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Psychosocial treatment approaches for schizophrenia

Mueser, Kim T.a; Bond, Gary R.b

Current Opinion in Psychiatry:
Review Article
Abstract

Significant advances have been made in the psychosocial treatment of schizophrenia and other severe mental illnesses. Research provides the strongest support for six different interventions: the assertive community treatment model of case management; the supported employment approach to vocational rehabilitation; family intervention; skills training and illness self-management; cognitive-behavioral therapy for psychotic symptoms; and integrated mental health and substance misuse treatment for ‘dually diagnosed’ patients. Recent research, including randomized clinical trials, provides further support for the effects of these interventions and points to new areas of inquiry, including fidelity to treatment and differential treatment prediction.

Author Information

aDepartment of Psychiatry, Dartmouth Medical School, New Hampshire-Dartmouth Psychiatric Research Center, Concord, New Hampshire, and bDepartment of Psychology, Indiana University, Purdue University, Indianapolis, Indiana, USA

Correspondence to Kim T. Mueser, Ph.D., NH-Dartmouth Psychiatric Research Center, Main Building, 105 Pleasant St., Concord, NH 03301, USA. Tel: +1 603 271 5747; fax: +1 603 271 5265; e-mail: kim.t.mueser@dartmouth.edu

AbbreviationsACT: assertive community treatmentCBT: cognitive-behavioral therapyIPS: Individual Placement and SupportRCT: randomized clinical trialSMI: severe mental illnessTCM: traditional case management

© 2000 Lippincott Williams & Wilkins, Inc.