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Prof Paul Bebbington
UCL Division of Psychiatry
6th Floor Maple House, 149 Tottenham Court Road
London
W1W 7EJ
Appointment
  • Emeritus Professor of Social and Community Psychiatry
  • IoN RLW Inst of Neurological Sci
  • Institute of Neurology
  • Faculty of Brain Sciences
Biography

Professor Paul Bebbington was born in Scotland and lives in South London. He was educated at Cambridge University--where he obtained an athletics Blue and a First Class Honours (BA) in the Natural Sciences with a Part 2 in psychology. He undertook clinical training at St Bartholomew’s Hospital in London. He was trained in psychiatry at the Maudsley Hospital and at the Institute of Psychiatry. For nearly 20 years he worked in the Medical Research Council Social Psychiatry Unit at the Institute of Psychiatry, initially under John Wing, and eventually becoming Assistant Director. In 1996, he moved to University College London (UCL) to a Chair in Social & Community Psychiatry. At the same time, he also took up an honorary consultant post with the Camden & Islington National Health Service Trust, working in a series of clinical appointments. The last of these was with the Community Mental Health Inreach Team in Holloway women’s prison, over the six years until September 2010. He was Head of the Department of Mental Health Sciences at UCL from 2004 until November 2009. He became Professor Emeritus at UCL in October 2010 on his retirement.
    Professor Bebbington continues to publish extensively on epidemiological issues, on mental health services, and on psychological theories and treatments of psychosis. With colleagues he has conducted a number of randomized controlled trials of psychiatric interventions and psychological treatments. He was instrumental in the organization and design of all four British National Surveys of Psychiatric Morbidity (1993-2014). He was the founding editor of the International Review of Psychiatry, and was the Editor-in-Chief of Social Psychiatry and Psychiatric Epidemiology from 1993 until 2013.

Research Themes
Research Summary

These have included social psychiatry, epidemiological surveys, instrument development, the social causes and concomitants of depression and schizophrenia, psychological mechanisms in schizophrenia, cognitive behaviour therapy, and health service research.

In the last few years, my main research activity, with colleagues, has been in epidemiological and mental health service research, and in using psychological treatments to test psychological theories of psychosis. Much of the recent epidemiological research has involved analysis of the four National Surveys of Psychiatric Morbidity, together with the National Prisons Survey. In addition, we have just published the results of a psychiatric survey in Holloway and Pentonville prisons (2017). 

There have been major papers in the epidemiology of substance abuse and of suicidal ideation, and studies of social exclusion and of access to treatment for mental disorders. Most recently, we have used National Survey data to assess links between victimisation experiences and psychosis, and to examine the structure of quasi-psychotic experience in the normal population. We are also currently analysing the European Schizophrenia Cohort (EuroSC), a sample of 1208 people with schizophrenia from Germany, France and England, followed up in detail six-monthly for two years.

My mental health service research included evaluations of recent policy initiatives, with important RCTs of Crisis Resolution Teams and Assertive Outreach Teams. 

The Prevention of Relapse in Psychosis programme (funded by Wellcome 2001-2007) was a collaboration with KCL, UEA and the University of Manchester. It used a large multicentre RCT of CBT and family intervention in psychosis to test a detailed model of psychotic symptoms (ISRCTN 83557988. Over 300 patients were randomised and a large number of papers based on planned baseline analyses have been published. The results of the trial were published in June 2008, and we will also use the follow up data to test hypotheses relating to psychological processes associated with improvement. We have now obtained further funding in the light of these findings. 

This work led to a collaboration with Prof Mel Slater at UCL on a programme using virtual reality in experiments designed to identify psychological processes involved in paranoid ideation in both patients and normal members of the population.

The most recent initiative in this programme involved a collaboration with KCL, and the Universities of Oxford, Manchester and Sussex to develop a phone app for treating persecutory ideas. This has just (2016) received £1.4 million of EME funding ("A randomised controlled trial to evaluate the outcomes and mechanisms of a novel digital reasoning intervention for persecutory delusions").


Teaching Summary
Although no longer involved in teaching administration, Professor Bebbington has since his retirement continued to contribute to the Division's teaching programme as required, 
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