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Community-based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence.

作者信息

Killaspy Helen, Harvey Carol, Brasier Catherine, Brophy Lisa, Ennals Priscilla, Fletcher Justine, Hamilton Bridget

机构信息

Department of Epidemiology and Applied Clinical Research, Division of Psychiatry, University College London, London, UK.

Camden & Islington NHS Foundation Trust, London, UK.

出版信息

World Psychiatry. 2022 Feb;21(1):96-123. doi: 10.1002/wps.20940.


DOI:10.1002/wps.20940
PMID:35015358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8751572/
Abstract

People living with severe mental illness (SMI) are one of the most marginalized groups in society. Interventions which aim to improve their social and economic participation are of crucial importance to clinicians, policy-makers and people with SMI themselves. We conducted a systematic review of the literature on social interventions for people with SMI published since 2016 and collated our findings through narrative synthesis. We found an encouragingly large amount of research in this field, and 72 papers met our inclusion criteria. Over half reported on the effectiveness of interventions delivered at the service level (supported accommodation, education or employment), while the remainder targeted individuals directly (community participation, family interventions, peer-led/supported interventions, social skills training). We identified good evidence for the Housing First model of supported accommodation, for the Individual Placement and Support model of supported employment, and for family psychoeducation, with the caveat that a range of models are nonetheless required to meet the varied housing, employment and family-related needs of individuals. Our findings also highlighted the importance of contextual factors and the need to make local adaptations when "importing" interventions from elsewhere. We found that augmentation strategies to enhance the effectiveness of social interventions (particularly supported employment and social skills training) by addressing cognitive impairments did not lead to transferable "real life" skills despite improvements in cognitive function. We also identified an emerging evidence base for peer-led/supported interventions, recovery colleges and other interventions to support community participation. We concluded that social interventions have considerable benefits but are arguably the most complex in the mental health field, and require multi-level stakeholder commitment and investment for successful implementation.

摘要

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引用本文的文献

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: Participatory Action Research with family carers and a Recovery College.

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Differences in Personal Recovery Among Individuals with Severe Mental Disorders in Private and Supported Accommodations: An Exploratory Study.

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[3]
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[4]
Targeted interventions to improve the social and economic circumstances of people with mental ill-health from marginalised communities: a systematic review.

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[5]
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[6]
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[7]
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[8]
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[9]
The internalized stigma, self-efficacy, occupational competence and employment outcome among persons with severe mental illness under one-to-one peer support services in Taiwan.

BMC Psychiatry. 2025-4-22

[10]
The uneven triad: a qualitative study of perspectives of relatives, patients, and professionals on (not) involving relatives in mental health.

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本文引用的文献

[1]
A Systematic Review of the Characteristics and Efficacy of Recovery Training for Mental Health Staff: Implications for Supported Accommodation Services.

Front Psychiatry. 2021-5-14

[2]
Rethinking Why We Do What We Do: Individual Placement and Support.

Psychiatr Serv. 2021-9-1

[3]
A web-based, peer-supported self-management intervention to reduce distress in relatives of people with psychosis or bipolar disorder: the REACT RCT.

Health Technol Assess. 2020-6

[4]
Editorial: From Residential Care to Supported Housing.

Front Psychiatry. 2020-6-12

[5]
Randomized controlled trial of social cognition and interaction training compared to befriending group.

Br J Clin Psychol. 2020-9

[6]
Fidelity and IPS: does quality of implementation predict vocational outcomes over time for organizations treating persons with severe mental illness in the Netherlands?

Soc Psychiatry Psychiatr Epidemiol. 2020-5-28

[7]
Psychosocial therapies in severe mental illness: update on evidence and recommendations.

Curr Opin Psychiatry. 2020-7

[8]
Impact of brief psychosocial intervention on key relatives of patients with schizophrenia: A randomized controlled trial.

Indian J Psychiatry. 2020

[9]
Research into mental health supported accommodation - desperately needed but challenging to deliver.

Br J Psychiatry. 2021-4

[10]
Clinical effectiveness of a web-based peer-supported self-management intervention for relatives of people with psychosis or bipolar (REACT): online, observer-blind, randomised controlled superiority trial.

BMC Psychiatry. 2020-4-14

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