Cognitive–behavioural therapy and motivational intervention for schizophrenia and substance misuse

Haddock, Gillian; Barrowclough, Christine; Tarrier, Nicholas; Moring, Juha; O’Brien, Robert; Schofield, Nichola; Quinn, Jean A.; Palmer, Steven C.; Davies, Linda; Lowens, Ian; McGovern, John; Lewis, Shôn

doi:10.1192/bjp.183.5.418

Cited by 199 publications

(140 citation statements)

References 24 publications

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“…We retained all studies reporting results of economic analyses of CBT. (29,31,36,38). Roughly one-half the studies were formal CEAs.…”

Section: Methodsmentioning

confidence: 99%

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Cost-Effectiveness of Cognitive-Behavioural Therapy for Mental Disorders: Implications for Public Health Care Funding Policy in Canada

Myhr

Payne

2006

Can J Psychiatry

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T he total cost of mental illness in Canada has been estimated at $14.4 billion (1998 dollars), which includes both direct and indirect costs (1). Mental illness accounts for more than 50% of physician billing and uses more hospital bed-days than cancer (2). Medications are considered first-line, mainstay treatment for mental health disorders and contribute most to rising care costs (3). There is growing interest, therefore, in nonpharmacologic interventions with strong empirical support, such as CBT.

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“…We retained all studies reporting results of economic analyses of CBT. (29,31,36,38). Roughly one-half the studies were formal CEAs.…”

Section: Methodsmentioning

confidence: 99%

“…Psychosis patients with comorbid substance abuse were randomized to a CBT condition or to TAU (38). Over 9 months, the CBT group had better outcomes with lower total costs (direct and indirect) than did the TAU group, reflecting fewer hospital days.…”

Section: Abbreviations Used In This Articlementioning

confidence: 99%

Cost-Effectiveness of Cognitive-Behavioural Therapy for Mental Disorders: Implications for Public Health Care Funding Policy in Canada

Myhr

Payne

2006

Can J Psychiatry

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“…Where family members or carers are present, family interventions have also been viewed as important. Evaluations of this type of approach have shown significant benefits over treatment as usual (case management and anti-psychotic medication for mental health and substance use services) for a 9 month treatment with benefits at the end of the treatment period and at follow-up points (Barrowclough et al, 2001;Haddock et al, 2003).…”

Section: Substance Usementioning

confidence: 99%

Psychological Treatment of Psychosis

Haddock¹,

Spaulding²

2010

Schizophrenia

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Psychological treatments for the treatment of psychosis have been widely studied over many years. Early studies were mainly in the form of individual case studies or case series. However, more recently, treatments have been evaluated in larger, controlled trials leading to a larger evidence base on which to judge their effectiveness for psychosis. This evidence bases suggests that certain approaches can be effective in reducing the severity and distress associated with psychosis and some of these have become more widely employed in the treatment of severe mental health problems over the last decade in the United Kingdom, Europe and the United States. Generally, the treatments with the greatest evidence base are in following treatment domains: 1) individual cognitive and behavioural therapies for psychosis, 2) family interventions for psychosis, 3) neuropsychological and cognitive remediation approaches, 4) social skills training and other skills training approaches and 5) contingency management approaches. Characteristics of the approaches are described, (using clinical examples) and evidence in support of their effectiveness is presented. The implications for applying the approaches with complex cases, such as those with dual diagnoses is described. Finally, the challenges facing services in implementing the approaches is discussed.

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“…Cognitive remediation techniques have been widely used in mental health systems around the world and much research has supported their efficacy [61][62][63][64]. Cognitive restructuring has been used to help clients with PTSD, as well as those with alcohol abuse disorders and depression, identify distorted or self-defeating ideas related to a traumatic experience [65].…”

Section: What Does Research Evidence Indicate?mentioning

confidence: 99%

Psychosocial rehabilitation: Approach of choice for those with serious mental illnesses

Farkas¹,

Jansen²,

Penk³

2007

JRRD

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Cognitive–behavioural therapy and motivational intervention for schizophrenia and substance misuse

Abstract: The treatment programme was superior to routine care on outcomes relating to illness and service use, and the cost was comparable to the control treatment.

Cited by 199 publications

References 24 publications

Cost-Effectiveness of Cognitive-Behavioural Therapy for Mental Disorders: Implications for Public Health Care Funding Policy in Canada

Cost-Effectiveness of Cognitive-Behavioural Therapy for Mental Disorders: Implications for Public Health Care Funding Policy in Canada

Psychological Treatment of Psychosis

Psychosocial rehabilitation: Approach of choice for those with serious mental illnesses

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