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Do financial incentives increase treatment adherence in people with severe mental illness? A systematic review
- Authors:
- BURTON Alexandra, MAROUGKA Stamatina, PRIEBE Stefan
- Journal article citation:
- Epidemiologia e Psichiatria Sociale, 19(3), 2010, pp.233-242.
- Publisher:
- Cambridge University Press
Evidence from 14, mostly small, uncontrolled studies indicates that financial incentives can improve treatment adherence in people with severe mental illness. Very few of the studies focused on psychiatric treatment, the majority were aiming to reduce substance and alcohol misuse in the population of interest.
Patients’ views of involuntary hospital admission after 1 and 3 months: prospective study in 11 European countries
- Authors:
- PRIEBE Stefan, et al
- Journal article citation:
- British Journal of Psychiatry, 196(3), March 2010, pp.179-185.
- Publisher:
- Cambridge University Press
The authors suggest that the debate on the most appropriate regulations and practice for involuntary hospital admissions is guided by little research. Legislation and practice varies considerably throughout Europe and although some studies have looked at patents’ retrospective views of the appropriateness of their treatment, the results varied according to the exact question and time since admission. This prospective study explored patients’ views in 11 European countries, 2326 consecutive involuntary patients admitted to psychiatric hospital departments were interviewed within 1 week of admission; 1809 were followed up one month and 1613 three months later. The primary outcome was patients’ views as to whether the admission was right but the study also looked for variation between countries and whether the results held true after controlling for differences in patient characteristics. Depending on the country, between 39 and 71% (mean 55%) felt the admission was right after one month, and between 46 and 86% (mean 63%) after three months. Females, those living alone and those with a diagnosis of schizophrenia had more negative views. Adjusting for confounding factors, some differences between countries were significant for example, patients’ views in England were significantly less favourable than those in seven of the countries studied. The authors suggest that differences in legislation and practice may be associated with differences in patients’ views but note that exact causal factors and mechanisms remain poorly understood.
Effectiveness of a volunteer befriending programme for patients with schizophrenia: randomised controlled trial
- Authors:
- PRIEBE Stefan, et al
- Journal article citation:
- British Journal of Psychiatry, 217(3), 2020, pp.477-483.
- Publisher:
- Cambridge University Press
Background: Befriending by volunteers has the potential to reduce the frequent social isolation of patients with schizophrenia and thus improve health outcomes. However, trial-based evidence for its effectiveness is limited. Aims: To conduct a randomised controlled trial of befriending for patients with schizophrenia or related disorders. Method: Patients were randomised to a befriending programme for 1 year or to receive information about social activities only (trial registration: ISRCTN14021839). Outcomes were assessed masked to allocation at the end of the programme; at 12 months and at a 6-month follow-up. The primary outcome was daily time spent in activities (using the Time Use Survey (TUS)) with intention-to-treat analysis. Results: A total of 124 patients were randomised (63 intervention, 61 active control) and 92 (74%) were followed up at 1 year. In the intervention group, 49 (78%) met a volunteer at least once and 31 (49%) had more than 12 meetings. At 1 year, mean TUS scores were more than three times higher in both groups with no significant difference between them (adjusted difference 8.9, 95% CI −40.7 to 58.5, P = 0.72). There were no significant differences in quality of life, symptoms or self-esteem. However, patients in the intervention group had significantly more social contacts than those in the control group at the end of the 12-month period. This difference held true at the follow-up 6 months later. Conclusions: Although no difference was found on the primary outcome, the findings suggest that befriending may have a lasting effect on increasing social contacts. It may be used more widely to reduce the social isolation of patients with schizophrenia. (Edited publisher abstract)
Resource-oriented therapeutic models in psychiatry: conceptual review
- Authors:
- PRIEBE Stefan, et al
- Journal article citation:
- British Journal of Psychiatry, 204(4), 2014, pp.256-261.
- Publisher:
- Cambridge University Press
For this conceptual review, a literature research was conducted to identify a range of resource-oriented therapeutic models in psychiatry, that is those that tap into individuals strengths and use their positive social and personal resources. The review focused on patients with severe mental illness and aimed to identify shared characteristics of the models and interventions. Key texts for each model were analysed using a narrative approach to synthesise the concepts and their characteristics. Ten models were included: befriending, client-centred therapy, creative music therapy, open dialogue, peer support workers, positive psychotherapy, self-help groups, solution-focused therapy, systemic family therapy and therapeutic communities. Six types of resources were utilised: social relationships, patients’ decision-making ability, experiential knowledge, patients’ individual strengths, recreational activities and self-actualising tendencies. Social relationships are a key resource in all the models, including relationships with professionals, peers, friends and family. Two relationship dimensions - reciprocity and expertise - differed across the models. The review suggests that a range of different therapeutic models in psychiatry address a persons personal and social resources rather than deficits. In various ways, they all utilise social relationships to induce therapeutic change. A better understanding of how social relationships affect mental health may inform the development and application of resource-oriented approaches. (Edited publisher abstract)
Evidence in mental health care
- Editors:
- PRIEBE Stefan, SLADE Mike
- Publisher:
- Brunner-Routledge
- Publication year:
- 2002
- Pagination:
- 267p.,bibliog.
- Place of publication:
- Hove
This book evaluates a range of research methodologies and examines what types of 'evidence' have been appealed to. It comprises an historical and conceptual analysis of what was regarded as evidence and how this has impacted on mental health care. Presenting different methodological approaches it discusses their strengths and weaknesses in providing evidence, an how evidence is applied in different treatment and care modalities. Different angles on the the way forward for providing evidence to improve current treatments are scrutinised.