Prof David Fowler
| Job Title | Contact | Location |
|---|---|---|
| Clinical Professor |
D dot Fowler at uea dot ac dot uk
Tel: +44 (0)1603 59 3601 |
Elizabeth Fry Building 2.08 |
Biography
1983 BSc (Hons) Psychology (2.1), Leeds University
1986 MSc Clinical Psychology, Leeds University
Career
1986-1989 Scientific Officeer, MRC Social Psychiatry Unit, Institute of Psychiatry, London
1989-1994 Principal Clinical Psychologist, Cambridge University Teaching Hospital Trusts
1994-1998 Lecturer in Clinical Psychology (0.4 wte)
1998-2003 Senior Lecturer in Clinical Psychology (0.6 wte)
2003-date Reader in Clinical Psychology (0.6 wte), University of East Anglia
1996-date Consultant Clinical Psychologist (Grade B, 0.4 wte) Norfolk & Waveney Mental Health Partnership Trust (NWMHPT)
2004-date Professor of Social Psychiatry, School of Medicine, Health Policy & Practice UEA
Mental Health Research Lead, Faculty of Health, UEA
Key Research Interests
Research Group Members
Teaching Interests
My teaching is usually characterised by the use of innovative methods which aim to promote the application of theoretical understanding to complex problems presented in the clinic. These methods build on core psychotherapeutic and clinical assessment skills, and integrate experiential learning (role play, demonstration and video) with case discussions, problem based learning and formal didactic presentations.
National and International Post Graduate Medical Education and Continuing Professional Development, Consultancy and Training
I am regularly asked to provide training in management of psychosis within the UK and internationally. I am also asked to consult on dissemination of evidence based psychosocial interventions for psychosis. I have conducted workshops and training seminars relating to these topics at the Hotel Dieu de Levis Hospital, Quebec, Canada (1998); Umea university Sweden (1991); Kalmar Behandlingshemmet, Sweden (1998) and Mora Behandlingshemmet, Sweden (1996) Rosenburg Hospital, Den Haag, Holland (1995); Brescia Italy, (1999); University of Oslo, (2000); Gothenburg University Psychiatry Dept (2000); University of Hong Kong and Tai Po Hospital, New Territories (2001); Boston (Mass Gen Hospital) (2002), Boulder Colardo (2003); Aarhus Hospital, Denmark (2001, 2004); and have been invited to Palo Alto, California and Bologna (2005).
Post Graduate Medical Education for psychiatrists in Italy: This work began with a series of 3 day workshops for senior psychiatrists organized by the Italian Department of Health (Istituto Superiore Sanita) Rome, italy (1995, 1996, 1997). The work has continued with a bi-annual contribution to psychiatrists PGME organized by the Italian Society for Biological Psychiatry, Rome (1999, 2001); Napoli (2003); Bologna (2005).
MSc Level
2003 to date. Post graduate diploma and Masters programme in Mental Health (NAM, UEA). I serve on the course management committee and served as a consultant to the programme coordinators in the development of this programme.
1995 to date. CBT courses and related programmes. I teach on the CBT course at UEA and serve on the course management committee. I have also taught on many University courses involving training in CBT for psychosis and psychosocial interventions at Masters level for psychiatrists, psychologists and other disciplines (University of Dundee, Birmingham, Manchester, Institute of Psychiatry, London; University of Aarhus, Denmark; University of Oslo, Norway). This has been a useful opportunity to observe and learn from practices and curricula used elsewhere.
MBBS
Since 2006 I have led the psychiatry unit for the Medical Degree undergraduates at UEA School of Medicine. With colleagues from within the university and from the Mental health Trust we have developed an innovative programme based on reflective learning from involvement with cases in the Trust. This is facilitated by expert led problem based learning from mental health professionals (mainly consultant psychiatrists). The main aim is developing a sophisticated biopsychosocial understanding of complex mental health problems integrating theory and practice.
Doctoral level research supervision
PhD, MD and ClinPsyD thesis supervision. Most of these theses are linked to ongoing research programmes with respect to the understanding of emotional, cognitive and social aspects of severe mental health problems and psychosis.
Article
Lester, H, Marshall, M, Jones, P, Fowler, D, Amos, T, Khan, N and Birchwood, M (2011) Views of Young People in Early Intervention Services for First-Episode Psychosis in England. Psychiatric Services, 62 (8). pp. 882-887. ISSN 1075-2730
Lockett, SH, Hatton, J, Turner, R, Stubbins, C, Hodgekins, J and Fowler, D (2011) Using a semi-structured interview to explore imagery experienced during social anxiety for clients with a diagnosis of psychosis: an exploratory study conducted within an early intervention for psychosis service. Behavioural and Cognitive Psychotherapy, 40 (1). pp. 55-68.
Onwumere, J, Kuipers, E, Bebbington, P, Dunn, G, Freeman, D, Fowler, D and Garety, P (2011) Coping Styles in Carers of People With Recent and Long-Term Psychosis. The Journal of Nervous and Mental Disease, 199 (6). pp. 423-424. ISSN 0022-3018
Fowler, D, Hodgekins, J, Garety, P, Freeman, D, Kuipers, E, Dunn, G, Smith, B and Bebbington, P (2011) Negative Cognition, Depressed Mood, and Paranoia: A Longitudinal Pathway Analysis Using Structural Equation Modeling. Schizophrenia Bulletin, 7.
Morrison, AP, Stewart, SLK, French, P, Bentall, RP, Birchwood, M, Byrne, R, Davies, LM, Fowler, D, Gumley, AI, Jones, PB, Lewis, SW, Murray, GK, Patterson, P and Dunn, G (2011) Early detection and intervention evaluation for people at high-risk of psychosis-2 (EDIE-2): trial rationale, design and baseline characteristics. Early Intervention in Psychiatry, 5 (1). pp. 24-32. ISSN 17517885
Turner, R, Hoppitt, L, Hodgekin, J, Mackintosh, B and Fowler, D (2011) Cognitive bias modification in the treatment of social anxiety in early psychosis: a single case series. Behavioural and Cognitive Psychotherapy, 15. pp. 1-7.
Green, Catherine E. L., Freeman, Daniel, Kuipers, Elizabeth, Bebbington, Paul, Fowler, David, Dunn, Graham and Garety, Philippa A. (2011) Paranoid Explanations of Experience: A Novel Experimental Study. Behavioural and Cognitive Psychotherapy, 39 (01). pp. 21-34. ISSN 1352-4658
Dunn, G, Fowler, D, Rollinson, R, Freeman, D, Kuipers, E, Smith, B, Steel, C, Onwumere, J, Jolley, S, Garety, P and Bebbington, P (2011) Effective elements of cognitive behaviour therapy for psychosis: results of a novel type of subgroup analysis based on principal stratification. Psychological Medicine. pp. 1-12. ISSN 0033-2917
Onwumere, J, Kuipers, E, Bebbington, P, Dunn, G, Freeman, D, Fowler, D and Garety, P (2010) The need for closure in caregivers of people with psychosis. Epidemiologia e psichiatria sociale, 19 (2). pp. 159-167.
Fowler, DG, Hodgekins, J, Arena, K, Turner, R, Lower, R, Wheeler, K, Corlett, E, Reilly, T and Wilson, J (2010) Early detection and psychosocial intervention for young people who are at risk of developing long term socially disabling severe mental illness: Should we give equal priority to functional recovery and complex emotional dysfunction as to psychotic symptoms? Clinical Neuropsychiatry, 7 (2). pp. 63-71.
Hodgekins, J and Fowler, DG (2010) CBT and Recovery from Psychosis in the ISREP Trial: Mediating Effects of Hope and Positive Beliefs on Activity. Psychiatric Services, 61 (3). pp. 321-324.
Barton, GR, Hodgekins, J, Mugford, M, Jones, PB, Croudace, T and Fowler, DG (2009) Cognitive behaviour therapy for improving social recovery in psychosis: cost-effectiveness analysis. Schizophrenia Research, 112 (1-3). pp. 158-63.
Barton, GR, Hodgekins, J, Mugford, M, Jones, PB, Croudace, T and Fowler, DG (2009) Measuring the benefits of treatment for psychosis: validity and responsiveness of the EQ-5D. British Journal of Psychiatry, 195 (2). pp. 170-176.
Fowler, DG, Hodgekins, J, Howells, L, Millward, M, Ivins, A, Taylor, G, Hackmann, C, Hill, K, Bishop, N and Macmillan, I (2009) Can targeted early intervention improve recovery in psychosis? A historical control evaluation of the effectiveness of different models of early intervention service provision in Norfolk 1998-2007. Early Intervention in Psychiatry, 3 (4). pp. 282-288.
Fowler, DG, Hodgekins, J, Painter, M, Reilly, T, Crane, C, Macmillan, I, Mugford, M, Croudace, T and Jones, PB (2009) Cognitive behaviour therapy for improving social recovery in psychosis: a report from the ISREP MRC Trial Platform study (Improving Social Recovery in Early Psychosis). Psychological Medicine, 39 (10). pp. 1627-1636.
Freeman, D and Fowler, DG (2009) Routes to psychotic symptoms: Trauma, anxiety and psychosis-like experiences. Psychiatry Res, 169 (2). pp. 107-112.
Grice, SJ, Kuipers, E, Bebbington, PE, Dunn, G, Fowler, DG, Freeman, D and Garety, P (2009) Carer's Attributions about Positive Events in Psychosis Relate to Expressed Emotion. Behaviour Research and Therapy, 47 (9). pp. 783-789.
Onwumere, J, Kuipers, E, Bebbington, PE, Dunn, G, Freeman, D, Fowler, DG and Garety, P (2009) Patient perceptions of caregiver criticism in psychosis: links with patient and caregiver functioning. Journal of Nervous and Mental Disease, 197 (2). pp. 85-91.
Onwumere, J, Kuipers, E, Gamble, C, Jolley, S, Smith, B, Rollinson, R, Steel, C, Fowler, DG, Bebbington, PE, Dunn, G, Freeman, D and Garety, P (2009) Family interventions in psychosis: a scale to measure therapist adherence. Journal of Family Therapy, 31 (3). pp. 270-283.
Rollinson, Rebecca, Smith, Ben, Steel, Craig, Jolley, Suzanne, Onwumere, Juliana, Garety, Philippa A., Kuipers, Elizabeth, Freeman, Daniel, Bebbington, Paul E., Dunn, Graham, Startup, Mike and Fowler, David (2008) Measuring Adherence in CBT for Psychosis: A Psychometric Analysis of an Adherence Scale. Behavioural and Cognitive Psychotherapy, 36 (2). pp. 163-178. ISSN 1352-4658
Fialko, L, Garety, P, Kuipers, E, Dunn, G, Bebbington, PE, Fowler, DG and Freeman, D (2008) A large-scale validation study of the medication adherence rating scale (MARS). Schizophrenia Research, 100 (1-3). pp. 53-59.
Freeman, D, Pugh, K, Antley, A, Slater, M, Bebbington, PE, Grittins, M, Dunn, G, Kuipers, E, Fowler, DG and Garety, P (2008) Virtual reality study of paranoid thinking in the general population. British Journal of Psychiatry, 192 (4). pp. 258-263.
Garety, P, Fowler, DG, Freeman, D, Bebbington, PE, Dunn, G and Kuipers, E (2008) Cognitive-behavioural therapy and family intervention for relapse prevention and symptom reduction in psychosis: randomised controlled trial. British Journal of Psychiatry, 192 (6). pp. 412-423.
Green, CEL, Freeman, D, Kuipers, E, Bebbington, PE, Fowler, DG, Dunn, G and Garety, PA (2008) Measuring ideas of persecution and social reference: the Greet el al Paranoid Thought Scales (GPTS). Psychological Medicine, 38 (1). pp. 101-111.
Hayward, M, Denney, J, Vaughan, SP and Fowler, DG (2008) The voice and you: development and psychometric evaluation of a measure of relationships with voices. Clin Psychol Psychother, 15 (1). pp. 45-52.
Onwumere, J, Kuipers, E, Bebbington, PE, Dunn, G, Fowler, DG, Freeman, D, Watson, P and Garety, P (2008) Caregiving and illness beliefs in the course of psychotic illness. Can J Psychiatry, 53 (7). pp. 460-8.
Freeman, D, Garety, P, Kuipers, E, Fowler, DG, Bebbington, PE and Dunn, G (2007) Acting on Persecutory Delusions: the importance of safety seeking. Behaviour Research and Therapy, 45 (1). pp. 89-99.
Gracie, A, Freeman, D, Green, S, Garety, P, Kuipers, E, Hardy, A, Ray, K, Dunn, G, Bebbington, PE and Fowler, DG (2007) The association between traumatic experience, paranoia and hallucinations: a test of the predictions of psychological models. ACTA PSYCHIATRICA SCANDINAVICA, 116 (4). pp. 280-289.
Kuipers, E, Watson, P, Onwumere, J, Bebbington, PE, Dunn, G, Weinman, J, Fowler, DG, Freeman, D, Hardy, A and Garety, P (2007) Discrepant illness perceptions, affect and expressed emotion in people with psychosis and their carers. Social Psychiatry and Psychiatric Epidemiology, 42 (4). pp. 277-283.
Macmillan, I, Howells, L, Kale, K, Hackmann, C, Taylor, G, Hill, K, Bradford, S and Fowler, DG (2007) Social and symptomatic outcomes of first-episode bipolar psychoses in an early intervention service. Early Intervention in Psychiatry, 1 (1). pp. 79-87.
Rollinson, R, Haig, C, Warner, R, Garety, P, Kuipers, E, Freeman, D, Bebbington, PE and Fowler, DG (2007) The application of cognitive-behavioural therapy for psychosis in clinical and research settings. Psychiatric Services, 58 (10). pp. 1297-1302.
Steel, C, Garety, P, Freeman, D, Craig, E, Kuipers, E, Bebbington, PE, Fowler, DG and Dunn, G (2007) The multidimensional measurement of the positive symptoms of psychosis. International Journal of Methods in Psychiatric Research, 16 (2). pp. 88-96.
Valmaggia, LR, Freeman, D, Green, CEL, Garety, P, Swapp, D, Antley, A, Prescott, C, Fowler, DG, Kuipers, E, Bebbington, PE, Slater, M, Broome, M and McGuire, PK (2007) Virtual reality and paranoid ideations in people with an 'at risk mental state' for psychosis. British Journal of Psychiatry, 191 (51). pp. 63-8.
garety, P, Bebbington, PE, Fowler, DG, Freeman, D, Kuipers, E, Cohen, F, McKerrow, JH and Weisman, J (2007) Implications for neurobiological research of cognitive models of psychosis: a theoretical paper. Psychological Medicine, 37 (10). pp. 1377-1391.
Bebbington, PE, Craig, T, Garety, P, Fowler, DG, Dunn, G, Colbert, S, Fornells-Ambrojo, M and Kuipers, E (2006) Remission and relapse in psychosis: operational definitions beased on case-note data. Psychological Medicine, 36 (11). pp. 1551-1562.
Doria, M, Abubakar, II, Kuipers, E, Syed, Q, Dunn, G, Hughes, S, Hunter, PR, Bebbington, PE, Fowler, DG and Freeman, D (2006) Perceived causes of sporadic cryptosporidiosis and their relation to sources of information. Journal of Epidemiology and Community Health, 60 (9). pp. 745-750.
Fialko, L, Freeman, D, Bebbington, PE, Kuipers, E, Garety, PA, Dunn, G and Fowler, DG (2006) Understanding suicidal ideation in psychosis: findings from the Psychological Prevention of Relapse in Psychosis (PRP) Trial. ACTA PSYCHIATRICA SCANDINAVICA, 114 (3). pp. 177-186.
Fowler, DG, Freeman, D, Smith, B, Kuipers, E, Bebbington, PE, Bashforth, H, Coker, SE, Hodgekins, J, Gracie, A, Dunn, G and Garety, P (2006) The Brief Core Schema Scales (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36 (6). pp. 749-759.
Green, C, Garety, PA, Freeman, D, Fowler, DG, Bebbington, PE, Dunn, G and Kuipers, E (2006) Content and affect in Persecutory Delusions. British Journal of Clinical Psychology, 45 (4). pp. 561-577.
Hodgekins, J and Fowler, DG (2006) Comparing low-level psychotic phenomena in clinical and non-clinical populations: more than just an issue of prevalence? c, 114 (1). pp. 27-28.
Hodgekins, J, Fowler, DG, Bradford, S, Macmillan, I and Jones, P (2006) Psychological and neuropsychological predictors of time use and social recovery in early psychosis. Schizophrenia Research, 86 (Suppl).
Hodgekins, J, Fowler, DG, Freeman, D and Coker, SE (2006) The nature of schizotypy in early psychosis. Schizophrenia Research, 86 (Suppl). pp. 88-89.
Jolley, S, Garety, P, Bebbington, PE, Dunn, G, Freeman, D, Kuipers, E, Fowler, DG and Hemsley, D (2006) Attributional style in psychosis-The role of affect and belief type. Behaviour Research and Therapy, 44 (11). pp. 1597-1607.
Jolley, S, Garety, PA, Ellett, L, Kuipers, E, Freeman, D, Bebbington, PE, Fowler, DG and Dunn, G (2006) A validation of a new measure of activity in psychosis. Schizophrenia Research, 85 (1-3). pp. 288-295.
Kuipers, E, Bebbington, PE, Dunn, G, Fowler, DG, Freeman, D, Watson, P, Hardy, A and Garety, P (2006) Influence of carer expressed emotion and affect on relapse in non-affective psychosis. British Journal of Psychiatry, 188 (2). pp. 173-179.
Kuipers, E, Garety, P, Fowler, DG, Freeman, D, Dunn, G, Bebbington, PE, Cohen, FE, McKerrow, JH and Weisman, JL (2006) Cognitive, emotional and social processes in psychosis: refinding cognitive behavioural therapy for persistent positive symptoms. Schizophrenia Bulletin, 32 (Suppl. 1). pp. 24-31.
Smith, BH, Fowler, DG, Freeman, D, Bebbington, PE, Bashforth, H, Garety, P, Dunn, G and Kuipers, E (2006) Emotion and psychosis: links between depression, self-esteem, negative schematic beliefs and delusions and hallucinations. Schizophrenia Research, 86 (1-3). pp. 181-188.
Watson, PW, Garety, PA, Weinman, J, Dunn, G, Bebbington, PE, Fowler, DG, Freeman, D and Kuipers, E (2006) Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions. Psychological Medicine, 36 (6). pp. 761-770.
Allen, P, Freeman, D, McGuire, P, Garety, P, Kuipers, E, Fowler, DG, Bebbington, PE, Green, C, Dunn, G and Ray, K (2005) The prediction of hallucinatory predisposition in non-clinical individuals: examining the contribution of emotion and reasoning. British Journal of Clinical Psychology, 44 (1). pp. 127-132.
Freeman, D, Dunn, G, Garety, PA, Bebbington, PE, Slater, M, Kuipers, E, Fowler, DG, Green, C, Jordan, J and Ray, K (2005) The psychology of persecutory ideation I: a questionnaire survey. Journal of Nervous and Mental Disease, 193 (5). pp. 302-308.
Freeman, D, Garety, P, Kuipers, E, Colbert, S, Jolley, S, Fowler, DG, Dunn, G and Bebbington, PE (2005) Delusions and decision-making style: Use of the Need for Closure Scale. Behaviour Research and Therapy, 44 (8). pp. 1147-1158.
Freeman, D, Garety, PA, Bebbington, PE, Slater, M, Kuipers, E, Fowler, DG, Green, C, Jordan, J, Ray, K and Dunn, G (2005) The psychology of persecutory ideation II: a virtual reality experimental study. Journal of Nervous and Mental Disease, 193 (5). pp. 309-315.
Freeman, D, Garety, PA, Bebbington, PE, Smith, B, Rollinson, R, Fowler, DG, Kuipers, E, Ray, K and Dunn, G (2005) Psychological investigation of the structure of paranoia in a non-clinical population. British Journal of Psychiatry, 186 (5). pp. 427-435.
Garety, PA, Freeman, D, Jolley, S, Dunn, G, Bebbington, PE, Fowler, DG, Kuipers, E and Dudley, R (2005) Reasoning, emotions, and delusional conviction in psychosis. Journal of Abnormal Psychology, 114 (3). pp. 373-384.
Hardy, A, Fowler, DG, Freeman, D, Smith, B, Steel, C, Evans, J, Garety, P, Kuipers, E, Bebbington, PE and Dunn, G (2005) Trauma and hallucinatory experience in psychosis. Journal of Nervous and Mental Disease, 193 (8). pp. 501-507.
Freeman, D, Garety, PA, Fowler, D, Kuipers, E, Bebbington, PE and Dunn, G (2004) Why do people with delusions fail to choose more realistic explanations for their experiences? An empirical investigation. Journal of Consulting and Clinical Psychology, 72 (4). pp. 671-680.
Freeman, D, Garety, P, Fowler, DG, Kuipers, E, Bebbington, PE and Dunn, G (2004) Why do people with delusions fail to choose more realistic explanations for their experiences?: An Empirical Investigation. Journal of Consulting and Clinical Psychology, 72 (4). pp. 671-680.
Durham, R, Guthrie, M, Morton, VR, Reid, LR, Treliving, LR, Fowler, DG and MacDonald, RR (2003) The Tayside-Fife clinical trial of cognitive-behaviour therapy for medication resistant psychotic symptoms: results to three month follow up. British Journal of Psychiatry, 182 (4). pp. 303-311.
Freeman, D, Slater, M, Bebbington, PE, Garety, PA, Kuipers, E, Fowler, DG, Met, A, Read, C, Jordan, J and Vinayagamoorthy, V (2003) Can virtual reality be used to investigate persecutory ideation? Journal of Nervous and Mental Disease, 191 (8). pp. 509-514.
Bazzoni, A, Morosini, P, Polidori, G and Fowler, DG (2002) La Terapia Cognitivo Comportamentale (TCC) di gruppo nella routine di un Servizio Psichiatrico di Diagnosi e Cura (SPDC). The use of group cognitive behavior therapy in a routine acute inpatient setting. Epidemiologia e Psichiatria Sociale, 10 (1). pp. 27-36.
Freeman, D, Garety, P, Kuipers, E, Fowler, DG and Bebbington, PE (2002) A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41 (4). pp. 331-347.
Garety, PA, Kuipers, E, Fowler, DG, Freeman, D and Bebbington, PE (2001) A cognitive model of the positive symptoms of psychosis. Psychological Medicine, 31 (2). pp. 189-195.
Book Section
Fowler, DG, Freeman, D, Steel, C, Hardy, A, Smith, BH, Hackmann, C, Garety, P, Kuipers, E and Bennington, PE (2006) The catastrophic interaction hypothesis: How does stress, trauma, emotion and information processing abnormalities lead to psychosis? In: Trauma and Psychosis. John Wiley and Sons, pp. 101-124. ISBN 1583918205
Smith, BH, Steel, C, Rollinson, R, Freeman, D, Hardy, A, Kuipers, E, Bebbington, PE, Garety, P and Fowler, DG (2006) The importance of traumatic events in formulation and intervention in cognitive behavioural therapy for psychosis: three case examples. In: Trauma and Psychosis. John Wiley & Son, pp. 239-258. ISBN 1583918205
Fowler, DG, Garety, P and Kuipers, E (2001) Understanding the outcome studies of cognitive behavioural therapy: A cognitive model and its clinical implications. In: Comprehensive treatment of schizophrenia: Linking neurobehavioural findings to psychosocial approaches. Spinger-Verlag. ISBN 4431702989
Martindale, B, Garety, P, Fowler, DG and Kuipers, E (2001) Psychological approaches and their effectiveness. In: Psychosis. UNSPECIFIED, pp. 30-49.
Conference or Workshop Item
Lewis, SW, Morrison, A, French, P, Bentall, R, Fowler, D, Jones, P and Birchwood, M (2009) PSYCHOSOCIAL INTERVENTIONS: IGNORE THEM AT YOUR PERIL. Source Schizophrenia Bulletin Vol. 35 Pgs 375-375 Suppl. 1. In: 12th International Congress on Schizophrenia Research, MAR 28-APR 01, 2009 , San Diego, CA,.
Fowler, DG (2004) Trauma and psychosis. In: IEPA, Vancover.
Vaughan, SP and Fowler, DG (2004) The distress experienced by voice hearers is associated with the perceived relationship between voice hearer and the voice. In: UNSPECIFIED.
Fowler, DG (2003) Trauma and psychosis. In: BABCP, York.
Fowler, DG (2003) Trauma and psychosis. In: EABCT, Prague.
Fowler, DG (2001) CBT for psychosis. In: AABCT, Hong Kong.
External Activities and Indicators of Esteem
- COMMITTEES
- 2002 - ongoing. National Institute for Mental Health (NIMHE) National Committee in training in psychosocial interventions for psychosis. Committee member and Eastern Region Representative. This committee reports to the national NIMHE executive. It monitors and promotes University courses and NHS initiatives within local Trusts.
- 1997 - 2001. Joint convenor of the UK International Conference on Early Intervention in Psychosis (With Prof Birchwood, Birmingham). The 1st UK international conference (1997) was the first in Europe to bring together an international group of academics, clinicians, users and carers on this topic and preceded Government policy in this area. The cofnerence proceedings evolved into an edited book (Birchwood, Fowler, Jackson, 2000).
- 2000 -2003. International Society for Psychotherapy in Schizophrenia. (Committee member, British section). This society aims to disseminate good practice in psychotherapy for psychosis, it has traditionally been psychoanalytic in orientation but I was invited to offer a cognitive behavioural perspective. I have also been invited to join the international organizing committee.
- 1998 - ongoing. Cognitive therapy in psychosis international collaborative group. This group co-ordinated by Prof A Beck (Philadelphia, USA) involves an annual meeting (USA/UK) of most of the leading researchers in this area, there is also an active email discussion group. I have had responsibilities for facilitating communication regarding adherence and other aspects of methodology of CBT trials in this area.
- I also sit on a range of local and regional committees eg Eastern Regional NIMHE early psychosis and research groups, Central Norfolk and Norfolk county mental health LIT, East Norfolk and Waveney Research consortium, NWMHPT research forum, Continuing support.
- National and International Post Graduate Medical Education and Continuing Professional Development, Consultancy and Training:
- I am regularly asked to provide training in management of psychosis within the UK and internationally. I am also asked to consult on dissemination of evidence based psychosocial interventions for psychosis. I have conducted workshops and training seminars relating to these topics at the Hotel Dieu de Levis Hospital, Quebec, Canada (1998); Umea University Sweden (1991); Kalmar Behandlingshemmet, Sweden (1998) and Mora Behandlingshemmet, Sweden (1996) Rosenburg Hospital, Den Haag, Holland (1995); Bescia, Italy (1999); University of Oslo, (2000); Gothenburg University Psychiatry Dept (2000); Keio University, Tokyo, Japan (2000); New Hampshire (Dartmouth Med School) (2001); University of Hong Kong and Tai Po Hospital, New Territories (2001); Boston (Mass Gen Hospital) (2002), Boulder Colorado (2003); Aarhus Hospital, Denmark (2001, 2004); and have been invited to Palo Alto, California and Bologna (2005).
- Invited International Lectures:
- I am regularly asked to give keynote and invited lectures. These include University of Oslo (2000); Keio University (2000); Dartmouth Medical School (2001); University of Hong Kong (2001); Mess Gen Hospital (2002); Boulder Colorado (2003); Aarhus University, Denmark (2001, 2004); Stanford University (2005); University of Milan (2005); Alice Barber lecture University of Melbourn (2006); World Congress of Psychiatric Rehabilitation, Athens (2006); Italian society for psychopathology Naples (2005); Rome (2006).
- Post Graduate Medical Education for psychiatrists in Italy:
- This work began with a series of 3 day workshops for senior psychiatrists organized by the Italian Department of Health (Istituto Superiore Sanita) Rome, Italy (1995, 1996, 1997). The work has continued with abi-annual contribution to psychiatrists PGME organized by the Italian Society for Biological Psychiatry, Rome (1999, 2001); Napoli (2003); Bologna (2005).
- Post Graduate Medical Education for Psychiatrists in Italy:
- This work began with a series of 3 day workshops for senior psychiatrists organized by the Italian Department of Health (Istituto Superiore Sanita) Rome, Italy (1995, 1996, 1997). The work has continued with a bi-annual contribution to psychiatrists PGME organized by the Italian Society for Biological Psychiatry, Rom (1999, 2001); Napoli (2003); Bologna (2005).
- National Collaborations:
- 1999 - ongoing. Cohort studies of the course and outcome of first episode psychosis in Norfolk and evaluation of models of service delivery and dissemination of CBT and family work. Norwich PCT and NWMHPT early intervention service core funding (Principal Investigator). Final results from two year follow ups are only now fully complete. A preliminary report (Fowler et al, 2003) suggested that a specialist support plus CMHT model of early psychosis service delivery was ineffective. By contrast the preliminary results of the dedicated multidisciplinary early intervention team (at 3 months, 9/04) from the first cohort (n=50) are very promising.
- 2000 - 2007 PRP Group. Cognitive and Social Processes in Psychosis and the development of more effective interventions. Wellcome Programme Grant (Principal Investigator with the PRP group: Prof Kuipers (Kings), Prof Garety (Kings), Prof Dunn (Manchester), Prof Bebbington (UCL). This is a large scale programme of research which aims to better understand the way in which cognitive and social processes contribute to the maintenance of psychosis, and to develop better psychological treatments for people at risk of psychotic relapse. At the centre of this project is an RCT of the use of CBT in reducing relapse in psychosis. This programme grant is already being highly productive with a stream of publications being submitted to and accepted in high impact journals. I contribute to development of theoretical models and specification of novel hypotheses (Fowler, 2000; Garety, Kuiperes, Fowler et al 2001; Steel, Fowler, Holmes, In Press; Fowler et al, In Press). I lead subgroups of the project on trauma and emotion in psychosis (eg Hardy, Fowler, Freeman et al, In Press; Smith, Fowler, Freeman et al, Submitted; Fowler, Freeman, Smith et al, Submitted) and studies of adherene and competence of CBT intervention (Rollinson, Fowler, Freeman, et al, In Prep). I also contribute to the design, conduct, analysis and write up of studies on attributions (eg Freeman, Garety, Fowler, et al 2004) experimental studies on paranoia and virtual reality experiments and reasoning (eg Freeman et al, 2003; 2004; Freeman et al, In Press; Garety et al, In Press).
- 2004 - 2006 Improving Social Recovery in Early Psychosis: A randomised controlled trial of Social Recovery Oriented CBT. Medical Research Council trial platform grant. (Chief Investigator with Prof Jones Cambridge University co-applicant and Dr Iain Macmillan.) This project involves the development and evaluation of an innovative therapy to improve social recovery combining CBT and supported employment. The pilot results are very promising. We have also now successfully put into place the necessary administrative arrangements to run trials between the Norfolk and Cambridge centres which is a new collaboration. Recruitment to the trial begins October 2004.
- The National EDEN project. Department of Health. (PI with Prof Birchwood and Dr Lester (Birmingham-lead) Prof Jones (Cambridge) Prof Harrison and Prof Amos (Bristol) Prof Marshall (Manchester). This study aims to be the main evaluation of the effectiveness of new services for people with psychosis in the UK. It involves a detailed case study approach to the evaluation of early psychosis services in five leading centres in the UK (one of which is Norfolk). We have responded to the initial reviews which were favourable and we are awaiting a final decision on funding from the DoH.
- Early detection and Intervention in Early Psychosis (EDIE 2). Medical Research Council (PI with Dr Morrison, Prof Bentall, Prof Lewis, Prof Dunn (Manchester-lead) Prof Birchwood (Birmingham) Dr Gumley (Glasgow) Prof Jones (Cambridge). This trial aims to undertake an RCT involving the early detection and psychological intervention for individuals at high risk of psychosis. Following review we are submitting a revised applicaton providing further details about recruitment figures in each centre and revised costings in October.
- International Collaborations:
- 2002 - ongoing. A randomised trial of CBT to treat PTSD in patients with severe mental illness. NIMH project grant (USA) (Named consultant to Prof Mueser (PI) Dartmouth Med school USA). This study involved the development and evaluation of a new approach to treating PTSD in people with severe mental illness. I advised on the development of this new therapy and on aspects of studies concerning the interface of PTSD and psychosis in clients with SMI.
- 2003 - 2007 Effectiveness of case managers delivery CBT for psychosis in a routine clinical setting in Boulder, Colorado. Eli Lilly education grant. PI with Dr Richard Warner, Colorado and the PRP group.
- 2006 - 2009 Cognitive behavioural skills training in schizophrenia. National Institute of Mental Health RO1 grant (USA). (Named international consultant to Prof Granholm, University of San Diego - PI). Advisor on development of the therapy manual, design and meausres of trials of interventions with target social goals of patients with schizophrenia and scientific aspects of the research.
- 2004 - 2008 NHMRC programme grant (Australia). Biopsychosocial predictors of outcome and treatment trials of psychosocial interventions in early psychosis (International PI with Profs McGorry, Jackson, Pantellis, Melbourn University). I am assisting with the development and evaluation of social recovery intervention involving combinations of CBT and supported employment as part of this large programme of research in Australia.
Administrative Posts/Responsibilities
- Mental Health Research Lead
- Unit 12 lead (psychiatry) in the MBBS
