Social Skills Training for Chronic Mental Patients

Liberman, Robert Paul; Massel, H. Keith; Mosk, Mark D.; Wong, Stephen E.

doi:10.1176/ps.36.4.396

Cited by 87 publications

(63 citation statements)

References 34 publications

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“…Although participants are responding in reliable and theoretically-consistent fashion, it is unclear the extent to which their verbal behavior generalizes to other types of behavior. The degree to which behavior observed under controlled conditions generalizes to other situations encountered by persons with a SPMI has long been a source of concern (Bellack & Mueser, 1992;Liberman, DeRisi, & Mueser, 1989). We are in the process of evaluating the relationships between self-report measures of readiness-to-change and other behavioral indices (e.g., substance use and treatment attendance), to provide additional evidence of the utility of this construct in the treatment of comorbid psychiatric and substance use disorders.…”

Section: Discussionmentioning

confidence: 99%

Measuring readiness-to-change substance misuse among psychiatric outpatients: I. Reliability and validity of self-report measures.

et al. 2001

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Objective-The high rates of comorbid substance use disorders among persons living with severe and persistent mental illness (SPMI) have increased interest in assessing and enhancing motivation to change substance misuse in this population. This study provides evidence for the psychometric adequacy of three self-report measures of readiness-to-change.Method-The sample consisted of 84 persons (65% men) with co-occurring substance abuse or dependence and an SPMI. After a psychiatric assessment, participants completed three measures of readiness-to-change, which yielded seven subscales: (1) the Stages of Change Readiness and Treatment Eagerness Scale (ambivalence about change, recognition of substance-related problems, taking steps), (2) Decisional Balance Scale (pros of using, cons of using) and (3) the Alcohol and Drug Consequences Questionnaire (costs of quitting, benefits of quitting).Results-All of the subscales were stable over time, and 6 of the 7 subscales demonstrated excellent internal consistency. Reliability indices were comparable when analyses were repeated on subsets of participants defined by diagnosis, cognitive function, positive symptoms and negative symptoms. A pattern of theoretically meaningful intercorrelations provided convergent evidence of validity, and a general lack of relationships with demographic variables and indices of psychiatric status provided discriminant evidence of validity. These findings support efforts to quantify readiness-to-change substance misuse among persons with an SPMI.Substance use disorders are highly prevalent among persons with schizophrenia and other major mental illnesses. Persons with major (Axis I) mental disorders have three times the risk of drug or alcohol diagnoses compared to the rest of the population (Regier et al., 1990). Persons with schizophrenia represent a particularly high risk group for problems related to substance use. Among all persons with a diagnosis of schizophrenia, 47% meet lifetime criteria for a substance use disorder (Regier et al., 1990). This prevalence rate is often higher in samples of schizophrenic patients in treatment (Mueser et al., 1990;Test, Wallisch, Allness, & Ripp, 1989).A diagnosis of substance abuse or dependence impairs both the process and outcome of mental health treatment. Symptom exacerbation and psychiatric admissions have both been linked to acute drug use in outpatients with a severe and persistent mental illness (SPMI), such as schizophrenia (Haywood et al., 1995;Shaner et al., 1995). Individuals enrolled in outpatient treatment and "dually diagnosed" with psychiatric and substance use disorders exhibit poor (Keck, McElroy, Strakowski, Bourne, & West, 1997;Owen, Fischer, Booth, & Cuffel, 1996;Pristach & Smith, 1990), report more severe psychiatric symptoms (Carey, Carey, & Meisler, 1991), and involve themselves minimally in structured treatment programs Lehman, Herron, Schwartz, & Myers, 1993;Richardson, Craig, & Haugland, 1985). This pattern of poor treatment compliance and exacerbated symptoms leads ...

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Section: Discussionmentioning

confidence: 99%

Measuring readiness-to-change substance misuse among psychiatric outpatients: I. Reliability and validity of self-report measures.

et al. 2001

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“…Descriptions of recent treatment approaches are readily available to the interested clinician (e.g. Leff et al 1982;Curran & Monti, 1982;Kelly, 1982;Falloon et al 1984;Anderson et al 1986;Liberman et al 1989) as are training opportunities. Recent advances in the psychosocial treatment of schizophrenia, fuelled by a surge in funding for schizophrenia research, make this an exciting and hopeful area in which to work.…”

Section: Implications For Future Treatment and Researchmentioning

confidence: 99%

Psychodynamic treatment of schizophrenia: is there a future?

Mueser¹,

Berenbaum²

1990

Psychol. Med.

116

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“…C'est aussi un module où les intervenants se sont grandement inspirés des autres programmes d'habiletés sociales déjà implantés dans leur milieu (Bellack et al, 1997 ;Liberman et al, 1989). Ce module offre donc une bonne flexibilité permettant d'ajouter du matériel pour l'animation.…”

Section: Le Module 4 : Habiletés Socialesunclassified

Implantation multisite du programme Integrated Psychological Treatment (IPT) pour les personnes souffrant de schizophrénie. Élaboration d’une version renouvelée

Briand

Bélanger²,

Hamel

et al. 2005

smq

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Le programme Integrated Psychological Treatment (IPT) de Brenner et al. (1992), d’approche cognitivo-comportementale, a été implanté dans neuf milieux cliniques offrant des services aux personnes souffrant de schizophrénie. Une étude a permis de suivre l’implantation du programme IPT dans chacun des milieux, plus particulièrement d’évaluer le niveau de satisfaction des participants et des intervenants et d’identifier les points forts et les améliorations souhaitées. Les résultats permettent de constater que l’implantation a été un succès pour l’ensemble des neuf milieux. Les intervenants et les participants ont apprécié non seulement la structure hiérarchique qui tient compte davantage des besoins en réadaptation des personnes souffrant de schizophrénie, mais aussi son cadre d’application privilégié qui permet le suivi régulier d’un même groupe de patients pendant une année. Les modifications et ajouts proposés ont permis de développer une version québécoise du programme favorisant davantage l’atteinte des objectifs, particulièrement ceux liés au maintien et à la généralisation des apprentissages dans le contexte de vie réelle des participants.Brenner’s Integrated Psychological Treatment (IPT) program (Brenner et al., 1992 ; Pomini et al., 1998), a cognitive-behavioural approach, was implemented in nine of Quebec’s clinical settings that treat people with schizophrenia. A study allowed an evaluation of the IPT program in each location, with emphasis on the level of satisfaction of both participants and professionals, the program’s strong points, and areas where improvements were needed. The results have shown that the implementation of the program has been successful in all nine clinical settings. Professionals and participants appreciated the IPT program not only for its hierarchic structure that considers the rehabilitation needs of people affected by schizophrenia, but also for its customised application framework, which allows a regular follow-up of a similar group of patients over the course of a one year period. As a result of this study, the modifications proposed and additions have enabled the creation of a Quebec version of the IPT program, which better achieves its objectives, particularly those relating to the maintenance and generalisation of social learning in the context of a participant’s real-life situation.El programa de Tratamiento Psicológico Integral (Integrated Psychological Treatment IPT) de Brenner (Brenner et al., 1992; Pomini et al., 1998), de enfoque cognitivo-comportamental, ha sido implantado en nueve medios clínicos quebequenses que ofrecen servicios a personas que sufren de esquizofrenia. Un estudio ha permitido dar seguimiento a la implantación del programa IPT en cada uno de los medios, en particular, evaluar el nivel de satisfacción de los participantes y de los interventores acerca del programa e identificar los puntos fuertes y las mejoras deseadas. Los resultados permiten constatar que la implantación del programa ha sido un éxito en los nueve medios. Los interventores y los pa...

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Social Skills Training for Chronic Mental Patients

Cited by 87 publications

References 34 publications

Measuring readiness-to-change substance misuse among psychiatric outpatients: I. Reliability and validity of self-report measures.

Measuring readiness-to-change substance misuse among psychiatric outpatients: I. Reliability and validity of self-report measures.

Psychodynamic treatment of schizophrenia: is there a future?

Implantation multisite du programme Integrated Psychological Treatment (IPT) pour les personnes souffrant de schizophrénie. Élaboration d’une version renouvelée

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