NOWA DROGA W PSYCHIATRII - PSYCHOEDUKACJA, CZYLI PROGRAM ZAPOBIEGANIA NAWROTOM SCHIZOFRENII
A NEW WAY IN PSYCHIATRY - PSYCHO-EDUCATION THAT IS TO SAY THE PROGRAMME OF PREVENTION FROM RELAPSES OF SCHIZOPHRENKIA

Summary/Abstract: In an increasing number of cases the psychosocial techniąues arę being intro-duced, aport from pharmaco-therapy, into schizophrenia treatment. In a pre-dominant opinion the social skills training, as long as it is employd in a long term (2 or 3 years), brings about better functioning and social adaptation. Also, the combination of psychoeducation and psychoterapeutic interventions, targeted on both the patients and their families, can reduce the amount of psychosis relapses. The study presents the experience amassed work of a psychiatrie ward, specializ-ing in early rehabilitation and psychoeducation. The essential elements of the program arę constant care of the patient, optimum pharmacotherapy, lectures for patients and their families, social skill trainings, cognitive-behavioral therapy, the "Early Warning Signs" procedurę and finally crisis interventions. Our goal is to be able to specify, at the end of a patienfs hospitalization, what his or her prodromal symptoms arę, stress situations which may lead to a psychosis relapse, and also to establish a treatment strategy in case the prodroms occur. Same of the patients dis-charged from the ward continue to receive treatment at the Institute's Outpatient Glinie. 22 people were teken into such care and they remain in close contact with the therapsts. After the initial assessment of effects we have acheved one can observe an improvement in the "ąuality of being ill". Continuation of the relapse prevention program may mąkę it possible to formulate further conclusions concerning influence of the program on the course of schizoprenic psychosis. It is also recommended that the efficiency of activities motivating patienfs families to cooperate should be increased.

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