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VADO approach efficacy in psychiatric rehabilitation: a controlled study

Published online by Cambridge University Press:  11 October 2011

Michela Vittorielli*
IRCCS “Centro S. Giovanni di Dio-Fatebenefratelli”, Brescia
Rosaria Pioli
IRCCS “Centro S. Giovanni di Dio-Fatebenefratelli”, Brescia
Luisa Brambilla
IRCCS “Centro S. Giovanni di Dio-Fatebenefratelli”, Brescia
Luigina Archiati
IRCCS “Centro S. Giovanni di Dio-Fatebenefratelli”, Brescia
Giuseppe Rossi
IRCCS “Centro S. Giovanni di Dio-Fatebenefratelli”, Brescia
Charlotte Sleijpen
IRCCS “Centro S. Giovanni di Dio-Fatebenefratelli”, Brescia
Lorenza Magliano
Istituto di Psichiatria, Seconda Università di Napoli, Napoli
Franco Veltro
Dipartimento di Salute Mentale di Campobasso, Campobasso
Pierluigi Morosini
Istituto Superiore di Sanità, Laboratories di Epidemiologia e Biostatistica, Roma
Gruppo Di Lavoro
Gruppo di Lavoro: M. Parmeggiani, M. Danesi, E. Bertocchi, I. Marcassoli, P. Giacomelli, F. Sordi, M. Marchesini, L. Valzorio, R. Battaglia, E. Gritti, A. Bosetti, A. Cattalini (IRCCS “Centro S. Giovanni di Dio-Fatebenefratelli”, Brescia), L. Basso L, I. Gualtieri, S. Tardio, E. Muzzana, L. Bacher, A. Plank, L. Inglese, P. Daini, M. Fratucello, C. De Michiel, G. Borzaga, C. Piccoli (Centro di Riabilitazione Psichiatrica c/o Clinica Grieserhof, Bolzano), E. Jori, M. Melli, P. Palvarini, M. Grossi, A. Anselmi, C. Pedron, E. Altemani, A. Vicari, P. Carpeggiani (Azienda Ospedaliera “C. Poma”, Unità Operativa di Psichiatria n. 27, Mantova), A. Aletti, G. Marenzi, M. Fiameni (Istituti Ospedalieri di Cremona, Unità Operativa di Psichiatria, Cremona), C. Meneghini, F. Biondino, A. Nanni, P. Keitmaier (Azienda Unità Sanitaria Locale, Centro Diurno Psichiatrico Città di Bologna, Bologna), M. Scirea M., K. Tiziani, V. Marzolini (Azienda Ospedaliera S. Gerardo, Unità Operativa di Psichiatria, Monza), E. Visani, C. La Marra, S. D'Agostino (Azienda Unità Sanitaria Locale Centro Salute Mentale, ASL Roma/A, Roma).
Address for correspondence: Dr.ssa M. Vittorielli, IRCCS Centro S. Giovanni di Dio, FBF-Brescia, Via Piastroni 4, 25125 Brescia. Fax: +39-030-353.3513 E-mail:


Aims – Assessment of the efficacy of the rehabilitation approach that is recommended by the manual VADO (AAOS in English: Abilities Assessment and Objectives Setting) in schizophrenic syndromes. Methods – Controlled trial, partly with individual randomisation. Centres were invited to recruit 10 patients who in most centres were randomly allocated either to the VADO approach or to usual rehabilitation practice. At least two professionals for each centre attended a brief intensive training course. Patients were assessed at baseline and six months later with a) the FPS scale, which is an improvement on the DSMIV SOFAS; b) the BPRS 4.0; c) AR, a clinical tool that is contained in VADO. Results – 55 patients received the experimental interventions and 40 the control one. Six months later greater significant improvements were observed in the experimental group, both in social functioning and in psychopathology. Conclusions – The dissemination of structured rehabilitation approaches that are based on personalized definition of objective, intensive progress monitoring, patient's therapeutic education and validated strategies and do not imply additional costs, may be warranted. A longer follow–up is under way.

Declaration of Interest: this work was partly funded by the National Mental Health Project (PNSM) of the Istituto Superiore della Sanita.

Original papers
Copyright © Cambridge University Press 2003

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