Psychosocial Intervention for Patients with Schizophrenia

Sung-Wan Kim

doi:10.4306/jknpa.2018.57.3.235

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Kim: Psychosocial Intervention for Patients with Schizophrenia

Special Article

Current Knowledge and Treatment Strategies of Ultra-High Risk for Psychosis and Schizophrenia

Journal of Korean Neuropsychiatric Association 2018; 57(3): 235-243.

Published online: 29 August 2018

DOI: https://doi.org/10.4306/jknpa.2018.57.3.235

Psychosocial Intervention for Patients with Schizophrenia

Sung-Wan Kim, MD, PhD

Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.

MindLink, Gwangju Bukgu Community Mental Health and Welfare Center, Gwangju, Korea.

Gwangju Mental Health and Welfare Commission, Gwangju, Korea.

Address for correspondence: Sung-Wan Kim, MD, PhD. Department of Psychiatry, Chonnam National University Medical School, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea. Tel +82-62-220-6148, Fax +82-62-225-2351, swkim@chonnam.ac.kr

Received 20 July 2018 Revised 6 August 2018 Accepted 6 August 2018

Korean Neuropsychiatric Association

Abstract

Treatment of schizophrenia has as its ultimate goals, the functional recovery of the patients and improvement of their quality of life. While antipsychotic medication is the fundamental method for treating schizophrenia, it has certain limitations in terms of treating the illness beyond its positive symptoms. Therefore, psychosocial intervention should be used in tandem with pharmacological methods in treating schizophrenia. The efficacy of several modes of psychosocial intervention for improving outcomes in schizophrenia is well attested. Approximately 10 modes of psychosocial intervention have been recommended based on existing evidence, including family intervention, cognitive behavioral therapy, supported employment, early intervention services, lifestyle intervention for physical health enhancement, treatment of comorbid substance abuse, assertive community treatment, cognitive remediation, social skills training, and peer support. Ideally, these interventions are offered to patients in combination with one another. Over the last decade, increased emphasis has been placed on early detection and intervention, with particular focus on long-term recovery. Early intervention with comprehensive psychosocial interventions should be enacted promptly from the initial detection of schizophrenia.

Keywords: Schizophrenia, Psychosocial, Early intervention, Rehabilitation, Community, Mental health center

Figures and Tables

Table 1

Psychosocial intervention suggested by guidelines

+ : Consensus-based recommendation, ++ : Intermediate evidence-based recommendation, +++ : Strong evidence-based recommendation

Table 2

Role of psychiatrists for community mental health service

Table 3

Community early intervention service in the world

Notes

^{Conflicts of Interest} The authors have no financial conflicts of interest.

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