Mental health care for people experiencing schizophrenia has changed dramatically over the last twenty years. This book draws on the expertise of a group of experienced clinical practitioners to provide an up-to-date understanding of this condition, and a practical guide to implementing evidence-based psychosocial interventions for people with schizophrenia. Written in a clear and accessible format, this book -covers the historical, social and political perspectives which give meaning to the current position of mental health care -includes up-to-date interventions framed within the context of peoples lives -describes how these interventions translate into specialist areas of practice Using a variety of clinical examples, this text provides a clear overview of schizophrenia, and serves as a comprehensive, practical guide to the understanding, treatment and management of this mental condition.

Today, more than 70 years after Eugen Bleuler introduced the term schizophrenia, the human condition so labeled continues to pose a formidable challenge to the helping professions. In recent years it may seem that this challenge can be met most successful ly by biologicalIy oriented researchers and therapists: AlI over the world neuroleptic drugs have made it possible to control disturbing symptoms and shorten hospital stays. Ever more refined technologies permit study of intricate neurophysiological and pharma cological processes that seem to underlie, if not contribute to, schizophrenic disorders. Most recently, the discovery of the endorphins promises a new therapeutic breakthrough. At the same time, a vast and growing research litera ture confirms the importance, if not primacy, of hereditary and neurophysiological fac tors in the etiopathogenesis of these disorders. And yet, as Loren Mosher notes in this volume, after 2 decades of almost universal usage of neuroleptics, it is now dear that they do not cure schizophrenia. It is also c1ear that they have serious, sometimes irreversible toxicities, that recovery may be impaired by them in at least some schizophrenics, and that they have little effect on long-term psychosocial adjustment.

Praise for the Clinician's Guide to Evidence-Based Practice Series "A major stumbling block to the adoption of evidence-based practice in the real world of clinical practice has been the absence of clinician-friendly guides suitable for learning specific empirically supported treatments. Such guides need to be understandable, free of technical research jargon, infused with clinical expertise, and rich with real-life examples. Rubin and Springer have hit a home run with the Clinician's Guide to Evidence-Based Practice Series, which has all of these characteristics and more." —Edward J. Mullen, Willma and Albert Musher Chair Professor, Columbia University State-of-the-art, empirical support for psychosocial treatment of schizophrenia Part of the Clinician's Guide to Evidence-Based Practice Series, Psychosocial Treatment of Schizophrenia provides busy mental health practitioners with detailed, step-by-step guidance for implementing clinical interventions that are supported by the latest scientific evidence. This thorough, yet practical, reference draws on a roster of experts and researchers in the field who have assembled state-of-the-art knowledge into this well-rounded guide. Each chapter serves as a practitioner-focused how-to reference and covers interventions that have the best empirical support for the psychosocial treatment of schizophrenia, including: Cognitive behavioral therapy Assertive community treatment Critical time intervention Motivational interviewing for medication adherence Psychoeducational family groups Illness management and recovery Easy-to-use and accessible in tone, Psychosocial Treatment of Schizophrenia is an indispensable resource for practitioners who would like to implement evidence-based, compassionate, effective interventions in the care of people with schizophrenia.

Praise for the Clinician's Guide to Evidence-Based Practice Series "A major stumbling block to the adoption of evidence-based practice in the real world of clinical practice has been the absence of clinician-friendly guides suitable for learning specific empirically supported treatments. Such guides need to be understandable, free of technical research jargon, infused with clinical expertise, and rich with real-life examples. Rubin and Springer have hit a home run with the Clinician's Guide to Evidence-Based Practice Series, which has all of these characteristics and more." Edward J. Mullen, Willma and Albert Musher Chair Professor, Columbia University State-of-the-art, empirical support for psychosocial treatment of schizophrenia Part of the Clinician's Guide to Evidence-Based Practice Series, Psychosocial Treatment of Schizophrenia provides busy mental health practitioners with detailed, step-by-step guidance for implementing clinical interventions that are supported by the latest scientific evidence. This thorough, yet practical, reference draws on a roster of experts and researchers in the field who have assembled state-of-the-art knowledge into this well-rounded guide. Each chapter serves as a practitioner-focused how-to reference and covers interventions that have the best empirical support for the psychosocial treatment of schizophrenia, including: Cognitive behavioral therapy Assertive community treatment Critical time intervention Motivational interviewing for medication adherence Psychoeducational family groups Illness management and recovery Easy-to-use and accessible in tone, Psychosocial Treatment of Schizophrenia is an indispensable resource for practitioners who would like to implement evidence-based, compassionate, effective interventions in the care of people with schizophrenia.

Despite the steady acceptance of psychological interventions for people with psychosis in routine practice many people continue to experience problems in their recovery. The need to develop new approaches, particularly for those who are more difficult to engage and have significant co-morbidities is therefore important. Innovations in Psychosocial Interventions for Psychosis positions psychological formulation as a key organising principle for the delivery of care within multidisciplinary teams. The interventions described all have the common theme of supporting recovery and achieving goals that are of primary importance to the service user which targets interventions on broader obstacles to recovery. Along with their experienced contributors, Alan Meaden and Andrew Fox introduce new developments in psychological interventions for people affected by psychosis who are hard to reach, working in a variety of settings with people at various stages of recovery. The book is divided into three parts. In part one brief interventions and approaches aimed at promoting engagement are described as interventions in their own right. Part two is focused on longer-term interventions with individuals. Some of these highlight new developments in the evidence base whilst others draw on work applied less frequently to psychosis drawing from the broader psychological therapy practice-based evidence field. In part three attention is given to innovations in group settings and those aimed at promoting greater multidisciplinary working in settings where a whole team approach is needed. Each chapter describes the theory underpinning a different approach, its development, key strategies, principles and stages, and contain case examples that illustrate the use of the approach in a clinical setting. Innovations in Psychosocial Interventions for Psychosis will be an invaluable resource to professionals working with this client group, including clinical and counselling psychologists, psychiatrists, and other allied health professionals.

These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches. There is a worse prognosis for psychosis and schizophrenia when onset is in childhood or adolescence, and this new NICE guideline puts much-needed emphasis on early recognition and assessment of possible psychotic symptoms. For the one-third of children and young people who go on to experience severe impairment as a result of psychosis or schizophrenia the guideline also offers comprehensive advice from assessment and treatment of the first episode through to promoting recovery.This guideline reviews the evidence for recognition and management of psychosis and schizophrenia in children and young people across the care pathway, encompassing access to and delivery of services, experience of care, recognition and management of at-risk mental states, psychological and pharmacological interventions, and improving cognition and enhancing engagement with education and employment.

1. Psychopharmacological management of schizophrenia 2. Psychological approaches to the management of persistant delusions and hallucinations 3. The management of negative symptoms 4. Cognitive dysfunction in schizophrenia 5. Depression and anxiety in schizophrenia 6.The general health of people with schizophrenia 7. Substance abuse co-morbidity in schizophrenia 8. Management of acute behavioural disturbance in psychosis 9. Managing the violent behaviours associated with the schizophrenic syndrome 10. Understanding and enhancing adherence to treatment in people with schizophrenia 11. Psychological interventions to help people with psychiatric disabilities succeed at work 12. Enhancing socialisation capacities in people with schizophrenia 13. The clinical needs of women with schizophrenia 14. Family intervention in schizophrenia 15. A treatment approach to a patient with first episode schizophrenia 16. Treatment resistant schizophrenia 17. Rating scales in schizophrenia: Clinical applicability.

Pharmacological and Psychosocial Treatments in Schizophrenia provides a succinct clinical overview of key areas pertinent to the holistic treatment of people with schizophrenia and, in particular, puts firmly back onto the agenda the importance of psychosocial treatments. The latest data concerning the newer antipsychotic agents and clinical guidelines for their use are reviewed. The real emphasis, however, is on the psychosocial interventions for specific aspects of schizophrenia symptomatology and disability that have been shown to offer major benefits to recovery in the disorder, and yet have failed to have a high profile in the literature, as more effective biological treatments have become available. This book offers practical guidance on effective strategies for use in both clinical settings and in the family context, placing the patient (and their family) once again at the centre of therapeutic endeavours. Encouraging professionals to offer a broader therapeutic approach, this book will offer real hope to therapists, patients and families of what can be achieved if psychosocial interventions complement the many psychopharmacological treatments available today. Key topics include: female patients, treatment resistance, the substance abuser patient, family intervention, helping the patient at work, managing violent behaviour, first episode psychosis and rating scales in schizophrenia.