The Psychosis Project: outcome and cost‐effectiveness of a psychoeducational treatment programme for schizophrenic adolescents

Rund, Bjørn Rishovd; Moe, Lars C.; Sollien, T.; Fjell, Anne; Borchgrevink, T.S.; Hallert, M.; Naess, Per

doi:10.1111/j.1600-0447.1994.tb08094.x

Cited by 98 publications

(61 citation statements)

References 23 publications

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“…While the Rund et al study (38) provided cost data, the Lehtinen study (37) did not. Nevertheless, it is clear from the Lehtinen study that a group of 28 patients treated with an emphasis on crisis-oriented family interventions had less than half the number of inpatient days in comparison with that of an earlier series of patients for whom the emphasis was on individual and milieu therapy.…”

Section: Studies In Which Treatment Was Not Randomly Assignedmentioning

confidence: 99%

The economic impact of psychotherapy: a review

Gabbard

Lazar²,

Hornberger³

et al. 1997

AJP

134

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studies designed to investigate the effect of psychotherapy on subsequent medical care utilization. Of these studies, 26 were naturalistic time-series studies that compared medical care utilization before and after psychotherapy. Thirty-two studies were experimental in design, in that patients were assigned to treatment conditions randomly (or through a thoughtful matching system). The authors found that 85% of the studies reported a decrease in utilization of medical care following psychotherapy. Of the 22 methodologically rigorous studies that used random assignment, psychotherapeutic interventions reduced medical inpatient stays by approximately 1.5 days below the control groups' average of 8.5 days.The Mumford et al. review is now substantially outdated. It was published at a time when reimbursement for medical services was considerably different from what it is today and when fewer psychopharmacology options were available. In addition, psychotherapy was defined so broadly in the review that interventions such as educating patients before surgery were considered under the rubric of psychotherapy. Perhaps the most dated aspect of the study is that it concentrated rather narrowly on cost offset (i.e., reductions of medical care costs due to the addition of psychotherapy) rather than on the broader issue of cost-effectiveness. In the last decade or so, the emphasis in the mental health field has shifted away from cost offset to a more complex understanding of the economic impact of psychosocial inter-

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Section: Studies In Which Treatment Was Not Randomly Assignedmentioning

confidence: 99%

The economic impact of psychotherapy: a review

Gabbard

Lazar²,

Hornberger³

et al. 1997

AJP

134

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“…61 Moreover, other studies have also shown positive results. [62][63][64] Furthermore, Chabannes et al investigated the impact of a new psychoeducational program (SOLEDUC ® ) on rates of relapse (rehospitalization) over 2 years in 220 patients with schizophrenia.…”

Section: Other Nonpharmacological Therapeutic Strategiesmentioning

confidence: 70%

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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“…En nedgang på 20-50 prosent over to år (4,5). Familieatmosfaeren endres, risiko for oppblomstring av symptomer blir mindre, medisineringen blir bedre etterfulgt og funksjonsnivået øker.…”

Section: God Dokumentasjonunclassified