Talk, understand, listen for inpatient settings (TULIPS)

• Interview more service users, carers/relatives and staff (between 5 and 10 of each group).
• Hold a meeting with 20 experts in psychological therapy for severe mental health problems, including senior clinicians and managers working in inpatient setting, service users and carer/relative representatives. Attendees will look at all the information we have gathered from interviews, the review of other research, and results from the test wards to agree what the therapy should look like and what we need to do to make sure it is implemented correctly.
• Continue to monitor the test ward(s) to see if the therapy is working and use the findings to finalise the therapy to be used in the main trial.
• Look to identify suitable inpatient wards for the trial and get NHS agreement.
• Look to recruit service users from selected inpatient wards in August/September 2019.
• Start the trial/deliver the therapy.

• Continue recruiting service users from selected inpatient wards.
• Deliver the therapy/continue with the trial.
• Gather information from service users and staff during the trial so we can see if the therapy works.
• Interview service users and staff about their experience of the therapy.
• Visit wards and make observation notes about how the therapy is being delivered (ethnographic method).

• Interview service users and staff about their experience of the therapy.
• Visit wards and make observation notes about how the therapy is being delivered (ethnographic method).

• Gather information and data from all of our work across the five years to see if the therapy was a success.
• If our findings suggest the therapy is successful and is acceptable to service users and staff, look for ways to introduce therapy into the NHS.

Professor Gillian Haddock is Professor of Clinical Psychology at The University of Manchester. Gillian is the Head of Division for the Division of Psychology and Mental Health. Her professional experience is primarily in the field of mental health with particular expertise in psychosis, learning disability, forensic and substance use. She is also an Honorary Consultant Clinical Psychologist in Manchester Mental Health and Social Care NHS Trust. She is Co-Principal Investigator for the MRC funded CARMS research trial which is investigating cognitive approaches to remedying suicide.  She has 20 years’ experience in conducting clinical trials within the NHS.

Fritz is the project manager of TULIPS and responsible for coordinating data collection, organising analysis, writing reports, and supervising research assistants. Moreover, he is exploring potential future research within the unit.

Before Fritz joined this team, he completed his PhD in Clinical Psychology, analysing the importance of documenting social contextual factors in mental health care to facilitate a whole person approach. Fritz is interested in research that contributes to addressing social inequalities in mental health, that puts individuals at the centre rather than diagnoses, and research that looks at the philosophical ideas underpinning current understandings of mental health.

Sandra is a Professor in Clinical Psychology at The University of Manchester and is actively involved in research and training of Clinical Psychologists and psychological researchers. Sandra’s research is centred around examining psychological processes involved in the development and maintenance of psychosis, as well as developing interventions for psychosis. Her recent programme of research has focused on evaluating innovative methods to facilitate access to, and delivery of, interventions for severe mental health problems. In addition to research and teaching, Sandra is the Division of Psychology and Mental Health Lead for Social Responsibility (a key University strategy). Alongside her University role, Sandra is an Honorary Consultant Clinical Psychologist with Greater Manchester Mental Health NHS Foundation Trust where she is involved in supervising and training NHS clinicians.

Karina is Professor of Mental Health and Director of Research (School of Health Sciences) at The University of Manchester. She is a NIHR Senior Investigator; her main research areas are developing and evaluating complex psychological interventions for anxiety and depression in primary care mental health. More recently Karina has been involved in leading programmes of research which aim to improve user and carer involvement in care planning and physical health of individuals with enduring mental health problems in secondary care mental health settings.

Dawn is a Professor in the Division of Psychology & Mental Health at The University of Manchester. She is also The University of Manchester’s Academic Lead for Equality Diversity & Inclusion. Reflecting her strong commitment to integrating research, policy and practice and to public service, Dawn actively engages in working with communities to improve health and well-being – especially among those who are marginalised, socially excluded, and experience inferior access to health and care. Formerly, a Non-Executive Director of two NHS Mental Health Trusts in the North West of England, she has also held secondments to the national Care Standards Improvement Partnership (CSIP) and its precursor, the National Institute for Mental Health in England (NIMHE). Dawn is currently a member of the national Independent Review of the Mental Health Act and the Greater Manchester Student Mental Health Working. Group.

Owen is a registered mental health nurse and lecturer at The University of Manchester. His clinical background is in forensic mental health inpatient services and Owen continues to work clinically on an honorary basis at Greater Manchester West Mental Health NHS Foundation Trust. He has led or co-applied on several funded projects developing, implementing and evaluating complex interventions to reduce staff-patient conflict and rates of restrictive practices in mental health settings. He has established a consistent track-record of high quality patient and public involvement in research, including the co-design and delivery of an award-winning service user and carer research methods course, cited as best practice by NICE and recognised by the MHRN as ‘exemplary carer involvement’.

Richard is currently Manchester Academic Health Science Centre Clinical Lead for Mental Health in Adults of Working Age; he is also a Senior Lecturer in CENTRUM, an Honorary Consultant at Manchester Mental Health & Social Care NHS Trust and Chair of MMHSCT Medication Management Committee. He became a member of the Royal College of Psychiatrists in 1996 and won the Laughlin prize and Gaskell Medal. He started his research career working on the SOCRATES trial of cognitive-behavioural therapy in early psychosis. He became a Senior Lecturer at the end of 2002 and completed his Ph.D. part-time in 2003. As an Honorary Consultant Psychiatrist at Manchester Mental Health & Social Care NHS Trust and then Greater Manchester Mental Health NHS Foundation Trust he has been involved in developing rehabilitation services across Manchester over the past decade and in 2015 took over as Responsible Clinician for Anson Road rehabilitation unit.

Suzy’s journey into involvement research began nine years ago. She is a member of many lived experience panels, including primary care and various mental health projects. She has experience in undertaking interviews and focus groups and providing support and training for researchers on engagement and involvement. Previous roles include working as a vocational guidance advice worker for a Community Mental Health team. Suzy also has experience working in the voluntary sector, providing guidance on involvement.  She is passionate about improving support for people experiencing mental health crisis and has been involved with advising health and social care professionals and third sector providers on mental health topics.  Suzy is currently involved with quality improvement projects and with various research studies in both mental health and primary care.

Richard is Professor of Medical Statistics and Trials Methodology at the Institute of Psychiatry, Psychology and Neuroscience at King’s College London. Prior to this, he was Professor of Medical Statistics at The University of Manchester and Deputy Director of the Manchester Clinical Trials Unit. His research aims to answer four key questions:

1. Are treatments effective?
2. How do they work?
3. What factors make them work more effectively?
4. Which patients are they most effective for?

This involves the development of statistical methods for causal inference, and efficacy and mechanisms evaluation. Current applications of these methods include randomised trials of complex interventions in mental health, and trial designs and associated analysis methods in precision medicine. Other research interests include the application of causal inference methods in pharmacoepidemiology and routinely collected datasets (eHealth).  He is a co-investigator and theme lead on the MRC North West Hub for Trials Methodology Research, and currently trial statistician on 15 NIHR and MRC funded randomised trials. He is the founder of the European Causal Inference Meeting (Euro-CIM).

Matt is the Centre Lead for the Manchester Centre for Health Economics at The University of Manchester. Matt obtained a first class honours degree in Economics with Econometrics from the University of Leeds in 1990 and an MSc in Health Economics from the University of York in 1991. Matt joined the Centre for Health Economics at the University of York as a Research Fellow in 1991 and worked on a series of projects for government agencies on the economics of addiction. He was appointed Professor of Health Economics by the University of Aberdeen in 2004 and was Director of the Behaviour, Performance and Organisation of Care Programme in the Health Economics Research Unit. He joined The University of Manchester as Professor of Health Economics in April 2008.

Bola is a Health Economist working as a Research Associate for the TULIPS Trial. Bola graduated with a Bachelor of Pharmacy degree from the University of Lagos (Nigeria) in 2010, after which she worked as a pharmacist in different settings before embarking on postgraduate studies. She holds a Master of Science in Health Economics and Health Policy from the University of Birmingham, UK. Bola is responsible for developing a health economic measure for the trial and economic evaluation which will be conducted as part of the TULIPS trial.

Bola is also involved in the National General Practitioner Worklife Survey in England. This survey which is now in its 11^th iteration examines the impacts of recent changes (including COVID-19) in primary care on GPs’ work-related satisfaction and stress.

Isobel a research assistant on the TULIPS project and is responsible for the Qualitative data collection and analysis. She has previously worked as a Healthcare Assistant across a variety of inpatient wards and is passionate about research aiming to enhance therapeutic relationships and improve services.

 

Mica is a Research Assistant currently working on the TULIPS Project. Her role consists of handling the day-to-day quantitative data collection as well as supporting with the projects qualitative work. Mica has an undergraduate degree in Psychology awarded by The University of Manchester and has prior experience working in research through her placement year. Mica has a particular interest in early interventions and promoting recovery as she is passionate about making a difference in the lives of others.