Product information and disease description Place of product in therapy Approaches to treatment Current treatment options and standard of care

Psychosocial interventions

7 evidence topics · 6 sources

APA practice guideline: recommended psychosocial interventions

“APA recommends (1B) that patients with schizophrenia who are experiencing a first episode of psychosis be treated in a coordinated specialty care program.” (opens the source at this quote in a new tab)
“APA recommends (1B) that patients with schizophrenia be treated with cognitive-behavioral therapy for psychosis (CBTp).” (opens the source at this quote in a new tab)
“APA recommends (1B) that patients with schizophrenia receive psychoeducation.” (opens the source at this quote in a new tab)
“APA recommends (1B) that patients with schizophrenia receive supported employment services.” (opens the source at this quote in a new tab)
“APA recommends (1B) that patients with schizophrenia receive assertive community treatment if there is a history of poor engagement with services leading to frequent relapse or social disruption (e.g., homelessness; legal difficulties, including imprisonment).” (opens the source at this quote in a new tab)

APA practice guideline: suggested psychosocial interventions

“APA suggests (2B) that patients with schizophrenia who have ongoing contact with family receive family interventions.” (opens the source at this quote in a new tab)
“APA suggests (2C) that patients with schizophrenia receive interventions aimed at developing self-management skills and enhancing person-oriented recovery.” (opens the source at this quote in a new tab)
“APA suggests (2C) that patients with schizophrenia receive cognitive remediation.” (opens the source at this quote in a new tab)
“APA suggests (2C) that patients with schizophrenia who have a therapeutic goal of enhanced social functioning receive social skills training.” (opens the source at this quote in a new tab)
“APA suggests (2C) that patients with schizophrenia be treated with supportive psychotherapy.” (opens the source at this quote in a new tab)

VA/DoD guideline: psychosocial and service recommendations

“We recommend treatment/management with early intervention services for individuals with first-episode psychosis.” (opens the source at this quote in a new tab)
“We recommend the use of psychosocial interventions provided to a primary support person or family member to decrease the risk of relapse and hospitalization for individuals with schizophrenia.” (opens the source at this quote in a new tab)
“We recommend the use of the Individual Placement and Support model of supported employment for individuals with schizophrenia with a goal of employment.” (opens the source at this quote in a new tab)
“We suggest cognitive training programs for the treatment of cognitive impairment and negative symptoms for individuals with schizophrenia.” (opens the source at this quote in a new tab)

NICE guideline: psychological interventions in first-episode psychosis

“For people with first episode psychosis offer: oral antipsychotic medication (see the section on how to use antipsychotic medication) in conjunction with psychological interventions (family intervention and individual CBT, delivered as described in the section on how to deliver psychological interventions).” (opens the source at this quote in a new tab)
“Advise people who want to try psychological interventions alone that these are more effective when delivered in conjunction with antipsychotic medication.” (opens the source at this quote in a new tab)

Australian and New Zealand GRADE guideline: psychological interventions

“We recommend that people with schizophrenia should be offered cognitive behavioural therapy for psychosis.” (opens the source at this quote in a new tab)
“We recommend that people with schizophrenia should be offered cognitive remediation therapy, particularly those who have cognitive deficits/difficulties or poor functioning.” (opens the source at this quote in a new tab)

Psychological interventions for positive symptoms: network meta-analysis

“We included 53 randomized controlled trials of seven psychological interventions, for a total of 4,068 participants receiving the psychological treatment as add‐on to antipsychotics.” (opens the source at this quote in a new tab)
“cognitive behavioural therapy (40 studies) reduced positive symptoms more than inactive control (standardized mean difference, SMD=−0.29; 95% CI: –0.55 to −0.03), treatment as usual (SMD=−0.30; 95% CI: –0.45 to −0.14) and supportive therapy (SMD=−0.47; 95% CI: –0.91 to −0.03).” (opens the source at this quote in a new tab)

RAISE Early Treatment Program: comprehensive care for first-episode psychosis

“223 NAVIGATE recipients remained in treatment longer, experienced greater improvement in quality of life, psychopathology and involvement in work/school compared to 181 Community Care participants.” (opens the source at this quote in a new tab)
“Rates of hospitalization were relatively low compared to other first episode psychosis clinical trials and did not differ between groups.” (opens the source at this quote in a new tab)