Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Glynn, S. M. Articles by Mintz, J. Search for Related Content PubMed Citation Articles by Glynn, S. M. Articles by Mintz, J. Schizophrenia Spectrum Disorders Behavior Therapy Other Psychotherapy

Supplementing Clinic-Based Skills Training With Manual-Based Community Support Sessions: Effects on Social Adjustment of Patients With Schizophrenia

OBJECTIVE: Although skills training is a validated psychosocial treatment for schizophrenia, generalization of the skills to everyday life has not been optimal. This study evaluated a behaviorally oriented method of augmenting clinic-based skills training in the community with the aim of improving opportunities, encouragement, and reinforcement for outpatients to use their skills in their natural environment. METHOD: Sixty-three individuals with schizophrenia were randomly assigned to 60 weeks of clinic-based skills training alone or of clinic-based skills training supplemented with manual-based generalization sessions in the community. Patients were also randomly assigned to receive either haloperidol or risperidone. Therapists’ fidelity to the manuals was measured. Patients’ acquisition of the skills from pre- to posttraining was evaluated. The primary outcome measures were the Social Adjustment Scale-II and the Quality of Life Scale. RESULTS: Seventy-one percent of the patients completed the trial. Only six participants experienced psychotic exacerbations during the trial. There was no evidence of a differential medication effect on social functioning. Social functioning improved modestly in both psychosocial conditions over time; participants who received augmented skills training in the community showed significantly greater and/or quicker improvements. CONCLUSIONS: Given judicious and effective antipsychotic medication that limited exacerbations to less than 10% during the trial, a wide range of outpatients with schizophrenia demonstrated substantial learning of illness management and social skills in the clinic. When clinic-based skills training was augmented by in vivo training and consultation, transfer of the skills to everyday life was enhanced. These benefits were established regardless of the medications prescribed.

This article has been cited by other articles:

				M. Bertelsen, P. Jeppesen, L. Petersen, A. Thorup, J. Ohlenschlaeger, P. le Quach, T. O. Christensen, G. Krarup, P. Jorgensen, and M. Nordentoft Five-Year Follow-up of a Randomized Multicenter Trial of Intensive Early Intervention vs Standard Treatment for Patients With a First Episode of Psychotic Illness: The OPUS Trial Arch Gen Psychiatry, July 1, 2008; 65(7): 762 - 771. [Abstract] [Full Text] [PDF]

				J. A. Lieberman, R. E. Drake, L. I. Sederer, A. Belger, R. Keefe, D. Perkins, and S. Stroup Science and Recovery in Schizophrenia Psychiatr Serv, May 1, 2008; 59(5): 487 - 496. [Abstract] [Full Text] [PDF]

				Y.-T. XIANG, Y.-Z. WENG, W.-Y. LI, L. GAO, G.-L. CHEN, L. XIE, Y.-L. CHANG, W.-K. TANG, and G. S. UNGVARI Efficacy of the Community Re-Entry Module for patients with schizophrenia in Beijing, China: outcome at 2-year follow-up The British Journal of Psychiatry, January 1, 2007; 190(1): 49 - 56. [Abstract] [Full Text] [PDF]

				A. Kopelowicz, R. P. Liberman, and R. Zarate Recent Advances in Social Skills Training for Schizophrenia Schizophr Bull, October 1, 2006; 32(suppl_1): S12 - S23. [Abstract] [Full Text] [PDF]

				K. T. Mueser, P. S. Meyer, D. L. Penn, R. Clancy, D. M. Clancy, and M. P. Salyers The Illness Management and Recovery Program: Rationale, Development, and Preliminary Findings Schizophr Bull, October 1, 2006; 32(suppl_1): S32 - S43. [Abstract] [Full Text] [PDF]

				R. P. Liberman, C. J. Wallace, and J. Hassell Rehab Rounds: Predicting Readiness and Responsiveness to Skills Training: The Micro-Module Learning Test Psychiatr Serv, July 1, 2004; 55(7): 764 - 766. [Abstract] [Full Text] [PDF]

				S. M. Glynn, S. R. Marder, R. P. Liberman, K. Blair, W. C. Wirshing, D. A. Wirshing, D. Ross, and J. Mintz Supplementing Clinic-Based Skills Training With Manual-Based Community Support Sessions: Effects on Social Adjustment of Patients With Schizophrenia Focus, January 1, 2004; 2(1): 68 - 77. [Abstract] [Full Text] [PDF]

				S. R. Marder, S. M. Glynn, W. C. Wirshing, D. A. Wirshing, D. Ross, C. Widmark, J. Mintz, R. P. Liberman, and K. E. Blair Maintenance Treatment of Schizophrenia With Risperidone or Haloperidol: 2-Year Outcomes Am J Psychiatry, August 1, 2003; 160(8): 1405 - 1412. [Abstract] [Full Text] [PDF]

				Enhanced Psychosocial Treatments for Schizophrenia Journal Watch Psychiatry, June 19, 2002; 2002(619): 5 - 5. [Full Text]

Get information about faster international access.

Privacy Policy

Copyright © 2002 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us