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

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A B A A B B B C Psychosocial intervention programmes must be offered that include family intervention with a pyschoeducational component and coping and social skills training techniques, added to the standard treatment for people with SMI and diagnosis of non-affective psychosis. Family members and caregivers of people with SMI and a diagnosis of bipolar disorder must be offered group pyschoeducational programmes that include information and coping strategies that permit discussions within a friendly emotional climate. 5.1.6. Pyschoeducational interventions Quality information must be provided about the diagnosis and the treatment, giving support and handling strategies to people with SMI and diagnosis of schizophrenia and related disorders, to the family members and to the people with whom they live. Pyschoeducational programmes that are offered to people with SMI and diagnosis of schizophrenia and related disorders must incorporate the family. Group pyschoeducational programmes aimed at people with SMI and diagnosis of bipolar disorder must incorporate specific psychological techniques, carrying them out in a relatively stable period of their disorder and always as a supplement to the psychopharmacological treatment. The pyschoeducational programmes for people with SMI must be integrated as an additional intervention in an individualised treatment plan, whose duration will be proportional to the objectives proposed, considering a minimum of 9 months’ intensive programme and the need for undefined refresher sessions. 5.1.7. Cognitive rehabilitation People with SMI and diagnosis of schizophrenia and related disorders that have cognitive impairment must be offered cognitive rehabilitation programmes. Cognitive rehabilitation programmes aimed at people with SMI and cognitive impairment must be integrated into more extensive psychosocial rehabilitation programmes. From the cognitive rehabilitation interventions or programmes aimed at people with SMI, it is advisable to choose those that include or are accompanied by “compensatory” interventions, in other words, changes in strategy, and training in coping skills or techniques. 5.1.8. Other psychotherapies Sufficient evidence has not been found to make recommendations related to morita therapy, drama therapy, distraction therapy and hypnosis in the treatment of people with SMI. 16 CLINICAL PRACTICE GUIDELINES IN THE SPANISH NHS
D D A C D B B C 5.2. SOCIAL INTERVENTIONS 5.2.1. Daily living skills programmes Daily living skills training programmes could be offered to people with SMI in order to improve their personal independence and their quality of life. 5.2.2. Residential programmes in the community For people with SMI who require support to remain in their accommodation D it is advisable that the community residential offers include more extensive psychosocial programmes 5.2.3. Programmes aimed at leisure and spare time People with SMI and deficiencies perceived in their social relations should follow community leisure and spare time programmes. During the monitoring of the individualised therapeutic programme, it is advisable to systematically assess the need to use spare time programmes and offer them to people with SMI who require them. 5.2.4. Programmes aimed at employment Sheltered employment programmes are necessary for people with SMI who express their desire to return to work or get a first job. Programmes based on placement models are recommended, with a short preliminary training period, immediate placement, and with frequent individual support. Sheltered employment programmes aimed at searching for normalised employment must not be the only programmes related to labour activity that are offered to people with SMI. It would be recommendable for the psychosocial rehabilitation centres that look after people with SMI and diagnosis of schizophrenia and related disorders, to include employment integration programmes. When employment insertion programmes are offered to people with SMI, the preferences on the type of job to be carried out must be assessed and taken into account. For people with SMI and diagnosis of schizophrenia and related disorders, who have a history of previous job failure, it would be advisable to incorporate cognitive rehabilitation as a part of the employment programmes they are going to participate in. The mental health teams, in coordination with the institutions and other social agents involved, must advise about all types of employment resources, aimed at gainful occupation and production, and adapted to the local employment opportunities. Likewise, they must be orientated towards interventions that put into motion different devices adapted to the needs and to the ability level of the people with SMI, to increase stable and productive occupation expectations. 5.2.5. Other therapeutic interventions Music therapy and art therapy could be offered to people with SMI and schizophrenia and related disorders as a therapeutic complement to other types of interventions. CLINICAL PRACTICE GUIDELINES FOR PSICHOSOCIAL INTERVENTIONS IN SEVERE MENTAL ILLNESS 17
Page 1: Clinical Practice Guidelines for Ps
Page 4 and 5: This CPG is an aid for decision mak
Page 7 and 8: Table of Contents Presentation 7 Au
Page 9 and 10: Presentation Healthcare practice is
Page 11 and 12: Authorship and collaborators CPG de
Page 13: José Manuel Lalana Cuenca. Special
Page 16 and 17: c) SERVICE LEVEL INTERVENTIONS •
Page 20 and 21: B B B C A C C 5.3. SERVICE LEV
Page 22 and 23: 20 CLINICAL PRACTICE GUIDELINES IN
Page 24 and 25: independence, quality of life, pers
Page 26 and 27: This guideline is aimed at mental h
Page 28 and 29: Figure 1. Search Strategy Search fo
Page 30 and 31: The highest evidence level found wa
Page 33 and 34: 4. Characteristics of the CPG 4.1.
Page 35 and 36: The main focus of rehabilitation is
Page 37 and 38: 5. Psychosocial type rehabilitation
Page 39 and 40: From another point of view, social
Page 41 and 42: defined as “standard care” or
Page 43 and 44: General global state In the short r
Page 45 and 46: Specific symptoms: when CBT was com
Page 47 and 48: In the systematic review by Kurtz a
Page 49 and 50: Summary of evidence 1- 1- 1- 1- 1-
Page 51 and 52: People with SMI and a diagnosis of
Page 53 and 54: 5.1.3. Interpersonal therapy The li
Page 55 and 56: weekly or fortnightly sessions. The
Page 57 and 58: 5.1.5. Family interventions There a
Page 59 and 60: In the RCT carried out by Hogarty e
Page 61 and 62: 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
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Hypnosis vs. relaxation No improvem
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Supervised fl ats are a community h
Page 83 and 84:
3 Programmes directed to leisure an
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SMI (schizophrenia, affective schiz
Page 87 and 88:
When PVT is compared with standard
Page 89 and 90:
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
Page 95 and 96:
A series of Case Management systems
Page 97 and 98:
• The satisfaction data originati
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Loss of contact With respect to the
Page 101 and 102:
There is not sufficient evidence, e
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1+ 1+ 1+ 1+ Respect to ICM teams or
Page 105 and 106:
Finally, in the RCT by Cheng et al
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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
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7. Recommendations for Future Resea
Page 117:
Appendices
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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
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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
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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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