[Group monitoring of psychotic patients in the public health network of the Basque Autonomous Community]

Ruiz E, Gonzalez MA, Trojaola B, De la Sierra E, Eguiluz JI, Guimon J, Ayerra JM, Martinez O, Galletero JM, Mugica MA
Record ID 32011000152
Original Title: Seguimiento grupal de pacientes psicóticos en la red pública de salud mental de la Comunidad Autónoma Vasca
Authors' objectives: The aims of this study were as follows: ● Systematically assess evidence concerning the group psychotherapy of psychotic disorders. ● Describe the main psychotherapy models of specifi c groups in existence at this time. ● Draw up a group psychotherapy manual for patients with psychotic disorders according to our own model. ● Propose procedures for the implementation of the model in Mental Health ambulatory care in the Basque Country. ● Design and put into practice a randomised clinical test (RCT) to assess the efficiency of the intervention.
Authors' results and conclusions: The evidence found in the literature has shown that: ● Training in Social Skills has a great effect on the acquisition of knowledge concerning social skills and daily life; a moderate effect on their performance, social functioning and negative symptomatology; and a small effect on relapses and other symptoms. ● Integrated Psychological Therapy has a more direct effect on the overall therapeutic effect, neurocognition, symptomatology and functioning. ● The evidence is insufficient in other kinds of specifi c group interventions. ● The authors describe the main specifi c group models. Attention is drawn to a predominance of models based on learning and cognitive theories. ● An Integrating Group Psychotherapy manual is presented, applicable in different time formats, in different care environments, in patients at different stages of the disease and for different types of mental health care professionals . ● The authors propose a three-stage implementation system of the model: dissemination, training and supervision. A description is given of this system and the resources to be used. ● An RCT is initiated with the intention of assessing the effi ciency of the intervention.
Authors' recommendations: The authors understand that the proposed model may allow patients with psychotic disorders to be provided with quality care in a public health environment. The interventions that the evidence has demonstrated to be effi cient frequently require resources and a level of training that in practice make their implementation diffi cult. In an absence of evidence, eff orts are made to assess the efficiency of the proposed intervention with a test based on an adequate methodology.
Authors' methods: Search and systematic selection of the evidence. ● Analysis of publications that deal with models. ● Design of the structure and content of the manual. ● Evaluation of the resources available for the implementation of the intervention. ● Evaluation of available resources and the design of the randomised controlled test. Presentation and defence of the manual before the corresponding Clinical Research Ethical Committee. ● Coordination of the performance of the test.
Project Status: Completed
Year Published: 2009
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Humans
  • Monitoring, Ambulatory
  • Psychotic Disorders
  • Group Psychotherapy
  • Schizophrenia
  • Evidence-Based Medicine
  • Medicina Basada en la Evidencia
  • Trastornos Psicóticos
  • Esquizofrenia
  • Psicoterapia de Grupo
  • Monitoreo Ambulatorio
  • Humanos
Organisation Name: Basque Office for Health Technology Assessment
Contact Address: C/ Donostia – San Sebastián, 1 (Edificio Lakua II, 4ª planta) 01010 Vitoria - Gasteiz
Contact Name: Lorea Galnares-Cordero
Contact Email: lgalnares@bioef.eus
Copyright: <p>Basque Office for Health Technology Assessment (OSTEBA)</p>
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