Peer-counseling in schizophrenia: Patients consult patients

Rummel‐Kluge, Christine; Stiegler-Kotzor, Michaela; Schwarz, Christian; Hansen, Wulf–Peter; Kissling, Werner

doi:10.1016/j.pec.2007.11.001

Cited by 21 publications

(9 citation statements)

References 23 publications

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“…The collective effect increased patients' hope and social functioning, as confirmed by another pilot study demonstrating a significantly greater improvement in the relationship perspective, problem solving perspective, and clarification perspective among patients participating in peer group treatment, as compared to the standard treatment group. 105 Randomized controlled trials for depression comparing CT to medication appeared in 1997. CBT is now recognized as an effective empirically supported treatment for several psychiatric disorders.…”

Section: Discussionmentioning

confidence: 99%

Support management in schizophrenia: a systematic review of current literature

Pompili¹,

Montebovi²,

Forte³

et al. 2012

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Background: Schizophrenia is generally considered a chronic disorder characterized by psychotic symptoms and relatively stable neurocognitive and interpersonal deficits. Antipsychotic medication has proven beneficial in reducing psychotic symptoms, but is often not enough to treat cognitive or functional impairments. Residual cognitive impairments are barriers to a patient's full recovery from schizophrenia. Rehabilitation is an alternative and important approach which may be useful, and encompasses a variety of treatments including social skills training and psychoeducational and cognitive behavioral treatments. Objective: To investigate the efficacy of psychosocial treatments in schizophrenia, evaluating its effects in the short and long term, comparing psychosocial treatments with pharmacotherapy, and assessing the effects of treatment and the main indications for use in patients with schizophrenia. Methods: A careful MEDLINE ® , Excerpta Medica, PsycLIT ® , PsycINFO ® , and IndexMedicus search was performed to identify all papers and book chapters in English for the period 1970-2012. Results:Findings from the studies included in this qualitative analysis suggest that social skills therapy, cognitive behavioral therapy, family intervention therapy, cognitive remediation therapy, and other nonpharmacological therapeutic strategies may be beneficial for patients with significant functional and symptomatic impairments. Conclusion: Schizophrenic patients treated with nonpharmacological techniques have more rapid remission and relapse less frequently than patients treated only pharmacologically.

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Section: Discussionmentioning

confidence: 99%

Support management in schizophrenia: a systematic review of current literature

Pompili¹,

Montebovi²,

Forte³

et al. 2012

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“…Various forms of user involvement include: peer-run services, mutual support and peer support (Davidson et al 2006). Peer supports in various psychiatric services have produced encouraging results (Rummel-Kluge et al 2008).…”

Section: Supportsmentioning

confidence: 99%

Psychiatric rehabilitation in Europe

Rössler

Drake

2017

Epidemiol Psychiatr Sci

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To describe the core elements of modern psychiatric rehabilitation. Based on selected examples we describe the discussion about values in mental health care with focus on Europe. We present outcome data from studies, which have tried to implement care structures based on this value discussion. In the second half of the 20th century, mental health care in all European and other high-income countries changed conceptually and structurally. Deinstitutionalisation reduced the number of psychiatric beds and transferred priority to outpatient care and community-based services, but community mental health programs developed differently across and within these countries. High-income countries in Europe continued to invest in costly traditional services that were neither evidence-based nor person-centered by emphasising inpatient services, sheltered group homes and sheltered workshops. We argue that evidence-based, person-centred, recovery-oriented psychiatric rehabilitation offers a parsimonious solution to developing a consensus plan for community-based care in Europe. The challenges to scaling up effective psychiatric rehabilitation services in high-income countries are not primarily a lack of resources, but rather a lack of political will and inefficient use and dysfunctional allocation of resources.

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“…Die ¹Patientensprech− stunde" (¹peer−counseling") bietet Patienten die Möglichkeit sich in einem Gespräch unter vier Augen mit all ihren Fragen be− züglich ihrer schizophrenen Erkrankung ebenfalls an einen aus− gebildeten selbst Betroffenen zu wenden. Die Nutzer solcher ¹Patientensprechstunden" berichten u. a., dass die dort vermit− telten Inhalte glaubwürdiger seien und besser akzeptiert wür− den, weil sie von Menschen stammen, die von derselben Krank− heit betroffen sind wie der Ratsuchende selbst [73]. Erste Ergeb− nisse einer ¹peer−to−peer"−Psychoedukation bei schizophrenen Patienten zeigen einen signifikanten Wissenszuwachs und eine signifikante Veränderung des Krankheitskonzepts in Richtung bessere Compliance.…”

Section: Welche Bedürfnisse Haben Die Betroffenen? Wunsch Nach Informunclassified