Brief talking therapies on wards

INTERVENTION: 1. Control therapy ‐ SAT, Social Activity Therapy (SAT) is a brief intervention (1‐5 sessions) which involves helping the client to identify activities they enjoy, and carrying these out with the therapist on the ward.; 2. Talking therapy ‐ MBCI, Mindfulness‐Based Crisis Interventions (MBCI) is a brief therapy (1‐5 sessions) focussing on developing a shared understanding of what has brought the person into crisis, and introducing other ways of coping with future distressing experiences using mindfulness‐based techniques.; Follow Up Length: 6 month(s); Study Entry : Single Randomisation only CONDITION: Topic: Mental Health; Subtopic: Psychosis; Disease: Psychosis ; Mental and Behavioural Disorders PRIMARY OUTCOME: Feasibility/acceptability; Timepoint(s): At trial end (incl. recruitment rate/retention) SECONDARY OUTCOME: 1. Pilot clinical/symptom measures; Timepoint(s): Baseline, Post‐therapy, 3 month follow‐up, 6 month follow‐up; 2. Pilot outcome data on re‐admission rates; Timepoint(s): 3 and 6 month follow‐up; 3. Self‐ratings of Psychotic Symptoms; 4. Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ); 5. Depression, anxiety and stress scales (DASS‐21); 6. Southampton Mindfulness Questionnaire (SMQ); 7. Questionnaire about the Process of Recovery (QPR) INCLUSION CRITERIA: 1. Aged 18 or above 2. Current psychiatric inpatient on a working‐age adult ward 3. Diagnosis of schizophrenia‐spectrum disorder or psychotic symptoms in the context of an affective disorder (International Statistical Classification of Diseases and Related Health Problems, Tenth edition [ICD‐10], F2039) 4. Reports at least one current distressing positive psychotic symptom 5. Able to give informed consent to participate in trial, as assessed by consultant psychiatrist/responsible clinician 6. Willing and able to engage in psychological therapy