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Psychosocial Recovery-Oriented Interventions in Schizophrenia

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Recovery and Major Mental Disorders

Part of the book series: Comprehensive Approach to Psychiatry ((CAP,volume 2))

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Abstract

From the deinstitutionalization of the second half of the twentieth century, the Mental Health Care System has focused on outpatient care and community-based services. The goal is reaching recovery in patients with severe mental illness, that means improving symptoms and allowing patients to develop their cognitive, emotional and social skills in order to live in the community. In this new scenario, psychosocial interventions find an important role in improving functioning in schizophrenia. Some psychosocial interventions based on multiple randomized controlled trials demonstrated to be effective at improving the outcome of schizophrenia, whereas others led to promising findings. In this chapter we will focus on evidence-based psychosocial practices to achieve recovery in schizophrenia, such as psychoeducation, cognitive behavioural therapy for psychosis, cognitive remediation and on interventions which led to potential benefits in this population, such as healthy lifestyle interventions, physical exercise and integrated treatments for co-occurring substance use disorder. Despite international guidelines recommend psychosocial interventions as supportive treatments alongside pharmaceutic or psychotherapeutic ones, until now only a minority of patients received a person-centred evidence-based psychiatric rehabilitation intervention. It is necessary to redesign services on the principles of recovery and to implement services that deliver interventions supported by scientific evidence.

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  1. Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy

    Stefano Barlati, Giacomo Deste, Alessandro Galluzzo, Cesare Turrina & Paolo Valsecchi

  2. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy

    Stefano Barlati, Valentina Regina, Cesare Turrina, Paolo Valsecchi & Antonio Vita

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  1. Department for Medical Sciences, Public Health, University of Cagliari, Cagliari, Italy

    Bernardo Carpiniello

  2. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy

    Antonio Vita

  3. Department of Neuroscience, Azienda Ospedaliera Fatebenefratelli e O, Milano, Italy

    Claudio Mencacci

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Barlati, S. et al. (2022). Psychosocial Recovery-Oriented Interventions in Schizophrenia. In: Carpiniello, B., Vita, A., Mencacci, C. (eds) Recovery and Major Mental Disorders. Comprehensive Approach to Psychiatry, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-030-98301-7_6

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