Chartered Clinical Psychologist and Professor of Early Intervention (EI) and Psychosis
Institute of Health & Society
tel: 01905 54 2293
BSc Psychology Hons Class 1, University of Birmingham (1981)
MSc Clinical Psychology, University of Birmingham (1984)
PhD Psychology 'Development and Evaluation of Psychosocial Interventions for Psychosis,' University of Birmingham (1990)
Jo qualified with a BSc (Hons) in Psychology from the University of Birmingham in 1981. She went on to complete an MSc in Clinical Psychology at the University of Birmingham in 1984. She commenced her PhD on the Development and Evaluation of Psychosocial Interventions in Schizophrenia in 1984 at Birmingham University. Her PhD was successfully awarded in 1990 while she was working half time as a Clinical Psychologist with the West Birmingham Family CARE Service providing support to people with psychosis and their families. She moved to Worcestershire in October 1988 to take up post as a Principal Clinical Psychologist in Rehabilitation. She was seconded for three years in 1989 to the role of Change Facilitator leading on the successful transition of mental health services from hospital to community based care and the subsequent closure of Barnsley Hall psychiatric hospital in Bromsgrove, Worcestershire in 1991. She later headed up an Adult Mental Health Clinical Psychology department, working in primary care and secondary mental health services before moving in 1995, to take up post as Head of Rehabilitation in Worcester. In 1998, she was seconded for 12 months to a post as a part time senior lecturer and first year tutor on the Doctorate in Clinical Psychology Course at University of Birmingham. She was appointed to her role as Worcestershire EI in Psychosis Lead and Lead for the EI and Recovery Specialty in 2002. From 2004-2010 Jo successfully applied for a part-time secondment and job share as a Joint National EIP Programme Lead with National Institute for Mental Health in England (NIMHE). She continued to work as EIP Lead in Worcestershire where she remained for 13 years until her retirement from the NHS in March 2015. She joined University of Worcester as a Professor in EI and Psychosis in April 2013.
Jo Smith is Professor of Early Intervention (EI) and Psychosis in the Institute of Health & Society, University of Worcester, Worcester, UK.
Jo is the Project Lead for the SHAPE (Supporting Health And Promoting Exercise) Programme for young people with Psychosis and Bipolar Disorder based at the McClelland Centre for Health and Wellbeing and run in partnership with Worcestershire Health and Care NHS Trust EI Service.
Jo is the Project Lead of a multiagency 'Suicide Safer' suicide prevention project at the University of Worcester which is trying to develop and support initiatives that can collectively contribute to a 'Suicide Safer' University, City and County.
Jo is a Chartered Clinical Psychologist and was the Early Intervention in Psychosis (EIP) Lead and Lead Clinical Psychologist for EIP and Recovery Speciality, Worcestershire Health and Care NHS Trust, Worcester, UK (1999-2015).
Jo was formerly a Joint National EIP Programme Lead for England with NIMHE/NMHDU (2004-2010)
Fields of Expertise
Psychosis, early intervention, rehabilitation and recovery services, psychosocial interventions for psychosis, family work, student mental health and suicide, zero suicide initiatives.
- Teaching & Research
Teaching & Research
Jo's research interests centre around serious mental health problems, in particular, psychosis (including first episode psychosis) and bipolar disorder. She has particular interests in psychosocial interventions for psychosis including: early signs monitoring and relapse prevention, educational and vocational interventions, family interventions, and physical health interventions. She has also been involved in a number of research studies focused on early intervention implementation in the UK and the evaluation of specific interventions to address the needs of young people with first episode psychosis and their families. This has included cost economic evaluation of early intervention for psychosis services in the UK.
Jo has been a co-applicant, local Principal Investigator (PI) and steering group member on a number of successful joint research bids and awards including:
- NIHR Doctoral Research Programme funded e-sibling project an online information & peer support programme for siblings (2013-2015)
- NIHR RfPB ENDEAVOUR multi site national EI Individual Placement Support (IPS) employment trial (2008-2011)
- LSC/NIACE funded BACK ON TRACK 2 study which looked at strategies to promote educational recovery in early psychosis (2009-2010)
- Welcome Foundation funded EDIE2 multi site national trial of CBT intervention with young people at risk of developing psychosis (2006-2010)
- SDO funded EDEN plus early intervention study exploring role of medical staff and Partnerships with voluntary sector agencies in EI services (2006)
- NIHR PGfAR funded SUPEREDEN Programme a large scale national EI outcome study exploring user and carer views of and transition from EIP services (2010-2015)
She has been a Trial Steering Group member for the PRODIGY multi-site trial of social recovery in early psychosis (2013- 2016).
She was a Board member of the DH funded Early Intervention Cost Economic Evaluation Programme led by Professor Martin Knapp at LSE (2006-2010). She was also a Board member and co-applicant on the National Lottery funded Rethink and Young Minds UTHINK recovery learning programme for young people.(2007- 2010).
Jo has also been an International consultant on the TIPS EIP Network Project in Norway and the NIMH RAISE trial of EIP Services in USA (2008-2011).
Current Research Involvement
Jo is currently involved in the following service evaluation and research projects:
Jo is the Project Lead for the Health Foundation SHINE 2014 award funded SHAPE (Supporting Health And Promoting Exercise) Programme for young people with Psychosis and Bipolar Disorder based at the McClelland Centre for Health and Wellbeing and run in partnership with Worcestershire Health and Care NHS Trust EI Service (2014-2016). The project team were recently successful in securing a further Health Foundation Spreading Improvement Grant Award (2016-2018).
Jo is a co-applicant and consultant advisor on an NIHR HS&DR Programme funded study: IMPlementation of A Relatives’ Toolkit (IMPART study): Examining the critical success factors, barriers and facilitators to implementation of an online supported self-management intervention in the NHS (2016-2018)
Jo is the Project Lead of a 'Suicide Safer' suicide prevention project at the University of Worcester. This project is working in partnership with National Union of Students and the James Wentworth Stanley Memorial Fund (JMMF) to offer two PHD Studentships exploring University student suicide (2016-2019). The project is also a co-applicant for funding on an NIHRPHR funded bid for a Student mental health cohort study in 4 West midlands University sites including University of Worcester.
Jo has many years of experience in training and education. She has been involved in teaching and learning locally, nationally and internationally in a wide variety of ways ranging from lectures and training workshops for professional colleagues and students, clinical and research supervision/career mentorship, conference presentations and public lectures.
She has been an invited keynote presenter at over 190 conferences in the UK and internationally including: Australia, Canada, Japan, Norway, Italy, Singapore, Wales, Ireland, Vietnam and USA.
In September 2015, Jo was invited to co facilitate an international summit of healthcare administrators, peer leaders, and policy makers from 13 countries in Atlanta, USA to develop an International Declaration and Social Movement on Zero Suicide. The Zero Suicide: An International Declaration for Better Healthcare is due to be launched at the National Council of Behavioral Health Council conference in Las Vegas in March 2016.
Jo has led many practical workshops on various psychological interventions including cognitive behaviour therapy for psychosis (CBTp), compliance therapy, psycho-education, family work, early signs monitoring and relapse prevention, negative symptoms ,managing motivational difficulties and vocational rehabilitation. The audiences for these workshops have primarily been clinicians working in public mental health systems internationally.
Jo has also led many workshops on EI practice development internationally and provided formal clinical supervision (face to face and via Skype) to EIP teams in Japan, Wales, Ireland and Nigeria.
Mentoring and Supervision
Jo is a registered 'Applied Psychology Practice Supervisor' with the BPS.
Jo was a Clinical Psychology Supervisor and an honorary Personal Tutor and Senior Lecturer on the Clinical Psychology Doctorate Programmes at the Universities of Birmingham and Coventry & Warwick (1986-2015).
Jo was a part time Senior Lecturer and First Year Tutor on the Doctorate in Clinical Psychology Course at University of Birmingham (1998-1999).
Jo has considerable experience of research supervision and has co-supervised 10 ClinPsyD Doctoral and Masters level thesis dissertations.
Jo has been a Clinical supervisor since 1986. She enjoys supervising and has successfully supervised many Doctoral Clinical Psychology Trainees and members of staff.
Jo also has considerable experience of mentoring staff. She is currently mentoring 3 staff (2 University of Worcester; I University of Derby).
- Professional Bodies
- British Psychological Society
- Division of Clinical Psychology (DCP)
- BPS Register of Chartered Clinical Psychologists
- BPS Register of Applied Psychology Practice Supervisors
- Health Professions Council (HPC) registered Practitioner Psychologist
- British Association of Behavioural & Cognitive Psychotherapists (BABCP)
- BABCP National Bipolar Special Interest Group
- BPS DCP Faculty for Psychosis and Complex Mental Health Problems
- BPS DCP National Special Interest Group in Early Intervention in Psychosis
- BPS DCP National Special Interest Group in Family Interventions
- International Early Psychosis Association (IEPA)International Institute for Mental Health Leadership (IIMHL)
- Rethink Mental Illness
- Bipolar UK
- IRIS Regional EI Leads Group
- Zero Suicide International Social Movement
Jo has authored 34 papers in refereed journals, 17 book chapters, 22 practice articles, co-edited 1 book and has had 8 conference papers published to date (correct to end of January 2016).
One paper from Jo's PhD evaluating psycho-education for relatives with psychosis was identified as one of the most cited international mental health articles in the field of Schizophrenia in the last 25 years. This was published as an international case study for a Mental Health Research Retrosight Project (RAND 2013).
Jo has written two published information booklet series (Understanding Schizophrenia and Understanding Psychosis) which were produced in booklet and video formats Both series have been widely used in services throughout the UK and nationally by the Carer Education and Support Programme (CESP) Initiative. They were also used by Central Television as back up information materials in two television series: Zero Options (l986) and Stanley and the Women (l991).
Jo has written a couple of practice manuals related to her work in early psychosis which have been influential nationally and internationally These include an Early Signs Self-Management Training manual (Smith 2001) and a Managing Motivational Difficulties Manual (Reid, Smith and Barker 2008). The work on developing an early warning signs system for detecting relapse of psychosis was featured in a BBC Radio 4 ‘Science Now’ programme and the early signs self management manual has been developed as an e-self management tool and mobile app.
Jo co-edited a book ‘Promoting Recovery from Early psychosis’ (French, Smith, Shiers et al 2010). This has since been translated into Japanese for distribution in Japan.
Jo has been a joint author on a number of influential national and international declarations and guidance documents including:
- IRIS (2000) Early Intervention in Psychosis: Clinical Guidelines and Service Frameworks and IRIS (2012) IRIS Guidelines update
- NIMHE and Rethink (2002) Newcastle Early Psychosis Declaration;
- WHO and IEPA (2004) Early Psychosis Declaration;
- iFEVR group (2008) Meaningful Lives: International First Episode Vocational Recovery Statement
- Atlanta Summit Group (2016) Zero Suicide An International Declaration for Better Healthcare
- BAP (2016) Guideline on the management of weight gain, metabolic disturbances and cardiovascular risk associated with psychosis and antipsychotic drug treatment
Recent publications (since 2010)
Smith J and Shiers D (2010) Early Intervention in Psychosis and Service Reform in England Japanese Journal of Clinical Psychiatry 39, 2, 147-165
Rinaldi M, Killackey E, Smith J, Shepherd G, Singh S, Craig T. (2010) First episode psychosis and employment: A review International Review of Psychiatry April 2010; 22(2): 148–162
Shiers D and Smith J (2010) Introduction . In French P, Reed M, Smith J, Rayne M and Shiers D (eds) Promoting Recovery in Early Psychosis, Blackwell Publishing Limited, Oxford
Fadden G and Smith J (2010) Family Interventions for First Episode psychosis . In French P, reed M, Smith J, Rayne M and Shiers D (eds) Promoting Recovery in Early Psychosis, Blackwell Publishing Limited, Oxford
Smith J, O’Shea M, and Fadden G ( 2010) Working with siblings In French P, Reed M, Smith J, Rayne M and Shiers D (eds) Promoting Recovery in Early Psychosis, Blackwell Publishing Limited, Oxford
Reid I, Barker,T. and Smith,J.(2010) Working with Motivational Difficulties In French P, Reed M, Smith J, Rayne M and Shiers D (eds) Promoting Recovery in Early Psychosis, Blackwell Publishing Limited, Oxford
French P, Reed M, Smith J, Rayne M and Shiers D (2010) Promoting Recovery in Early Psychosis, Blackwell Publishing Limited, Oxford
Pinfold V, Smith J, Shiers D (2011) Audit of Early Intervention in Psychosis Service Development in England 2005 In Oakley C, Coccia F, Masson N,McKinnon I and Simmons M (eds) 101 Recipes for Audit in Psychiatry RCPsych Publications, London
McCrone, P. Singh, S. Knapp, M. Smith, J. Shiers, D. Clark, M and Tiffin,P (2013) The Economic Impact of Early Intervention in Psychosis Services for Children and Adolescents Early Intervention in Psychiatry
Craig T Singh S Shepherd G Smith J Rinaldi M (2014) ENDEAVOR trial of Individual Placement Support and Motivational Interviewing British Journal of Psychiatry
Birchwood, M. Shiers, D. Smith, J. (2014) CBT for Psychosis: Not a Quasi-Neuroleptic British Journal of Psychiatry
Sin J, Henderson C, Gamble C, Kelly M, Booker M, Smith J & Norman I (2014) E Sibling Project online intervention for brothers & sisters – an evaluation of its feasibility & usability Early Intervention in Psychiatry Special Issue Supplement S1: November 2014,Volume 8, 150
Smith J, Williams B, Band M, Hickman D, Bradley E, Richardson J, Burton C, Ackner S, Ferrer K, Griffiths L Wilkie V , Hird-Smith R (2014) SHAPE (Supporting Health and Promoting Exercise) Project For Young people With Psychosis Early Intervention in Psychiatry Special Issue Supplement S1: November 2014,Volume 8, pages 30,122
Smith J, Rinaldi M, Killackey E (2014) Helping young people with psychosis back into Education and work: how much progress has been made in realising the goals of ‘Meaningful Lives’? Early Intervention in Psychiatry Special Issue Supplement S1: November 2014, Volume 8, page 7
Rinaldi M, Craig T, Singh S, Smith J, Shepherd G (2014) The role of psychological factors in enhancing the impact of supported employment initiatives Early Intervention in Psychiatry Special Issue Supplement S1: November 2014,Volume 8, page 8
Lavis A, Lester H, Everard L, Fowler D, Freemantle N, Hodgekins J, Jones P, Larsen J, Amos T, Marshall M, McCrone P, Sharma V, Smith J, Singh S, Birchwood M (2015) Layers of Listening: A Qualitative of Analysis of the Impact of Early Intervention Services for First-Episode Psychosis on Carers’ Experiences British Journal of Psychiatry (accepted for publication)
Shiers D and Smith J (2015) Early Intervention and The Power of Social Movements: UK Development of Early Intervention in Psychosis as a Social Movement and Its Implications for Leadership. In Peter Byrne, Alan Rosen, & Helen Lester (eds) Early Intervention in Psychiatry: EI of Nearly Everything for Better Mental Health John Wiley & Sons, Ltd., Chichester,
Yemm H, French P, Peel E, Smith J, Brooker D (2015) Parallels and paradoxes: Similarities between ‘at risk mental state’ for psychosis and ‘mild cognitive impairment’ in dementia Journal of Mental Health (in submission)
Cooper S, Reynolds P, Barnes T, England E, Haddad P, Heald A, Holt R, Lingford-Hughes R, Osborn D, McGowan O, Patel M, Paton C, Reid P, Shiers D and Smith J (2016) BAP guideline on the management of weight gain, metabolic disturbances and cardiovascular risk associated with psychosis and antipsychotic drug treatment (In preparation)
- External Responsibilities
Expert Reference Groups
Jo is currently a member of a number of national expert reference groups including:
- Royal College of Psychiatrists (RCPsych) Centre for Quality Improvement (CCQI)
- EIP Quality Network and Accreditation Expert Reference Group (2016)
- EI Expert Roundtable Early intervention for Psychosis: Implementing and Sustaining Best Practice (2015-2016)
- National Clinical Audit of Psychosis Specification Development National Expert Reference Group (2015)
- Royal College of Psychiatrists (RCPsych) College Centre for Quality Improvement (CCQI)
- CQUIN and EIP audit national Expert Reference group (2015-2016)
- National Collaborating Centre for Mental Health (NCCMH) Achieving Better Access to Mental Health Services by 2020 EI AWT National Expert Reference Group (2015)
- British Association for Psychopharmacology (BAP) Guideline Group on 'the management of weight gain and metabolic disturbances associated with psychosis and antipsychotic drug treatment' (2015-2016)
Jo is currently a member of the following national groups:
- Leukaemia Care (Trustee)
- Alliance for Student Led Wellbeing (ASLW)
- The Alliance of Suicide Charities (TASC)
- IRIS Early Intervention in Psychosis (EIP) Network
Jo was previously Chairman of: MSC clinical Psychology Regional Course Training Committee (1988-1989), West Midlands BABCP (1987-1989) and IRIS, UK (1995-2004)
Jo was previously a member of the following national boards and committees: NIMHE EIP Programme Board (2004-2010), Delivering Race Equality (DRE) Programme Board (2006-2009), UTHINK Young peoples Recovery Learning Programme (2007-2010), SCIE National Transition Advisory group (2010-2011) and was a Trustee for Noah's Ark Childrens Bereavement Charity in Herefordshire and Worcestershire (2010-2011).
Jo was a joint organiser of several national EIP conferences in Birmingham (2002) Bristol (2004) Birmingham (2006)and was a committee member on the organising committee of Fifth International Congress on Early Psychosis, which was held at the International Conference Centre in Birmingham (2006). She has also co- convened 4 international satellite meetings of the International First Episode Vocational Recovery (IFEVR) Group in Amsterdam (2010) San Francisco (2012) Tokyo (2014) and Milan (2016).
Jo is a reviewer for the following grant giving bodies:
- NIHR Expert Reviewer Community
Jo is a reviewer for a number of international professional journals including:
- Early intervention in Psychiatry
- British Journal Of Psychiatry
- Social Psychiatry and Psychiatric Epidemiology
- Psychiatric Services Journal of Mental Health