CPG for Psychosocial Interventions in Severe Mental ... - GuÃaSalud

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7. Recommendations for Future Research This chapter includes proposals for future research that are suggested in the different sections of the guideline. 5.1.1. Cognitive-behavioural therapy It would be necessary to carry out studies that analyse to what extent the effects of CBT are maintained in people with SMI after the treatment and if refresher sessions are necessary. More studies are required to assess the characteristics of the population on whom CBT is more effective (people with positive persistent symptomatology and resistant to psycho-drugs) and the characteristics of the intervention that make it more effective with respect to duration and number of sessions. Quality studies must be carried out to measure the efficiency of social skills training in different sub-populations and their generalised use in other functioning areas. The utility of the use of motivational interviews in people with SMI must be assessed by research studies, as well as their indications with respect to specific clinical situations (dual disorder, lack of awareness of the illness, collaboration or treatment adherence). 5.1.2. Psychodynamic psychotherapy and psychoanalytical approach Studies must be developed that analyse the efficacy of psychodynamic therapies and psychoanalytical approach in people with SMI with designs that adapt to the peculiarities of their epistemology, to the singular nature of each individual and the Spanish and European area. 5.1.5. Family interventions Family intervention is an important component in the treatment of people with SMI, so there must be well-designed studies that investigate which the components of family intervention are associated with the stability and improvement in the psychosocial functioning in a prolonged manner. The efficacy of integrated or combined programmes, which include work with the family of people with SMI must be examined to see if it is mediated by the greater treatment adherence / fulfilment or is independent from this. Due to the lack of studies related to family intervention in population with SMI and bipolar disorders, quality research studies must be carried out that include this population. 5.1.7. Cognitive Rehabilitation It would be useful to investigate which moderating and mediating variables make cognitive rehabilitation interventions more effective in people with SMI and cognitive impairment. Studies must be conducted to indicate in which areas cognitive rehabilitation is more effective (psychosocial functioning, employability, cognitive performance, reduction of symptoms). CLINICAL PRACTICE GUIDELINES FOR PSICHOSOCIAL INTERVENTIONS IN SEVERE MENTAL ILLNESS 113
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Clinical Practice Guidelines for Ps
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This CPG is an aid for decision mak
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Table of Contents Presentation 7 Au
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Presentation Healthcare practice is
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Authorship and collaborators CPG de
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José Manuel Lalana Cuenca. Special
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c) SERVICE LEVEL INTERVENTIONS •
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A B A A B B B C Psychosocial inter
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B B B C A C C 5.3. SERVICE LEV
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20 CLINICAL PRACTICE GUIDELINES IN
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independence, quality of life, pers
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This guideline is aimed at mental h
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Figure 1. Search Strategy Search fo
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The highest evidence level found wa
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4. Characteristics of the CPG 4.1.
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The main focus of rehabilitation is
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5. Psychosocial type rehabilitation
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From another point of view, social
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defined as “standard care” or
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General global state In the short r
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Specific symptoms: when CBT was com
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In the systematic review by Kurtz a
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Summary of evidence 1- 1- 1- 1- 1-
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People with SMI and a diagnosis of
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5.1.3. Interpersonal therapy The li
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weekly or fortnightly sessions. The
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5.1.5. Family interventions There a
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In the RCT carried out by Hogarty e
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A family intervention of more than
Page 63 and 64: After two years’ treatment, and b
Page 65 and 66: Family intervention vs. other psych
Page 67 and 68: 1- 1- 1- 1- 1- 1- 1- 1- 1+ No diffe
Page 69 and 70: Question to be answered • Are pys
Page 71 and 72: Summary of evidence Pyschoeducation
Page 73 and 74: with schizophrenia and that the tre
Page 75 and 76: With reference to the type of train
Page 77 and 78: would normally receive and which in
Page 79 and 80: Hypnosis vs. relaxation No improvem
Page 81 and 82: Supervised fl ats are a community h
Page 83 and 84: 3 Programmes directed to leisure an
Page 85 and 86: SMI (schizophrenia, affective schiz
Page 87 and 88: When PVT is compared with standard
Page 89 and 90: Patients included in the individual
Page 91 and 92: 1+ 1+ 1++ 1+ 1+ 1+ 1+ The people in
Page 93 and 94: Music therapy Music therapy + stand
Page 95 and 96: A series of Case Management systems
Page 97 and 98: • The satisfaction data originati
Page 99 and 100: Loss of contact With respect to the
Page 101 and 102: There is not sufficient evidence, e
Page 103 and 104: 1+ 1+ 1+ 1+ Respect to ICM teams or
Page 105 and 106: Finally, in the RCT by Cheng et al
Page 107 and 108: 5.4.2. “Homeless” with SMI The
Page 109 and 110: Patients who access housing with no
Page 111: ceptive disorders. This series of c
Page 116 and 117: 5.1.8. Other psychotherapies It is
Page 119 and 120: Appendix 1. Key to evidence stateme
Page 121 and 122: Appendix 3. Template to develop rec
Page 123 and 124: 2. What is SMI When we refer to Sev
Page 125 and 126: and information. (http://www.boe.es
Page 127 and 128: 3. Other Regulation on Incapacitati
Page 129 and 130: 6. Social Benefits for people with
Page 131 and 132: 4. Request to the relative body of
Page 133 and 134: Administration, of the health and s
Page 135 and 136: 8. The role of user and family asso
Page 137 and 138: Spanish Association of Neuropsychia
Page 139 and 140: Other websites Schizophrenia http:/
Page 141 and 142: NIMH NNT WHO NGO OTP OR P PANNS Per
Page 143 and 144: Effect Size (ES): it is the measure
Page 145 and 146: Bibliography 1 Parabiaghi A, Bonett
Page 147 and 148: 36 Garety P, Fowler D, Kuipers E, F
Page 149 and 150: 69 Gunderson JG, Frank AF, Katz HM,
Page 151 and 152: 101 Clarkin JF, Glick ID, Haas GL,
Page 153 and 154: 136 Lv JJ, Chu YZ, Bai YG, Lv FQ, L
Page 155 and 156: 171 Walker R, Winick W, Frost ES, L
Page 157 and 158: 209 Weiss RD, Griffi n ML, Kolodzie
Page 159: P.V.P.: 10 €
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