International Experience of Implementing Cognitive Remediation for People With Psychotic Disorders.

IF 5.3 1区 医学 Q1 PSYCHIATRY
Frances L Dark, Isabelle Amado, Matthew D Erlich, Satoru Ikezawa
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引用次数: 0

Abstract

Background: Cognitive remediation (CR) is an effective therapy for the cognitive impact of mental illness, especially schizophrenia. Global efforts are being made to implement CR into routine mental health services with the aim of improving functional outcomes for the population of people recovering from mental illness. Implementation and dissemination of CR in heterogeneous settings require knowledge gleaned from formal implementation research and pragmatic experiential learning. This article describes cross-cultural approaches to CR implementation, focusing on initiatives in France, the United States, Australia, and Japan.

Method: Key leaders in the implementation of CR in France, the United States, Australia, and Japan were asked to describe the implementation and dissemination process in their settings with respect to the categories of context, implementation, outcomes, facilitators, and barriers.

Results: All 4 sites noted the role of collaboration to leverage the implementation of CR into mental health rehabilitation services. In France, high-level, government organizational backing enhanced the dissemination of CR. Academic and clinical service partnerships in the United States facilitated the dissemination of programs. The advocacy from service users, families, and carers can aid implementation. The support from international experts in the field can assist in initiating programs but maintenance and dissemination require ongoing training and supervision of staff.

Conclusions: CR is an effective intervention for the cognitive impact of schizophrenia. Programs can be implemented in diverse settings globally. Adaptations of CR centering upon the core components of effective CR therapy enhance outcomes and enable programs to integrate into diverse settings.

为精神障碍患者实施认知矫正的国际经验。
背景:认知矫正(CR)是治疗精神疾病(尤其是精神分裂症)认知影响的一种有效疗法。全球正在努力将认知矫正纳入常规精神健康服务,以改善精神疾病康复者的功能结果。在不同的环境中实施和推广 CR,需要从正式的实施研究和务实的经验学习中汲取知识。本文介绍了跨文化实施 CR 的方法,重点关注法国、美国、澳大利亚和日本的相关举措:方法:要求法国、美国、澳大利亚和日本实施 CR 的主要领导者从背景、实施、结果、促进因素和障碍等方面描述其实施和传播过程:结果:所有 4 个地方都注意到了合作在将 CR 纳入精神健康康复服务中的杠杆作用。在法国,高层政府组织的支持促进了 CR 的推广。在美国,学术和临床服务合作促进了项目的推广。服务使用者、家庭和照护者的倡导有助于项目的实施。该领域国际专家的支持有助于项目的启动,但项目的维持和推广需要对员工进行持续培训和监督:结论:CR 是治疗精神分裂症认知影响的有效干预措施。结论:CR 是一种针对精神分裂症认知影响的有效干预措施,可在全球各种环境中实施。以有效 CR 治疗的核心成分为中心对 CR 进行调整,可以提高疗效,并使项目融入不同的环境中。
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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