Treatment Outlines for the Management of Schizophrenia

1984 ◽  
Vol 18 (1) ◽  
pp. 19-38 ◽  
Author(s):  
G. Andrews
Keyword(s):  
Quality Assurance ◽  
Antipsychotic Drugs ◽  
Meta Analysis ◽  
Active Phase ◽  
Management Program ◽  
Family Management ◽  
Anti Psychotic ◽  
Sources Of Information ◽  
Social Interventions ◽  
Quality Assurance Project

The Quality Assurance Project is developing explicit and detailed treatment outlines for each of the major psychiatric disorders. Three sources of information are used: a meta-analysis of the treatment outcome literature, the opinions of a sample of practising psychiatrists, and the views of a panel of nominated experts. The present outlines report the resulting recommendations for the treatment of schizophrenia. The three sources of information agree that anti-psychotic drugs are the principal treatment during the active phase of the disorder. As schizophrenia is so often a serious and disabling chronic illness, the treatment recommendations stress the need for continuity of care during the post-acute and residual phases in order to prevent relapse and minimise residual deficits. The outlines particularly emphasise the consistent but conservative use of antipsychotic drugs, and the implementation of a specific type of family management program in addition to the customary social interventions.

A Treatment Outline for Depressive Disorders

1983 ◽  
Vol 17 (2) ◽  
pp. 129-146 ◽  
Keyword(s):  
Quality Assurance ◽  
Treatment Outcome ◽  
Electroconvulsive Therapy ◽  
Depressive Disorders ◽  
Meta Analysis ◽  
Antidepressant Drugs ◽  
Endogenous Depression ◽  
Government Support ◽  
Sources Of Information ◽  
Quality Assurance Project

With College and Government support the Quality Assurance Project is developing a series of explicit and detailed treatment outlines of major psychiatric disorders for use in peer review. Three sources of information are used: a meta-analysis of the treatment outcome literature, the opinions of a sample of practising psychiatrists and the views of a panel of nominated experts. The present outline concerns the treatment of depressive disorders. The three sources of information were in agreement that tricyclic and allied antidepressants were the treatments of choice for endogenous depression and were also to be considered in persistent neurotic depressions. Electroconvulsive therapy was recommended in patients with endogenous depression who were severely ill, troubled by hallucinations and delusions or for whom the antidepressant drugs had not proven effective. The psychotherapies, both dynamic and behavioural, were regarded as the treatments of choice in neurotic depression.

A Methodology for Preparing ‘Ideal’ Treatment Outlines in Psychiatry: The Quality Assurance Project

1982 ◽  
Vol 16 (3) ◽  
pp. 153-158 ◽  
Keyword(s):  
Quality Assurance ◽  
Treatment Outcome ◽  
Depressive Disorders ◽  
Treatment Process ◽  
Meta Analysis ◽  
Postgraduate Education ◽  
Expert Committee ◽  
Sources Of Information ◽  
Quality Assurance Project ◽  
Review Criteria

The methodology of preparing treatment process criteria for agoraphobia and the depressive disorders is described. To avoid bias three sources of information were used: the results of a meta-analysis of the treatment outcome literature, the views of a sample of practising psychiatrists, and the views of a small representative expert committee. When criteria for schizophrenia and the neuroses have been completed the quality assurance project should serve two main purposes: first as an aid to continuing and postgraduate education and second as a basis for clinical review criteria required by peer review and other quality assurance activities.

A Survey of Practising Psychiatrists' Views on the Treatment of Schizophrenia

1986 ◽  
Vol 149 (3) ◽  
pp. 357-364 ◽  
Author(s):  
S. Andrews ◽  
K. Vaughan ◽  
R. Harvey ◽  
G. Andrews
Keyword(s):  
Quality Assurance ◽  
Random Sample ◽  
Antipsychotic Drugs ◽  
Initial Response ◽  
Treatment Recommendations ◽  
Social Intervention ◽  
Response To Treatment ◽  
Supportive Psychotherapy ◽  
Quality Assurance Project

Practising psychiatrists' views about the treatment of schizophrenia were investigated as part of a Quality Assurance Project. A questionnaire which asked for treatment recommendations for each of four case descriptions of patients with schizophrenia was mailed to a one-in-six random sample of Australian psychiatrists; 90% responded. Psychiatrists almost uniformly advocated the use of antipsychotic drugs and usually recommended concurrent supportive psychotherapy or family/social intervention procedures. The recommendations varied systematically, according to the initial history obtained and to the initial response to treatment.

Treatment Outlines for the Management of Obsessive-Compulsive Disorders

1985 ◽  
Vol 19 (3) ◽  
pp. 240-253 ◽  
Author(s):  
Gavin Andrews
Keyword(s):  
Personality Disorder ◽  
Cognitive Behaviour Therapy ◽  
Meta Analysis ◽  
Sources Of Information ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour ◽  
Quality Assurance Project ◽  
Obsessive Compulsive Disorders

The Quality Assurance Project is developing explicit and detailed treatment outlines for each of the major psychiatric disorders. Three sources of information are used: a meta-analysis of the treatment outcome literature, the opinions of a sample of practising psychiatrists, and the views of a panel of nominated experts. The recommendations for the treatment of obsessive-compulsive disorder were as follows: for those patients who have no significant personality disorder, either short-term dynamic psychotherapy or cognitive behaviour therapy is indicated if the illness has lasted less than a year or if obsessions are the predominant symptoms. When compulsions predominate, particularly when they have been present for more than a year, response prevention is the treatment of choice. Tricyclic antidepressants and cingulo-tractomy are also worthy of consideration in patients with persisting symptoms. Psychotherapy or cognitive behaviour therapy are the approaches recommended for compulsive personality disorder.

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