This study will evaluate whether Narrative Enhancement and Cognitive Therapy (NECT) can promote recovery among adults living with severe mental health disorders, including substance use disorders. NECT is a structured group intervention that combines education about stigma, cognitive techniques to challenge internalized negative beliefs, and narrative exercises that help participants develop a broader identity beyond their diagnosis.
Approximately 106 adults receiving outpatient or day-hospital psychiatric care at Geneva University Hospitals will be randomly assigned to receive either usual care plus 12 weekly NECT sessions or usual care plus 12 comparison group sessions that do not specifically address self-stigma or recovery. The study will examine whether NECT improves recovery after the intervention and whether any benefits are maintained over time.
Written informed consent
DSM-5 psychiatric diagnosis within F10-F48, F60-F69, or F90, including substance use disorders
Receiving outpatient or day-hospital treatment
Diagnosed or in treatment for at least 12 months
Participation in another program likely to affect social functioning or self-stigma, such as social cognitive remediation or social skills training
Acute psychiatric episode with a Clinical Global Impressions-Severity score above 6
Medical emergency or immediate life-threatening situation at inclusion
Unable to provide informed consent
Louise Penzenstadler
Lead sponsor
University Hospital, Geneva
Sponsor institution