CLINICAL HANDBOOK OF SCHIZOPHRENIA

27. Illness Self-Management Training 275TABLE 27.2. Examples of Illness Self-Management ProgramsProgramIllness managementand recovery(Gingerich & Mueser,2005b); downloadable atwww.samhsa.govPersonal therapy(Hogarty, 2002)Social and independentliving skills (Liberman,et al., 1993); modulescan be purchased atwww.psychrehab.comTeam Solutions(Scheifler, 2000);downloadable atwww.treatmentteam.comContent• Defining what recoverymeans to the individual• Setting personal recoverygoals• Ten educational modules:• Recovery Strategies• Practical Facts aboutMental Illness• Stress–VulnerabilityModel• Building Social Support• Using MedicationEffectively• Drug and Alcohol Use• Reducing Relapses• Coping with Stress• Coping with Problemsand Symptoms• Getting Your Needs metin the Mental HealthSystemClinician helps client with• Developing a treatmentplan• Learning aboutschizophrenia• Resuming tasks andresponsibilities• Developing strategies forcoping with stress andsymptoms• Improving social skillsEight modules:• Medication Self-Management• Symptom Self-Management• Recreations for Leisure• Basic Conversation Skills• Community Reentry• Workplace Fundamentals• Substance AbuseManagement• Friendship and IntimacyTen modules:• Understanding YourIllness• Understanding YourSymptoms• You and YourTreatment Team• Recovering From MentalIllness• Understanding YourTreatment• Getting the Best Resultsfrom Your MedicineApproximatelength and format8–10 months ofweekly or twiceweeklysessions;individual or groupformat1 year of weeklysessions, up to 2years of sessionsevery other week;individual format3–4 months ofweekly sessionsper module (24–32months to completeall 8 modules);group format4–5 months ofweekly sessions;usually in groupformat, but canalso be providedto individualsDistinguishingcharacteristics• Emphasis on setting andachieving personalrecovery goals• Clinicians trained to usemotivational,educational, andcognitive-behavioralstrategies, and socialskills training techniques• Clients practice skills insessions and as part ofhome assignments• Introductory video andpractice demonstrationvideo• Client manual andclinician manual• Clients encouraged toinvolve family membersand other supporters• An individualpsychotherapeuticapproach• Clinicians use acombination oftechniques, includingcoping skills trainingand social skills training• Family involvementencouragedTrainers’ manuals• Client workbooks• Videos for each modulewhere skills aredemonstrated• Clients practice theskills in session and dorelated homeassignments• Clinicians primarily usesocial skills trainingtechniques• Introductory video• Trainer’s manual• Well-developed andeasy-to-read educationalbooklets for clients• Focuses primarily onproviding education(continued)