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

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on Mental Health and the future European Strategy on Mental Health). Its role in the regulation of the Involuntary Outpatient Treatment (IOT) is also known as well as in the Law on Promotion and Prevention of Autonomy and Care to Dependency, among others. 2. Service Providers The associative movements are also characterised because they carry out support services. In some countries, such as France or Ireland, the services provided by the associative movement are focused on support and training groups, information services and awareness, demand and denunciation actions. In Spain, as in Great Britain, different social or social-health services are managed, which contribute to covering the needs of users and families where public resources are not sufficient. There, a series of basic services are offered, which vary from information and counselling, awareness-raising and promotion of mental health, legal advice for programmes of psychoeducation, self-help groups, family break activities and home care programmes. Other services are based on the organisation of activities framed within the psychosocial rehabilitation process, labour rehabilitation, and leisure and spare time activity programmes, as well as on the management of the resources that can carry them out. 3. Social awareness-raising This is one of the cornerstones of the associative movement. The dissemination and social awareness-raising activities, which these organisations organise and promote, are assumed as a fundamental task both by the actual organisations and by the professionals and politicians, agents and planners. There are many different initiatives and projects aimed at raising social awareness, from the promotion and prevention of mental health, to addressing discrimination and prejudices towards mental illness and people who suffer from it. The aim is to get public administrations (state, regional or local) to assume these initiatives through awareness-raising activities for specific groups (students, professionals, media, employers…). Initiatives to be highlighted due to their impact are the “Schizophrenia opens the doors” programme and the “Zerostigma” campaign promoted by EUFAMI in 2004. Equally important is the work carried out with the social media though the Style Guide for Media, published by FEAFES, or the participation in studies on stigma (project, “harassment and discrimination faced by people with psychosocial disability in of health services” promoted by Mental Health Europe, MHE). It is still necessary to join and coordinate the forces of the different players who intervene in the integrated treatment of people with SMI and the support to their families. The aim is no other than to guarantee the healthcare continuity that these people require, with the most effective therapeutic techniques and strategies, providing the most normalised and personalised possible support. 9. Addresses and websites of interest National Associations Spanish Federation of Associations of Families and People with Mental Illness, grouping together federations and association of people with mental illnesses and their families from the entire national territory. The contact addresses of the member associations in each Autonomous Community can be consulted on their webpage. http://www.feafes.com feafes@feafes.com C/ Hernández Más, 20 – 24. 28053 Madrid Tel: 91 507 92 48 Fax: 91 785 70 76 134 CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS
Spanish Association of Neuropsychiatry http://www.aen.es aen@aen.es C/ Magallanes, 1 Sótano 2 local 4. 28015 Madrid Tel: 636 72 55 99 Fax: 91 847 31 82 Spanish Association of Clinical Psychology and Psychopathology http://www.aepcp.net/ aepcp@aepcp.net C/ Beato Gálvez, 3, pta 4. 46003 Valencia Spanish Association of Dual Pathology (AEPD) http://www.patologiadual.es/ asociacion@patologiadual.es C/ Londres, 17. 28028 Madrid Tel: 91 361 2600. Fax: 91 355 9208 National Association of Mental Health Nursing http://www.anesm.net/ anesm1@gmail.com C/ Gallur Nº 451, local 5. 28047 Madrid Tel: 91 465 75 61. Fax: 91 465 94 58 Spanish Federation of Associations of Psychosocial Rehabilitation (FEARP) http://www.fearp.org/ Hospital of Zamudio. Arteaga Auzoa 45. 48170 Zamudio, Bizkaia Sociodrogalcohol. Spanish Scientific Society for Studies on alcohol, alcoholism, and other drug addictions http://www.socidrogalcohol.org/ Avda Vallcarca, 180. 08023 – Barcelona Tel: 93 210 38 54. Fax: 93 210 38 54 Spanish Society of Psychomatic Medicine http://www.semp.org.es/ sempsecretaria@wanadoo.es Avda San Juan Bosco 15. 50009 Zaragoza Spanish Society of Psychogeriatrics http://www.sepg.es/ jacb@ugr.es Department of Psychiatry Faculty of Medicine. Avda. de Ramón y Cajal, s/n. 47011 – Valladolid Spanish Society of Psychiatry http://www.sepsiq.org/ sep@sepsiq.es C/ Arturo Soria, 311 1º B. 28033 – Madrid Tel: 91 383 41 45. Fax: 91 302 05 56 Spanish Society of Biological Psychiatry (SEPB) http://www.sepb.es/ info@sepb.es C/ Arturo Soria 311, 1º B. 28033 Madrid Tel: 91 383 41 45 CLINICAL PRACTICE GUIDELINES FOR PSICHOSOCIAL INTERVENTIONS IN SEVERE MENTAL ILLNESS 135
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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
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After two years’ treatment, and b
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Family intervention vs. other psych
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1- 1- 1- 1- 1- 1- 1- 1- 1+ No diffe
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Question to be answered • Are pys
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Summary of evidence Pyschoeducation
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with schizophrenia and that the tre
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With reference to the type of train
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would normally receive and which in
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Hypnosis vs. relaxation No improvem
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Supervised fl ats are a community h
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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 115 and 116: 7. Recommendations for Future Resea
Page 117: Appendices
Page 120 and 121: Appendix 2. Information obtained fr
Page 122 and 123: Appendix 4. Information for people
Page 124 and 125: 4. Regulatory and legal framework 1
Page 126 and 127: Several protocols have been publish
Page 128 and 129: The coordination of these resources
Page 130 and 131: Social protection systems Pursuant
Page 132 and 133: Specifi c regulation • (SPANISH)
Page 134 and 135: Service Management: The first anti-
Page 138 and 139: Spanish Society of Legal Psychiatry
Page 140 and 141: Appendix 5. Abbreviations ACT Asser
Page 142 and 143: Appendix 6. Glossary Therapy adhere
Page 144 and 145: Appendix 7. Declaration of interest
Page 146 and 147: 15 Rossler W. Psychiatric rehabilit
Page 148 and 149: 53 Graeber DA, Moyers TB, Griffi th
Page 150 and 151: 86 Schooler NR, Keith SJ, Severe JB
Page 152 and 153: 117 Sohlberg MM, Mateer CA. Effecti
Page 154 and 155: 154 López M, García-Cubillana P,
Page 156 and 157: 190 Bond GR, Drake RE. Predictors o
Page 158 and 159: 225 Hurley AD. Individual psychothe
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