A systematic review of the implementation of recommended psychological interventions for schizophrenia: Rates, barriers, and improvement strategies

Abstract

Inequalities in the provision of psychological therapies for schizophrenia persist. Good quality cognitive behavioural therapy and FI training do not ensure implementation. Collaboration at all levels of healthcare is needed for effective implementation.

The Changing Face of Hallucination Research: The International Consortium on Hallucination Research (ICHR) 2015 Meeting Report: Table 1.

“…Such barriers are not about the lack of knowledge, but the lack of use of existing knowledge, given that practice guidelines (eg, cognitive behavioral therapy for psychosis, and family interventions) are rarely offered systematically in clinical practice. 12,13 Difficulties include the transfer of knowledge gained under rigorous experimental conditions to clinical settings, which are often under-resourced and under pressure to provide services to clients with varied capacity and multiple comorbidities. Discussions considered the value of stepped-care models for hallucinations that provide low-intensity, low-cost, and highly accessible treatments, suitable for use by different practitioners and enhanced collaborative efforts amongst "voices clinics" to develop, test, and make widely available educational materials and resources for use across internationally varied mental health service systems.…”

Iloperidone in the treatment of schizophrenia: an evidence-based review of its place in therapy

“…The median incidence of schizophrenia in general population is ~1%, with 15.2 per 100,000 persons affected 11,12. This disorder affects both genders equally, despite being prone to occur earlier in men, and the effects can be long term and pervasive, with relapse being common.…”

“…This disorder affects both genders equally, despite being prone to occur earlier in men, and the effects can be long term and pervasive, with relapse being common. Although some variation by race or ethnicity has been reported, no racial differences in the prevalence of schizophrenia have been positively identified 12,13. The first episode of psychosis usually occurs in late adolescence or early adulthood, but it is frequently preceded by a prodromal phase or a so-called at-risk mental state 4,13…”

A Web-Based Intervention for Relatives of People Experiencing Psychosis or Bipolar Disorder: Design Study Using a User-Centered Approach (Preprint)

“…Family intervention requires a trained member of staff to meet with family members face to face on a regular basis and has shown to be effective in reducing relapse rates for people with mental health problems [17,18], and improving relative's wellbeing [19]. However, delivering family intervention through health and social care services can be challenging due to: 1) practical difficulties gathering all family members in one room during working hours due to work and family commitments; 2) costly nature of face to face model; 3) lack of resources in services [20]. The rates of implementation for family intervention in the UK varies from 0% to 53% [20], in Western Europe is up to 15% and only about 10% of families receive family intervention in the United States [21].…”

“…However, delivering family intervention through health and social care services can be challenging due to: 1) practical difficulties gathering all family members in one room during working hours due to work and family commitments; 2) costly nature of face to face model; 3) lack of resources in services [20]. The rates of implementation for family intervention in the UK varies from 0% to 53% [20], in Western Europe is up to 15% and only about 10% of families receive family intervention in the United States [21].…”