Paul Hutton
Paul Hutton

Prof Paul Hutton

Professor

Biography

Paul is Professor of Mental Health in the School of Health and Social Care and Associate Director of the Edinburgh Research and Innovation Centre for Complex mental health problems (ERICCA), an NHS Lothian and Edinburgh Napier University research centre.

From 2016 to 2018, he was School Lead for Postgraduate Research, where he led a number of successful initiatives to improve PGR student experience, including the launch of the School's Clinical Academic Research Leader (CARL) training programme in 2017. From 2018 to 2020 he was School Deputy Director of Research, and from 2019 to 2021 he was University Lead for REF2021 Unit of Assessment 3.

Paul completed degrees in psychology at the University of Glasgow and clinical psychology at the University of Manchester. He has worked clinically within the NHS for a number of years, including most recently as Principal Research Clinical Psychologist in GMW NHS Trust’s Psychosis Research Unit. Before joining Edinburgh Napier University in 2016, Paul was a Chancellor’s Fellow in Clinical Psychology at the University of Edinburgh.

Paul's research interests are focused on understanding the causes of psychotic symptoms, understanding impaired decision-making capacity in the context of psychosis, and developing effective interventions to reduce psychotic symptoms and improve decision-making capacity in people who have these experiences. Paul has been a collaborator on a number of clinical trials of psychological interventions for psychosis and has published a number of articles on various aspects of psychosis. From 2011 to 2014 he was part of the team that completed the first trial of cognitive therapy for people with psychosis who are not taking antipsychotic medication. More recently he worked with Dr David Turner and colleagues to complete the first randomised controlled trial of a psychological intervention to improve treatment decision-making capacity in psychosis and, with Dr Philip Murphy and colleagues, the first study of the effects of collaborative psychological assessment and formulation of impaired capacity in people with psychosis. He is Chief Investigator on a Chief Scientist Office-funded Umbrella trial, where the effect of these and other interventions on capacity is being examined in parallel randomised controlled trials.

Paul was a member of the expert committee which developed the 2018 National Institute for Health & Care Excellence (NICE) guideline on supporting decision-making for people who may lack mental capacity, and was a member of the expert committee for a new NICE guideline on shared decision-making in health and social care. He also leads the 'Adults with Incapacity: The Assessment of Capacity for Health Care Professionals' module, which provides training and certification to health care practitioners who need to issue Section 47 certificates under the Adults with Incapacity (Scotland) Act 2000.

He currently supervises 3 PhD students, and has supervised 27 postgraduate research projects to successful completion, including 14 Doctoral and 13 Master's theses. Graduates in psychology, law or other relevant disciplines (nursing, medicine, philosophy, social work) who are interested in pursuing a PhD in the area of psychosis and autonomy (including decision-making capacity) are welcome to contact Paul to discuss possible opportunities.

Themes

Esteem

Advisory panels and expert committees or witness

  • Associate Director, Centre for Mental Health & Capacity Law (2019-present)
  • Member, Guideline Development Group. Shared Decision Making; GID-NG10120. National Institute for Health and Care Excellence (2019-present)
  • Expert Adviser, National Institute for Health & Care Excellence (NICE), Centre for Guidelines
  • Associate Director, Edinburgh Research & Innovation Centre for Complex and Acute mental health problems (ERICCA) (2017-present)
  • Member, Scottish Advisory Group, Nuffield Foundation Tribunal project (2017-present)
  • Member, Expert Advisory Group, Centre for Mental Health and Capacity Law, Edinburgh Napier University (2017-present)
  • Member, Trial Steering Group, NIHR-funded trial of MoL for psychosis, GMW NHS Trust (2016-present)
  • Member, Guideline Development Group. Decision-Making and Mental Capacity; GID-NG10009. National Institute for Health and Care Excellence (2016-2018)

 

Conference Organising Activity

  • Understanding and supporting treatment decision-making capacity in psychosis: An overview of Edinburgh-led research. 36th International Congress of Law and Mental Health, Rome, July 2019
  • Understanding and supporting treatment decision-making capacity in psychosis: An overview of Edinburgh-led research. Mental Disability Law Conference, Nottingham, June, 2018
  • Cognitive behavioural therapy for psychosis: Systematic review and meta-analysis of efficacy, safety and clinically significant change. 19th Annual International CBT for Psychosis Conference (‘Beckfest’), University of Oxford, UK, May 2018.
  • Supporting capacity amongst people with psychosis. Royal College of Psychiatrists International Congress, June, 2017.
  • Understanding and improving treatment decision-making capacity in psychosis: an overview of current and planned research in Edinburgh. Neuroscience Day, March 2015.
  • Cognitive therapy for psychosis prevention: Systematic review and meta-analysis. Royal College of Psychiatry North-West Division Annual Conference, Manchester, October 2012.
  • Cognitive therapy for people with a schizophrenia spectrum diagnosis not taking antipsychotic medication: Results from an open trial. Psychosis Conference, Greater Manchester West Mental Health NHS Foundation Trust, UK, June 2011.
  • Cognitive therapy for people with psychosis not taking antipsychotic medication: A case study. 11th Annual International CBT for Psychosis Conference (‘Beckfest’), University of Edinburgh, UK, May 2010

 

External Examining/Validations

  • External Examiner for PhD, University of Manchester, Sept 2019

 

Fellowships and Awards

  • Nominated for Best Personal Tutor Award (2016 & 2017 Edinburgh University Student Association Teaching Awards; 6 students)
  • Nominated for Best Research / Dissertation Supervisor Award (2016 & 2017 Edinburgh University Student Association Teaching Awards; 4 students)

 

Grant Reviewer

  • National Institute for Health Research (NIHR): Health Technology Assessment Programme, 2018
  • Swiss National Science Foundation, 2018
  • National Institute for Mental Health (NIHR): Health Services and Delivery Research Programme, 2018
  • National Institute for Mental Health (NIHR): Efficacy and Mechanism Evaluation Programme, 2017
  • National Institute for Mental Health (NIHR): Research for Patient Benefit Programme, 2016

 

Invited Speaker

  • Understanding and supporting treatment decision-making capacity in psychosis: An overview of Edinburgh-led research. Mental Health & Justice Neuroscience Symposium, Kings College London, Sept 2019.
  • Assessing and supporting treatment decision-making capacity in Scotland. West of Scotland Advanced Practice Academy, Glasgow, Sept 2019
  • Recent advances in supporting treatment decision-making capacity and autonomy in psychosis: An overview of Edinburgh-led research. East of Scotland PG Cert Advanced Professional Studies (Mental Health Officer Award), University of Edinburgh, May, 2018.
  • Understanding impaired decision-making capacity in the context of psychosis. Psychological Perspectives on Working with the "Hard to Reach" in Psychosis. British Psychological Society Psychosis Special Interest Group, March 2017.
  • Autonomy, mental disorder and compassionate care. National Student Psychiatry Conference, February 2016.
  • Understanding and supporting the autonomy of people with severe mental illness: Recent developments in Scotland. Law Reform Scoping Exercise - Mental Welfare Commission. Edinburgh Napier University, December 2016.
  • Psychological interventions for psychosis: empirical status and methodological issues in outcome studies. State Hospital, March 2016.
  • New Directions in Mental Health: A contribution from a clinical psychologist. New Directions in Mental Health (Wellcome-funded public event). University of Edinburgh, June 2016.
  • Psychological interventions for psychosis: empirical status and methodological issues in outcome studies. Royal College of Psychiatrists Learning Disability Section, May 2016.
  • Psychological interventions for psychosis: empirical status and methodological issues in outcome studies. Division of Psychiatry Special Lecture Series, Royal Edinburgh Hospital, October 2015.
  • Supporting treatment decision-making in psychosis: an overview of current and planned research in Edinburgh. Supported Decision-Making Seminar. Centre for Mental Health and Incapacity Law, Rights and Policy, Edinburgh Napier University. November 2014.
  • Antipsychotic drugs for schizophrenia: A review and series of exploratory meta-analyses. 13th Annual International CBT for Psychosis Conference (‘Beckfest’), University of Liverpool, UK, April 2012.
  • Cognitive therapy for psychosis prevention: Systematic review and meta-analysis. 22nd Annual Research and Evaluation Study day, Saint John of God Hospitaller Services, Dublin, Ireland, September 2012.
  • What do Cochrane reviews say about the effectiveness of popular second-generation antipsychotics compared to placebo in treating schizophrenia? ‘Giving Psychosis A Voice’ Conference, Suffolk Mental Health Partnership NHS Trust, July 2010.

 

Reviewing

  • International Journal of Law and Psychiatry
  • Eye - Nature
  • European Archives of Psychiatry and Clinical Neuroscience
  • British Journal of Psychiatry
  • Psychosis: Psychological, Social and Integrative Approaches
  • Psychology and Psychotherapy: Theory, Research and Practice
  • Crisis: The Journal of Crisis Intervention and Suicide Prevention
  • Behavioural and Cognitive Psychotherapy
  • Journal of Cognitive Psychotherapy
  • Psychological Medicine
  • British Journal of Clinical Psychology
  • Behaviour Research and Therapy
  • Schizophrenia Bulletin
  • Journal of Behavior Therapy and Experimental Psychiatry
  • International Journal of Mental Health and Capacity Law
  • Psychopathology Review
  • Early Intervention in Psychiatry
  • Journal of Clinical Psychiatry

 

Date


54 results

Cognitive Behavioral Therapy for antipsychotic-free schizophrenia spectrum disorders: Does therapy dose influence outcome?

Journal Article
Spencer, H. M., McMenamin, M., Emsley, R., Turkington, D., Dunn, G., Morrison, A. P., …Dudley, R. (2018)
Cognitive Behavioral Therapy for antipsychotic-free schizophrenia spectrum disorders: Does therapy dose influence outcome?. Schizophrenia Research, 202, 385-386. https://doi.org/10.1016/j.schres.2018.07.016
This study investigated the effect of “dose” and the components of Cognitive Behavioral Therapy (CBT) on treatment effects. It is a secondary analysis of the ACTION (Assessmen...

Cognitive behavioural therapy in clozapine-resistant schizophrenia (FOCUS): an assessor-blinded, randomised controlled trial

Journal Article
Morrison, A. P., Pyle, M., Gumley, A., Schwannauer, M., Turkington, D., MacLennan, G., …Tully, S. (2018)
Cognitive behavioural therapy in clozapine-resistant schizophrenia (FOCUS): an assessor-blinded, randomised controlled trial. Lancet Psychiatry, 5(8), 633-643. https://doi.org/10.1016/s2215-0366%2818%2930184-6
Background Although clozapine is the treatment of choice for treatment-refractory schizophrenia, 30–40% of patients have an insufficient response, and others are unable to tol...

Cognitive Analytic Therapy for Psychosis: A Case Series

Journal Article
Taylor, P. J., Taylor, P., Perry, A., Hutton, P., Tan, R., Fisher, N., …Seddon, C. (2019)
Cognitive Analytic Therapy for Psychosis: A Case Series. Psychology and Psychotherapy: Theory, Research and Practice, 92(3), 359-378. https://doi.org/10.1111/papt.12183
Objectives: Cognitive Analytic Therapy (CAT) is an effective psychological intervention for several different mental health conditions. However, whether it is acceptable, safe...

Psychological therapy for inpatients receiving acute mental health care: A systematic review and meta-analysis of controlled trials

Journal Article
Paterson, C., Karatzias, T., Dickson, A., Harper, S., Dougall, N., & Hutton, P. (2018)
Psychological therapy for inpatients receiving acute mental health care: A systematic review and meta-analysis of controlled trials. British Journal of Clinical Psychology, 57(4), 453-472. https://doi.org/10.1111/bjc.12182
Objectives The effectiveness of psychological therapies for those receiving acute adult mental health inpatient care remains unclear, partly because of the difficulty in condu...

Should people with psychosis be supported in choosing cognitive therapy as an alternative to antipsychotic medication: A commentary on a commentary

Journal Article
Hutton, P. (2018)
Should people with psychosis be supported in choosing cognitive therapy as an alternative to antipsychotic medication: A commentary on a commentary. Schizophrenia Research, https://doi.org/10.1016/j.schres.2018.04.002
Item is a commentary. No abstract available.

Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis

Journal Article
Larkin, A., & Hutton, P. (2017)
Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis. British Journal of Psychiatry, 211(4), 205-215. https://doi.org/10.1192/bjp.bp.116.193458
Background: The evidence on factors that may influence treatment decisional capacity (‘capacity) in psychosis has yet to be comprehensively synthesised, which limits the devel...

Practitioner Review: Therapist variability, patient-reported therapeutic alliance, and clinical outcomes in adolescents undergoing mental health treatment - a systematic review and meta-analysis

Journal Article
Murphy, R., & Hutton, P. (2017)
Practitioner Review: Therapist variability, patient-reported therapeutic alliance, and clinical outcomes in adolescents undergoing mental health treatment - a systematic review and meta-analysis. Journal of Child Psychology and Psychiatry, 59(1), 5-19. https://doi.org/10.1111/jcpp.12767
Background: Previous meta-analyses have only found small correlations (r=0.10 to r=0.19) between therapeutic alliance and clinical outcomes in samples of adolescents receiving...

Loneliness in Psychosis: A Meta-analytical Review

Journal Article
Michalska da Rocha, B., Vasilopoulou, E., Rhodes, S., & Hutton, P. (2018)
Loneliness in Psychosis: A Meta-analytical Review. Schizophrenia Bulletin, 44(1), 114-125. https://doi.org/10.1093/schbul/sbx036
Loneliness may be related to psychotic symptoms but a comprehensive synthesis of the literature in this area is lacking. The aim of the current study is to determine the magni...

The feasibility and clinical benefits of improving facial affect recognition impairments in schizophrenia: Systematic review and meta-analysis

Journal Article
Bordon, N., O'Rourke, S., & Hutton, P. (2017)
The feasibility and clinical benefits of improving facial affect recognition impairments in schizophrenia: Systematic review and meta-analysis. Schizophrenia Research, 188, 3-12. https://doi.org/10.1016/j.schres.2017.01.014
Background People diagnosed with schizophrenia have significant difficulty accurately recognising emotions expressed by others. This may generate anomalous experiences which, ...

Social cognition and paranoia in forensic inpatients with schizophrenia: A cross-sectional study

Journal Article
Bratton, H., O'Rourke, S., Tansey, L., & Hutton, P. (2016)
Social cognition and paranoia in forensic inpatients with schizophrenia: A cross-sectional study. Schizophrenia Research, 184, 96-102. https://doi.org/10.1016/j.schres.2016.12.004
Background People diagnosed with schizophrenia have difficulties in emotion recognition and theory of mind, and these may contribute to paranoia. The aim of this study was to ...

Current Post Grad projects

Previous Post Grad projects

Non-Napier PhD or MSc by Research supervisions

  • Supervision of Doctoral thesis - Dr Edel Mc Glanaghy
  • Supervision of Doctoral thesis - Dr David Carmichael
  • Supervision of Doctoral thesis - Dr David Turner
  • Supervision of Doctoral thesis - Dr Philip Murphy
  • Supervision of Doctoral thesis - Dr Beata Michalska
  • Supervision of Doctoral thesis - Dr Amanda Larkin
  • Supervision of Doctoral thesis - Dr Natalie Bordon
  • Supervision of Doctoral thesis - Dr Shonagh Reid
  • Supervision of Doctoral thesis - Dr Helen Bratton
  • Supervision of Doctoral thesis - Dr Margerita Panayiotou
  • Supervision of Doctoral thesis - Dr Diana Stovell