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

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Appendix 6. Glossary Therapy adherence: Active and voluntary involvement of the patient in a mutually agreed and accepted behaviour course in order to produce a desired therapeutic result. Psychosocial rehabilitation centres: Specific resource, aimed at the population with severe and chronic psychiatric disorders, who have difficulties in their psychosocial functioning and in their integration into the community. The aim is to offer psychosocial rehabilitation and community support programmes that facilitate the improvement of their level of autonomy and functioning, as well as support their maintenance and social integration into the community, in the best possible conditions of normalisation, independence and quality of life. Expert collaborators: Clinical professionals with knowledge and experience on specific subjects of the CPG and ideally with prestige in the field where the guideline is developed. They participate in defining the initial clinical questions and reviewing the recommendations 5 Comorbility in psychiatry: The World Health Organisation (WHO) defines comorbility or dual diagnosis as the co-existence in the same individual of a disorder induced by the consumption of a psychoactive substance and a psychiatric disorder. Prosocial behaviours: Acts carried out in benefit of other people; ways of responding to them with sympathy, condolence, cooperation, help, rescue, comforting and delivery or generosity. Disability: According to the WHO “Within the health experience, a disability is any restriction or absence (due to a deficiency) of the ability to carry out an activity in the way or within the margin that is considered normal for a human being.” Randomised control trial: An experimental study in which the participants are randomly assigned to receive a treatment or intervention from among 2 or more possible options. Control Group: A control group in a clinical trial is the group that has not received the intervention of interest and serves as the standard of comparison to evaluate the effects of a treatment. Experimental group: In a clinical trial, the group that receives the treatment under study, in comparison with the reference group that receives placebo or an already known, accepted and established active treatment. Interdisciplinary: Carried out with the collaboration of several disciplines. Distal measurements: Measurements related to distant circumstances in a space-time sense of the intervention under study. Proximal measurements: Measurements related to immediate circumstances in a spacetime sense of the intervention under study. Multidisciplinary: Which cover or affect several disciplines. Level of evidence: Hierarchic classification of the evidence according to the scientific rigour of the design of the studies. Relapse: Increase of symptoms of the illness after a period of reduction or elimination of such symptoms. It can be operatively defined as equivalent to “rehospitalisation”, increase in the intensity of the care, increase in psychopathological severity, as reduction of social functioning or even as a need for change in clinical care. External reviewers: Clinical professional with knowledge and experience in the specific subjects of the CPG and ideally with prestige in the field where the guideline is developed. They only participates in the final phase of the guideline, reviewing the provisional draft of the CPG 5 . 140 CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS
Effect Size (ES): it is the measurement of the force of the relationship between two variables. Following the recommendations of Cohen, the values are equivalent to: D= 0.2 “small effect”, around d = 0.5 “medium” effect and d = 0.8 on “large” effect, although this interpretation depends on the context. The size of the weighted effect (ESw) will refer to the statistical control exercised on the influence of the different in sample sizes. Standard (or normal) treatment: Treatment that is received in the normal medium that includes medication, hospitalisation, nursing care and that is conditioned by the personal preferences of the people, the criteria of the professionals and availability of resources. Hospital rehabilitation unit: Hospital health mechanism designed to satisfy integrated treatment, rehabilitation and containment functions. CLINICAL PRACTICE GUIDELINES FOR PSICHOSOCIAL INTERVENTIONS IN SEVERE MENTAL ILLNESS 141
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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
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SMI (schizophrenia, affective schiz
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When PVT is compared with standard
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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
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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
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Page 111: ceptive disorders. This series of c
Page 115 and 116: 7. Recommendations for Future Resea
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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 136 and 137: on Mental Health and the future Eur
Page 138 and 139: Spanish Society of Legal Psychiatry
Page 140 and 141: Appendix 5. Abbreviations ACT Asser
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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