Skills for Wellness (SWELL)
Schizophrenia, Bipolar Disorder, Major Depression
About this trial
This is an interventional prevention trial for Schizophrenia focused on measuring Severe Mental Illness
Eligibility Criteria
Inclusion Criteria:
- FORBOW (Families Overcoming Risks and Building Opportunities for Well-Being) participant between 9-21 years old
- Meet criteria for one or more antecedents (psychotic like experience, basic symptoms, anxiety or affective lability)
Exclusion Criteria:
- Diagnosis of severe mental illness (schizophrenia, other psychotic disorder, bipolar disorder, severe major depressive disorder)
- More than 3 sessions of structured psychological therapy in the past 12 months
- Insufficient understanding of the English language to benefit from the intervention
Sites / Locations
- Nova Scotia Health Authority
- Nova Scotia Health AuthorityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
maCBT
Comparison
Multimodal Antecedent-focussed Cognitive-behavioural Training (maCBT). This integrated model focuses on normalisation of the unusual experiences, their re-appraisal, exploring helpfulness of current coping, and developing a repertoire of strategies to decrease the impact of these experiences on the young person's life. The maCBT follows a manual describing obligatory and optional therapeutic elements, proposed list of modules, outline of a therapeutic session, and the integrated cognitive model. The model and techniques are adapted to an age range of 9 to 17 years, with more visual material and child friendly language options for the younger part of the age range (9-12) and more teen-relevant and interpersonal content options for the older part of the age range (13-17). The intervention will be delivered in 8 to 16 one-hour sessions in an individual format. Sessions will be initially weekly, and then spaced out to once every two weeks in the latter stages of the intervention.
Naturalistic comparison arm: No intervention offered, no intervention prohibited.