Individual Placement and Support and/or Cognitive Remediation Therapy Added to TAU in Patients With Early Schizophrenia

2019 ◽  
Author(s):  
Keyword(s):  
Cognitive Remediation ◽  
Cognitive Remediation Therapy ◽  
Individual Placement And Support ◽  
Individual Placement ◽  
Early Schizophrenia

scholarly journals Additional Interventions to Enhance the Effectiveness of Individual Placement and Support: A Rapid Evidence Assessment

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Naomi Boycott ◽  
Justine Schneider ◽  
Mary McMurran
Keyword(s):  
Mental Illness ◽  
Cognitive Training ◽  
Empirical Studies ◽  
Cognitive Remediation ◽  
Skills Training ◽  
Conclusive Evidence ◽  
Psychological Interventions ◽  
Individual Placement And Support ◽  
Work Related ◽  
Individual Placement

Topic. Additional interventions used to enhance the effectiveness of individual placement and support (IPS).Aim. To establish whether additional interventions improve the vocational outcomes of IPS alone for people with severe mental illness.Method. A rapid evidence assessment of the literature was conducted for studies where behavioural or psychological interventions have been used to supplement standard IPS. Published and unpublished empirical studies of IPS with additional interventions were considered for inclusion.Conclusions. Six published studies were found which compared IPS alone to IPS plus a supplementary intervention. Of these, three used skills training and three used cognitive remediation. The contribution of each discrete intervention is difficult to establish. Some evidence suggests that work-related social skills and cognitive training are effective adjuncts, but this is an area where large RCTs are required to yield conclusive evidence.

scholarly journals Effectiveness of augmented Individual Placement and Support interventions for competitive employment in people with schizophrenia: Systematic review and meta-analysis

Salud Mental ◽  
2018 ◽  
Vol 41 (4) ◽  
pp. 187-197 ◽  
Author(s):  
Martin Felipe Vázquez-Estupiñán ◽  
◽  
Sol Durand-Arias ◽  
Claudia Iveth Astudillo-García ◽  
Eduardo Ángel Madrigal de León
Keyword(s):  
Systematic Review ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Cognitive Remediation ◽  
Psychotic Episode ◽  
General Effect ◽  
Competitive Employment ◽  
Individual Placement And Support ◽  
The Individual ◽  
Individual Placement

Background. It has been estimated that over 70% of people living with a diagnosis of schizophrenia wish to work. The Individual Placement and Support (IPS) model has proven to be highly effective in enhancing competitive employment in people with schizophrenia. However, the efficacy of augmented IPS interventions, in other words, those that incorporate a psychosocial intervention into the model, has not been evaluated in this population. Objective. To assess the efficacy of augmented IPS interventions designed to obtain competitive employment in people with schizophrenia. Method. A systematic review of the literature on randomized clinical trials of augmented IPS interventions, published in English between 2007 and 2017, was conducted in the electronic databases of PubMed, Science Direct, and EBSCO. Risk of bias and competitive employment rates were calculated. A meta-analysis was performed using the random effects method to estimate the effect of augmented IPS interventions. Results. Twelve articles were identified in which 10 augmented IPS interventions were compared with other interventions. In eight studies conducted on people with schizophrenia, the intervention was based on IPS + social skills/work skills/cognitive remediation vs. IPS or modified IPS. No general effect favoring augmented interventions (RR = 1.37, 95% CI [.97, 1.95], I2 = 52%) was found. Augmented IPS interventions tend to be more effective when they are implemented during the first psychotic episode. Discussion and conclusion. It is not possible to conclude that augmented IPS interventions have a significant effect over standard IPS interventions in obtaining competitive employment in people with schizophrenia.

scholarly journals Effects of Individual Placement and Support Supplemented With Cognitive Remediation and Work-Focused Social Skills Training for People With Severe Mental Illness

2019 ◽  
Vol 76 (12) ◽  
pp. 1232 ◽  
Author(s):  
Thomas Nordahl Christensen ◽  
Iben Gammelgård Wallstrøm ◽  
Elsebeth Stenager ◽  
Anders Bo Bojesen ◽  
Christian Gluud ◽  
...  
Keyword(s):  
Mental Illness ◽  
Social Skills ◽  
Severe Mental Illness ◽  
Social Skills Training ◽  
Cognitive Remediation ◽  
Skills Training ◽  
Individual Placement And Support ◽  
Individual Placement

scholarly journals Enhancing Work-Focused Supports for People with Severe Mental Illnesses in Australia

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Natalia Contreras ◽  
Susan L. Rossell ◽  
David J. Castle ◽  
Ellie Fossey ◽  
Dea Morgan ◽  
...  
Keyword(s):  
Cognitive Skills ◽  
Supported Employment ◽  
Cognitive Remediation ◽  
Mental Illnesses ◽  
Individual Placement And Support ◽  
Recent Success ◽  
The Usa ◽  
Employment Rates ◽  
Employment Programs ◽  
Individual Placement

Persons with severe mental illness (SMI) have reduced workforce participation, which leads to significant economic and social disadvantage. This theoretical review introduces the strategies that have been implemented to address this issue. These include Individual Placement and Support (IPS) services, the most widely researched form of supported employment, to which cognitive remediation has more recently been recognised in the USA, as an intervention to improve employment outcomes by addressing the cognitive impairments often experienced by people with SMI. The authors review the international literature and discuss specifically the Australian context. They suggest that Australia is in a prime position to engage clients in such a dual intervention, having had recent success with increasing access to supported employment programs and workforce reentry, through implementation of the Health Optimisation Program for Employment (HOPE). Such programs assist withgainingandmaintainingemployment. However, they do not address the cognitive issues that oftenpreventpersons with SMI from effectively participating in work. Thus, optimising current interventions, with work-focused cognitive skills development is critical to enhancing employment rates that remain low for persons with SMI.

The Effect of Cognitive Remediation Therapy on Social Skills in Institutionalized Elderly Patients with Schizophrenia

2017 ◽  
Vol 12 (3) ◽  
pp. 182-186 ◽  
Author(s):  
Fatemeh Mohammadi ◽  
Yadollah Abolfathi Momtaz ◽  
Seyedeh Ameneh Motalebi ◽  
Shahnaz Boosepasi
Keyword(s):  
Social Skills ◽  
Elderly Patients ◽  
Behavioral Problems ◽  
Psychiatric Patients ◽  
Intervention Group ◽  
Cognitive Remediation ◽  
Control Group ◽  
Cognitive Remediation Therapy ◽  
Chi Square ◽  
Institutionalized Elderly

Background: There are limited scientific investigations on cognitive remediation in elderly patients with schizophrenia. The present study was aimed to examine the efficacy of cognitive remediation therapy on social skills in institutionalized elderly patients with schizophrenia. Methods: The study employed a randomized clinical trial. A total of 60 institutionalized elderly patients with schizophrenia from Razi Psychiatric Hospital, Tehran were selected and randomly allocated into two equal groups (control and intervention). The intervention group attended to cognitive remediation therapy for 8 weeks. The Evaluation of Living Skills Scale for psychiatric patients was used for data collection. The Chi Square, independent and paired t-tests using SPSS, version 22, were employed to analyze the data. Results: The mean age of 60 elderly patients participated in the study was 65.25 &#177; 4.19 years. No significant differences were found between two groups at baseline. However, independent t-tests showed significant differences between the intervention and the control group in social skills after implementation of intervention. Additionally, the results of paired t-tests revealed significant improvements in intervention group on communication skills (t=5.50, p<0.001), behavioral problems with others (t=5.44, p<0.001), and self-care (t=4.70, p<0.001). No significant differences were observed from pretest to post test in control group. Conclusion: The results of the present study may support the efficacy of cognitive remediation therapy on social skills of elderly patients with schizophrenia.

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