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Prescriptive rehabilitation for severely disabled psychiatric patients
M L Schade1, P W Corrigan, R P Liberman
1Camarillo State Hospital/UCLA Clinical Research Center for Schizophrenia and Psychiatric Rehabilitation.
New Directions for Mental Health Services
|January 1, 1990
Summary
Behavioral rehabilitation strategies are effective treatments for schizophrenia and chronic mental disorders. Clinicians can use models to guide personalized treatment selection, such as family therapy or skills training, based on patient needs.
Area of Science:
- Psychiatry
- Behavioral Science
Background:
- Schizophrenia and chronic mental disorders require effective psychosocial treatments.
- Behavioral rehabilitation strategies are empirically validated and considered treatments of choice.
Purpose of the Study:
- To guide clinicians in selecting appropriate behavioral rehabilitation strategies for individual patients with schizophrenia.
- To outline the application of the stress-vulnerability model and a decision tree for treatment selection.
Main Methods:
- Utilized the stress-vulnerability model.
- Applied an empirically based decision tree for strategy prescription.
- Considered patient-specific needs, including family interactions, social skills, and work skills.
Main Results:
- Behavioral family therapy is indicated for patients with stress-induced exacerbations from family interactions.
- Skills training benefits patients with insufficient social and coping abilities.
- Supported employment and job-finding clubs are suitable for patients with work skill deficits.
Conclusions:
- Personalized behavioral rehabilitation strategies, guided by models, are crucial for managing schizophrenia.
- Treatment strategies vary based on patient needs and the healthcare setting (inpatient/outpatient).