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Improving the treatment of schizophrenia in real world mental health services

Published online by Cambridge University Press:  11 April 2011

Mirella Ruggeri  and
Michele Tansella
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Extract

Over the past decades, the therapeutic goal for schizophrenia has become more and more ambitious, shifting from that of controlling violent episodes to aim of ameliorating patients' symptoms, to the extent that individuals with schizophrenia can achieve a relative degree of social and relational remission. Indeed, thanks to more recent pharmacological and psychosocial forms of intervention, once pessimistic attitudes toward long-term schizophrenia outcomes are transforming gradually into guarded optimism. Evidence of the efficacy of various forms of treatment now make it possible for researchers and clinicians to consider both the remission of severe symptoms for long periods of time and good social functioning potential goals.

Type
Introduction
Information
Epidemiology and Psychiatric Sciences , Volume 17 , Issue 4 , December 2008 , pp. 249 - 253
Copyright
Copyright © Cambridge University Press 2008

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References

REFERENCES

Amaddeo, F. & Tansella, M. (2007). Economics of mental health. New challenges and new perspectives. Epidemiologia e Psichiatria Sociale 16, 279–281.CrossRefGoogle ScholarPubMed
Amaddeo, F., Beecham, J., Bonizzato, P., Fenyo, A., Tansella, M. & Knapp, M. (1998). The costs of community-based psychiatric care for first-ever patients. A case register study. Psychological Medicine 28, 173–183.CrossRefGoogle ScholarPubMed
Becker, T., Hulsmann, S., Knudsen, H. C., Martiny, K., Amaddeo, F., Gaite, L., Knapp, M., Schene, A. H., Tansella, M., Thornicroft, G., Vazquez-Barquero, J. L. and the EPSILON Study Group (2002). Provision of services for people with schizophrenia in five European regions. Social Psychiatry and Psychiatric Epidemiology 37, 465–474.CrossRefGoogle ScholarPubMed
Carrà, G., Barale, F. & Marinoni, A. (Eds.) (2004). Schizofrenia. Linee Guida Cliniche Complete per gli Interventi Fondamentali nella Medicina di Base e Specialistica. Il Pensiero Scientifico Editore: Roma.Google Scholar
Goldberg, D. (2008). Improved investment in mental health services: value for money? British Journal of Psychiatry 192, 88–91.CrossRefGoogle ScholarPubMed
Grol, R., Grimshaw, J. (2003). From best evidence to best practice: effective implementation of change in patients' care. Lancet 362 (9391), 1225–1230.CrossRefGoogle ScholarPubMed
Leucht, S. (2007). Psychiatric treatment guidelines: doctors non-compliance or insufficient evidence? Acta Psychiatrica Scandinavica 115, 417–419.CrossRefGoogle ScholarPubMed
McIntyre, J. S. (2002). Usefulness and limitations of treatment guidelines in psychiatry. World Psychiatry Oct 1 (3), 186–189.Google ScholarPubMed
National Institute for Clinical Excellence (2003). Schizophrenia. Full National Clinical Guideline on Core Interventions in Primary and Secondary Care. Gaskell, Royal College of Psychiatrist and the British Psychological Society: London.Google Scholar
Nosè, M., Barbui, C. & Tansella, M. (2003). How often do patients with psychosis fail to adhere with treatment programmes? A systematic review. Psychological Medicine 33, 1149–1160.CrossRefGoogle ScholarPubMed
Ruggeri, M. & Tansella, M. (2007) Achieving a better knowledge on the causes and early course pf psychoses: a profitable investment for the future? Epidemiologia e Psichiatria Sociale 16, 97–101.CrossRefGoogle Scholar
Tansella, M. & Thornicroft, G. (Ed.) (2001). Mental Health Outcome Measures, 2nd Ed. Gaskell: London.Google Scholar
Thornicroft, G. & Tansella, M. (2008). Better Mental Health Care. Cambridge University Press: London.CrossRefGoogle Scholar