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Am J Psychiatry 1992; 149:654-658
Copyright © 1992 by American Psychiatric Association
Effectiveness and replicability of modules for teaching social and instrumental skills to the severely mentally ill
CJ Wallace, RP Liberman, SJ MacKain, G Blackwell and TA Eckman
Clinical Research Center for Schizophrenia and Psychiatric Rehabilitation, UCLA School of Medicine.
OBJECTIVE: This study evaluated the effectiveness and replicability of
psychoeducational modules designed to improve the social and instrumental
competencies of severely mentally ill patients. METHOD: Staff in seven
facilities used the modules to teach 108 severely mentally ill patients.
Staff received 2 days of formal training followed by periodic consultation.
Each module's effectiveness was measured by a test of the patients'
knowledge and performance of the skills taught in that module. Staff's
adherence to the instructional techniques specified in the modules was
measured by directly observing them and assessing the fidelity of their
behaviors to those specified in the modules. RESULTS: The patients' skills
significantly improved and were maintained during a 1-year follow-up, and
staff accurately followed the modules with minimal consultation.
CONCLUSIONS: These training modules are effective and replicable techniques
for teaching social and instrumental skills to severely mentally ill
patients. The modules can be easily disseminated to a variety of facilities
and used as components in a comprehensive rehabilitation program.
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