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

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specific elements depending on the existing paradigm. On the one hand, there are interventions based on the rehabilitating paradigm (repetition) and others based on the compensating paradigm. Furthermore, it is not the same as focusing the measurements in molecular cognitive functions (cognitive functions that can be atomised and analysed as a simple answer system), performance in certain tests, or in psychosocial functioning, which requires generalisation. The applicability to the Spanish health system of this type of intervention is limited by the number of hours required for their application, which makes it difficult to include them in the normal practice in the Mental Health Centres, compared with specific units. Furthermore, these are techniques that require specific capacity-building of the staff and their effect is moderate: the distal objective is the improvement in social functioning, an aspect that other interventions also address such as, for example, social skills training. There is also a risk of taking resources from other interventions. Cognitive rehabilitation in people with SMI and a diagnosis of schizophrenia and related disorders SR (1+) SR (1+) SR (1-) SR (1+) Cognitive rehabilitation produces the following effects (ES data according to the effect size by Cohenb) 125 . With reference to global cognition in the meta-analysis performed by Krabendam & Aleman, it is suggested that cognitive rehabilitation may improve the development of tasks (ES = 0.45; 95% CI: between 0.26 and 0.64) but no significant difference has been detected in cognitive improvement according to the number of sessions (if there are < 15 sessions compared with > 15 sessions) (p=0.978) 120 , MacGurk et al. 121 also indicate that cognitive rehabilitation improves global cognition (significant for 6 of the 7 cognitive domains assessed) (n=1.214; p
With reference to the type of training, the interventions that include the design of (compensatory) strategies offered better results than those that did not do so or than those based on (rehabilitating) repetition for the psychosocial functioning area but not for the cognitive area (ES = 0.52, 95% CI: between 0.25 and 0.78) vs. (ES = 0.34; 95% CI: between -0.03 and 0.70) 120 . The data provided with respect to the maintenance of the effect of the programmes, after they end, indicate that: In the review by McGurk et al 121 the post-treatment results are maintained for 8 months (p
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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
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: with schizophrenia and that the tre
Page 77 and 78: would normally receive and which in
Page 79 and 80: Hypnosis vs. relaxation No improvem
Page 81 and 82: Supervised fl ats are a community h
Page 83 and 84: 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
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Several protocols have been publish
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The coordination of these resources
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Social protection systems Pursuant
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Specifi c regulation • (SPANISH)
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Service Management: The first anti-
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on Mental Health and the future Eur
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Spanish Society of Legal Psychiatry
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Appendix 5. Abbreviations ACT Asser
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Appendix 6. Glossary Therapy adhere
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Appendix 7. Declaration of interest
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15 Rossler W. Psychiatric rehabilit
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53 Graeber DA, Moyers TB, Griffi th
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86 Schooler NR, Keith SJ, Severe JB
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117 Sohlberg MM, Mateer CA. Effecti
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154 López M, García-Cubillana P,
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190 Bond GR, Drake RE. Predictors o
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225 Hurley AD. Individual psychothe
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