027"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12065"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2016.08.003"},{"key":"e_1_2_11_22_1","volume-title":"The Discovery of Grounded Theory: Strategies for qualitative research","author":"Glaser B. G.","year":"1967"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2011.04.003"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2013.02.006"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08030366"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.114421"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.053587"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1729633"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-009-9248-x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2008.01300.x"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720000070"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.147926"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2009.10.025"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.76.2.259"},{"key":"e_1_2_11_35_1","volume-title":"Psychosis and schizophrenia in adults: prevention and management (NICE Clinical Guideline CG178)","author":"National Institute for Health and Care Excellence","year":"2014"},{"key":"e_1_2_11_36_1","volume-title":"Post\u2010traumatic stress disorder (NICE Guideline NG116)","author":"National Institute for Health and Care Excellence","year":"2018"},{"key":"e_1_2_11_37_1","volume-title":"Transforming Psychological Trauma: A knowledge and skills framework for the scottish workforce","author":"NHS Education for Scotland","year":"2017"},{"key":"e_1_2_11_38_1","volume-title":"NHS long term plan","author":"NHSEngland","year":"2019"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0242-0"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000158"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.22365\/jpsych.2017.282.107"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2015.1025319"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:COMH.0000015215.45696.5f"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/17522439.2016.1167946"},{"issue":"3","key":"e_1_2_11_45_1","first-page":"1","article-title":"Psychological interventions for post\u2010traumatic stress symptoms in psychosis: A systematic review of outcomes","volume":"8","author":"Swan S.","year":"2017","journal-title":"Frontiers in Psychology"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-01-2015-0006"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024738114428"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.2637"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbv172"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v7.31712"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbs050"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.183.2.132"}],"container-title":["Psychology and Psychotherapy: Theory, Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.12387","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/papt.12387","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.12387","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T11:04:17Z","timestamp":1762254257000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/papt.12387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,5]]},"references-count":51,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/papt.12387"],"URL":"https:\/\/doi.org\/10.1111\/papt.12387","archive":["Portico"],"relation":{},"ISSN":["1476-0835","2044-8341"],"issn-type":[{"value":"1476-0835","type":"print"},{"value":"2044-8341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,5]]},"assertion":[{"value":"2021-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}