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86 Schooler NR, Keith SJ, Severe JB, Matthews SM, Bellack AS, Glick ID, et al. Relapse and rehospitalization during maintenance treatment of schizophrenia: the effects of dose reduction and family treatment. Arch Gen Psychiatry. 1997;54(5):453-63. 87 Bressi C, Manenti S, Frongia P, Porcellana M, Invernizzi G. Systemic family therapy in schizophrenia: a randomized clinical trial of effectiveness. Psychother Psychosom. 2008;77(1):43-9. 88 Montero I, Asencio A, Hernandez I, Masanet MJ, Lacruz M, Bellver F, et al. Two strategies for family intervention in schizophrenia: a randomized trial in a Mediterranean environment. Schizophr Bull. 2001;27(4):661-70. 89 Falloon IR, Montero I, Sungur M, Mastroeni A, Malm U, Economou M, et al. Implementation of evidence-based treatment for schizophrenic disorders: two-year outcome of an international fi eld trial of optimal treatment. World Psychiatry. 2004;3(2):104-9. 90 Hogarty GE, Anderson CM, Reiss DJ, Kornblith SJ, Greenwald DP, Ulrich RF, et al. Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia: II. Two-year effects of a controlled study on relapse and adjustment.Environmental-Personal Indicators in the Course of Schizophrenia (EPICS) Research Group. Arch Gen Psychiatry. 1991;48(4):340-7. 91 Lemos S, Vallina O, García Saiz A, Gutiérrez Pérez AM, Alonso Sánchez M, Ortega JA. Evaluación de la efectividad de la terapia psicológica integrada en la evolución a largo plazo de pacientes con esquizofrenia. Actas Esp Psiquiatr. 2004;32(3):166-77. 92 Brenner HD, Roder V, Hodel B, Kienzle N. Integrated psychological therapy for schizophrenic patients (IPT). Seattle: Hogrefe & Huber; 1994. 93 Roder V, Mueller DR, Mueser KT, Brenner HD. Integrated psychological therapy (IPT) for schizophrenia: is it effective? Schizophr Bull. 2006;32 Suppl 1:S81-93. 94 Miklowitz DJ, Simoneau TL, George EL, Richards JA, Kalbag A, Sachs-Ericsson N, et al. Family-focused treatment of bipolar disorder: 1-year effects of a psychoeducational program in conjunction with pharmacotherapy. Biol Psychiatry. 2000;48(6):582-92. 95 Miller IW, Solomon DA, Ryan CE, Keitner GI. Does adjunctive family therapy enhance recovery from bipolar I mood episodes? J Affect Disord. 2004;82(3):431-6. 96 Rea MM, Tompson MC, Miklowitz DJ, Goldstein MJ, Hwang S, Mintz J. Family-focused treatment versus individual treatment for bipolar disorder: results of a randomized clinical trial. J Consult Clin Psychol. 2003;71(3):482-92. 97 Justo LP, Soares BG, Calil HM. Family interventions for bipolar disorder. Cochrane Database Syst Rev. 2007;(4):CD005167. 98 Goldstein MJ, Rea MM, Miklowitz DJ. Family factors related to the course and outcome of bipolar disorder. En: Mundt C, Goldstein MJ, Hahlweg K, editors. Interpersonal factors in affective disorders.London: Royal College of Psychiatrists; 1996. p. 193-203. 99 Miklowitz DJ, Simoneau TL, Sachs-Ericsson N, Warner R, Suddath R. Family risk indicators in the course of bipolar affective disorder. En: Mundt C, Goldstein MJ, Hahlweg K, Fiedler P, editors. Interpersonal factors in the origin and course of affective disorders. London: Gaskell Books; 1996. p. 204-17. 100 Ryan CE, Keitner GI, Solomon DA, Kelley JE, Miller IW. Factors related to a good, poor, or fl uctuating course of bipolar disorder. 156th Annual Meeting of the American Psychiatric Association, May 17-22. San Francisco CA 2003. 148 CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS
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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
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1+ 1+ 1++ 1+ 1+ 1+ 1+ The people in
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Music therapy Music therapy + stand
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A series of Case Management systems
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• 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 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 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 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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