Implementation of the thinking skills for work program in a psychosocial clubhouse.

McGurk, Susan R.; Schiano, Diane J.; Mueser, Kim T.; Wolfe, Rosemarie

doi:10.2975/33.3.2010.190.199

Cited by 25 publications

(29 citation statements)

References 38 publications

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“…This percentage was not better than those reported by SoFA for HOPE alone either (HOPE = ~22%). Conversely, previous research has reported improved employment outcomes for CR and vocational training (TSW + Clubhouse = ~36 %) (McGurk et al, ).…”

Section: Discussionmentioning

confidence: 81%

“…Duration and intensity of the cognitive training were based upon previous findings of CR embedded within a comprehensive rehabilitation setting (e.g., CR+vocational support) (McGurk et al, , ). A noteworthy difference between the current study and previous work is that TSW includes collaboration with employment specialists during CR delivery, whereas all participants in this study were near to complete or had already completed the HOPE program.…”

Section: Discussionmentioning

confidence: 99%

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How Effective is Cognitive Remediation in Enhancing Vocational Outcomes for Job Seekers with Severe Mental Illness in Australia?

Contreras

Castle

Crosse³

et al. 2018

Australian Psychologist

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Objective Despite advances in the treatment of people with severe mental illness (SMI), access to work for this community still remains a challenge. Cognitive remediation (CR) is an intervention that can improve employment outcomes, especially when offered alongside employment support. This pilot study aimed to determine whether CR enhances vocational outcomes for job seekers participating in an innovative vocationally oriented psycho‐educational program implemented in Australia. Method Fourteen participants with SMI were enrolled in Health Optimisation Program for Employment (HOPE) and attended 20 sessions of CR. Assessments were performed at baseline, post‐CR, and 3 months follow‐up. Individuals were assessed on a number of occupational and psychosocial variables (e.g., hours of paid and unpaid work, self‐esteem, quality of life, social relationships), in addition to undertaking the MATRICS Consensus Cognitive Battery. Results There was no increase in hours of paid work for those in employment, but 46% of the group initiated tertiary studies between baseline and 3‐month follow‐up. There was a trend towards a significant increase in number of volunteer hours, with 31% of individuals having initiated a non‐paid activity at the end of the CR. As predicted, cognition improved over time as did psychosocial outcomes in the areas of self‐esteem, quality of life and social relationships. Conclusions Consistent with previous studies, CR improved psychosocial and cognitive functioning. While employment benefits were not found, promising outcomes were reported on volunteering and educational participation. This pilot suggests there may be potential for combining CR with HOPE to enhance vocation‐related participation and potential employability of job seekers with SMI in Australia. Given these preliminary findings, a further clinical trial with appropriate control group and sample size is required to validate the effectiveness of HOPE+CR.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

How Effective is Cognitive Remediation in Enhancing Vocational Outcomes for Job Seekers with Severe Mental Illness in Australia?

Contreras

Castle

Crosse³

et al. 2018

Australian Psychologist

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show abstract

“…Subjective well-being (naBeR, et al, 2005;lamBeRt, et al, 2006), quality of life (yunG, et al, 1996), cognition (GReen, et al, 2008;haRvey, et al, 2006;KeeFe, et al, 2010) and psychosocial performance, including employment (lehman, et al, 2002;evans, et al, 2004;mCGuRK, et al, 2010), have become endpoints of interest and goals for patients, families, clinicians and researchers (Kane et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

Treating patients with antipsychotics: an individualized management

Maia¹,

Meireles²,

Miná³

et al. 2015

Int Arch Med

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Introduction: Subjective well-being, quality of life, cognition and psychosocial performance, including employment, have become endpoints of interest and goals for patients, families, clinicians and researchers. In this line, it is important to clarify the adverse effects caused by antipsychotics in order to innovate and complement treatment of patients with an individualize approach according to the patient's needs and predispositions. Objectives:Discuss new treatment's way for patients using antipsychotics, elucidating the pros and cons of their use.Results: Atypical antipsychotics cause weight gain and lead to a higher risk of diabetes and other metabolic sequelae than their typical counterparts. Besides, second-generation(atypical) has also shown adverse effects like: akathisia, sedation, abnormal metabolic laboratory results, and weight gain. On the other hand, talking about the first-gentration (typical) antipsychotics, their clinical effectiveness is challenged by increased acute and chronic extrapyramidal side effects and related symptoms of dysphoria, compared to second-generation (atypical) antipsychotics. In addition, available evidence indicates that antipsychotic medications increase the risk of cerebrovascular adverse events (CVAEs) and death when used to treat elderly patients with Behavioral and Psychological Symptoms of Dementia (BPSD). Besides, some studies show that patient populations that are prescribed antipsychotic agents have a higher cardiovascular mortality rate than the general population. Considering that, we can see that each psychotic patient will need an individualized treatment according to their physical, social and psychological limitations and needs, leading us to realize the significance of this paper since it emphasizes the holistic management of this kind of patient.

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“…Adults with serious mental illness face significant challenges as they learn skills for a productive and satisfying life (McGurk et al, 2010; Tsang et al, 2010), with profound cognitive and social deficits interfering with the ability to navigate the job market and community resources (Bowie et al, 2012; Twamley et al, 2012; Reddy et al, 2014). These individuals may be referred to day treatment programs that tend to rely on traditional modes of treatment planning, where treatment providers decide on a ‘course’ of treatment and create a treatment plan that may be updated at only 6-month intervals, if then, and may not contain an evaluation of treatment effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Decisional Informatics for Psychosocial Rehabilitation

Choi¹,

Lysaker²,

Bell³

et al. 2017

J Nerv Ment Dis

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This study introduces a computerized clinical decision-support tool, the Fluid Outpatient Rehabilitation Treatment (FORT), that incorporates individual and ever-evolving patient needs to guide clinicians in developing and updating treatment decisions in real-time. In this proof-of-concept feasibility pilot, FORT was compared against traditional treatment planning using similar behavioral therapies in 52 adults with severe mental illness attending community-based day treatment. At post and follow-up, group differences and moderate to large effect sizes favoring FORT were detected in social function, work readiness, self-esteem, working memory, processing speed, and mental flexibility. Of participants who identified obtaining a GED as their primary goal, 73% in FORT passed the exam compared to 18% in traditional treatment planning. FORT was also associated with higher agency cost-effectiveness and a better average benefit-cost ratio, even when considering diagnosis, baseline symptoms, and education. While the comparison groups were not completely equivalent, the findings suggest computerized decision support systems that collaborate with human decision-makers to personalize psychiatric rehabilitation and address critical decisions may have a role in improving treatment effectiveness and efficiency.

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Implementation of the thinking skills for work program in a psychosocial clubhouse.

Abstract: The findings support the feasibility and promise of implementing the Thinking Skills for Work program in the context of supported employment provided at psychosocial clubhouses.

Cited by 25 publications

References 38 publications

How Effective is Cognitive Remediation in Enhancing Vocational Outcomes for Job Seekers with Severe Mental Illness in Australia?

How Effective is Cognitive Remediation in Enhancing Vocational Outcomes for Job Seekers with Severe Mental Illness in Australia?

Treating patients with antipsychotics: an individualized management

Decisional Informatics for Psychosocial Rehabilitation

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