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

5.1.8. Other psychotherapies
It is necessary to know the efficacy of dramatherapy, distraction therapy and hypnosis by
quality research studies and developed within the national and European context.
5.2.3. Programmes aimed at leisure and spare time
It would be advisable to conduct quality research in our field to be able to establish the effectiveness
and efficiency of rehabilitation through leisure and free time, of residential programmes
and of daily living skills.
5.2.4. Programmes aimed at employment
Studies are necessary to assess the employability of people with SMI, to improve the efficiency
of the employment programmes.
It is necessary to research into the influence of environmental factors on employment programmes
aimed at people with SMI, and about the way to adapt them to the social-economic,
cultural and local reality, as well as to the employment policies.
5.2.5. Other therapeutic interventions
Studies must be developed that determine the efficiency and applicability of art therapy and
music therapy in people with SMI to know which aspects must be addressed in the intervention,
how the sessions must be structured and the minimum number of sessions necessary to be able to
be effective.
5.3. Service level interventions
It would be recommendable to design high-quality studies that compare the different intervention
possibilities with respect to existing service configurations in our context (CMHC, psychosocial
rehabilitation centre, day centres, rehabilitation hospital unit, ACT teams, etc.) and to
the components that can make them more effective, including their impact in areas such as quality
of life, person’s satisfaction, integration into social networks, etc.
With respect to the population with SMI that are in long-stay units, psychiatric hospital and
who – at least in our context- are still in a de-institutionalisation process, it would be advisable
to conduct research studies that can indicate which psychosocial interventions are effective as
alternatives to hospital centres.
Investigations must be carried out into those people with SMI with whom ACT is not indicated,
to find out which alternative integrated programme proves to have greater effectiveness to
maintain these people in the community and improve long-term social functioning.
5.4.1 SMI with dual diagnosis
It would be advisable to conduct studies that include people with SMI and dual pathology, to
measure the efficiency of different psychosocial interventions depending on the stage of motivation
and with respect to the abandonment of programmes or reduction in consumption.
114 CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS