Paul Hutton

Paul Hutton

Dr Paul Hutton

Associate Professor

Biography

Dr Paul Hutton is Associate Professor of Therapeutic Interventions, Deputy Director of Research in the School of Health and Social Care, and the School and University Lead for the REF2021 Unit of Assessment 3 submission (Allied Health Professions, Dentistry, Nursing and Pharmacy). He is also Honorary Consultant Clinical Psychologist in NHS Lothian, Associate Director of the Edinburgh Research and Innovation Centre for Complex mental health problems (ERICCA), a new NHS Lothian and Edinburgh Napier University research centre, and Associate Director of Professor Jill Stavert's Centre for Mental Health and Capacity Law here at Edinburgh Napier University. 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.

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 Principal Investigator on a Chief Scientist Office-funded Umbrella trial, where the effect of these and other interventions on capacity will be 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 25 postgraduate research projects to successful completion, including 13 Doctoral and 12 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

  • Member, Guideline Development Group. Shared Decision Making; GID-NG10120. National Institute for Health and Care Excellence (2019-present)
  • Associate Director, Centre for Mental Health & Capacity Law (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, Guideline Development Group. Decision-Making and Mental Capacity; GID-NG10009. National Institute for Health and Care Excellence (2016-2018)
  • Member, Trial Steering Group, NIHR-funded trial of MoL for psychosis, GMW NHS Trust (2016-present)

 

Conference 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
  • National Institute for Mental Health (NIHR): Health Services and Delivery Research Programme, 2018
  • Swiss National Science Foundation, 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

  • Assessing and supporting treatment decision-making capacity in Scotland. West of Scotland Advanced Practice Academy, Glasgow, Sept 2019
  • 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.
  • 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.
  • 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.
  • 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. State Hospital, March 2016.
  • Autonomy, mental disorder and compassionate care. National Student Psychiatry Conference, February 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.
  • 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.
  • 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.
  • 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
  • European Archives of Psychiatry and Clinical Neuroscience
  • Eye - Nature
  • Behaviour Research and Therapy
  • Behavioural and Cognitive Psychotherapy
  • British Journal of Psychiatry
  • British Journal of Clinical Psychology
  • Early Intervention in Psychiatry
  • Crisis: The Journal of Crisis Intervention and Suicide Prevention
  • Journal of Clinical Psychiatry
  • Psychosis: Psychological, Social and Integrative Approaches
  • Psychology and Psychotherapy: Theory, Research and Practice
  • Schizophrenia Bulletin
  • Journal of Behavior Therapy and Experimental Psychiatry
  • Psychological Medicine
  • International Journal of Mental Health and Capacity Law
  • Journal of Cognitive Psychotherapy
  • Psychopathology Review

 

Date


52 results

Rationale and protocol for a systematic review and meta-analysis on reduced data gathering in people with delusions

Journal Article
Taylor, P., Hutton, P., & Dudley, R. (2014)
Rationale and protocol for a systematic review and meta-analysis on reduced data gathering in people with delusions. Systematic Reviews, 3(44), https://doi.org/10.1186/2046-4053-3-44
Background The tendency to form conclusions based on limited evidence is known as the ‘jumping to conclusions’ (JTC) bias, and has been a much studied phenomena in individuals...

Cognitive therapy for people with schizophrenia spectrum disorders not taking antipsychotic drugs: a single-blind randomised controlled trial

Journal Article
Morrison, A. P., Turkington, D., Pyle, M., Spencer, H., Brabban, A., Dunn, G., …Hutton, P. (2014)
Cognitive therapy for people with schizophrenia spectrum disorders not taking antipsychotic drugs: a single-blind randomised controlled trial. Lancet, 383(9926), 1395-1403. https://doi.org/10.1016/s0140-6736%2813%2962246-1
BACKGROUND: Antipsychotic drugs are usually the first line of treatment for schizophrenia; however, many patients refuse or discontinue their pharmacological treatment. We aim...

Cognitive behavioural therapy for psychosis: rationale and protocol for a systematic review and meta-analysis

Journal Article
Hutton, P., Wood, L., Taylor, P. J., Irving, K., & Morrison, A. P. (2014)
Cognitive behavioural therapy for psychosis: rationale and protocol for a systematic review and meta-analysis. Psychosis, 6(3), 220-230. https://doi.org/10.1080/17522439.2013.825005
Background: Cognitive behavioural therapy (CBT) is a recommended treatment for people with psychosis, with meta - analyses showing important benefits when compared to treatmen...

Deep brain stimulation for anorexia nervosa

Journal Article
Hutton, P. (2013)
Deep brain stimulation for anorexia nervosa. Lancet, 382(9889), 305-306
Extract: Nir Lipsman and colleagues conclude that deep brain stimulation (DBS) is safe for those with anorexia, on the basis of a study of six patients (April 20, p 1361). How...

Antipsychotic Drugs

Book
Hutton, P., Weinmann, S., Bola, J. & Read, J. (2013)
Antipsychotic Drugs. In Models of Madness: Psychological, Social and Biological Approaches to Psychosis., 105-124. (2nd). Taylor & Francis (Routledge)
Antipsychotic drugs.

Cognitive-behavioural therapy for schizophrenia: A critical commentary on the Newton-Howes and Wood meta-analysis

Journal Article
Hutton, P. (2013)
Cognitive-behavioural therapy for schizophrenia: A critical commentary on the Newton-Howes and Wood meta-analysis. Psychology and Psychotherapy: Theory, Research and Practice, 86(2), 139-145. doi:10.1111/papt.12009
Newton-Howes and Wood (published online, this journal, 8 Dec 2011) report the results of their systematic review and meta-analysis of clinical trials of cognitive-behavioural ...

Cognitive behavioural therapy for psychosis prevention: a systematic review and meta-analysis

Journal Article
Taylor, P. J., Hutton, P., & Taylor, P. J. (2014)
Cognitive behavioural therapy for psychosis prevention: a systematic review and meta-analysis. Psychological Medicine, 44(3), 449-468. https://doi.org/10.1017/s0033291713000354
Background. Clinical equipoise regarding preventative treatments for psychosis has encouraged the development and evaluation of psychosocial treatments, such as cognitive beha...

Assessing Cognitive Therapy Instead Of Neuroleptics: Rationale, study design and sample characteristics of the ACTION trial

Journal Article
Morrison, A. P., Wardle, M., Hutton, P., Davies, L., Dunn, G., Brabban, A., …Turkington, D. (2013)
Assessing Cognitive Therapy Instead Of Neuroleptics: Rationale, study design and sample characteristics of the ACTION trial. Psychosis, 5(1), 82-92. https://doi.org/10.1080/17522439.2012.756539
Aims: Recent evidence regarding over-estimation of the efficacy of antipsychotics and under-estimation of their toxicity, as well as emerging data regarding alternative treat...

Metacognitive therapy in treatment-resistant psychosis: A multiple-baseline study

Journal Article
Hutton, P., Morrison, A. P., Wardle, M., & Wells, A. (2014)
Metacognitive therapy in treatment-resistant psychosis: A multiple-baseline study. Behavioural and Cognitive Psychotherapy, 42(2), 166-185. https://doi.org/10.1017/S1352465812001026
Background: More effective psychological treatments for psychosis are required. Case series data and pilot trials suggest metacognitive therapy (MCT) is a promising treatment ...

Embracing patient choice - Reply

Journal Article
Morrison, A. P., Hutton, P., Shiers, D., & Turkington, D. (2012)
Embracing patient choice - Reply. British Journal of Psychiatry, 201, 494-495
Reply to the article - "Embracing patient choice" - Lobban, F in The British Journal of Psychiatry Dec 2012, 201 (6) 494; DOI: 10.1192/bjp.201.6.494

Current Post Grad projects

Previous Post Grad projects

Non-Napier PhD or MSc by Research supervisions

  • Supervision of Doctoral thesis - Dr David Carmichael
  • Supervision of Doctoral thesis - Dr Edel Mc Glanaghy
  • Supervision of Doctoral thesis - Dr David Turner
  • Supervision of Doctoral thesis - Dr Philip Murphy
  • Supervision of Doctoral thesis - Dr Natalie Bordon
  • Supervision of Doctoral thesis - Dr Amanda Larkin
  • Supervision of Doctoral thesis - Dr Beata Michalska
  • 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