Liberman R P, Wallace C J, Blackwell G, Kopelowicz A, Vaccaro J V, Mintz J
West Los Angeles VA Medical Center and the Department of Psychiatry and Biobehavioral Sciences, University of California, USA.
Am J Psychiatry. 1998 Aug;155(8):1087-91. doi: 10.1176/ajp.155.8.1087.
The authors compared the community functioning of outpatients with persistent forms of schizophrenia after treatment with psychosocial occupational therapy or social skills training, with the latter conducted by paraprofessionals.
Eighty outpatients with persistent forms of schizophrenia were randomly assigned to receive either psychosocial occupational therapy or skills training for 12 hours weekly for 6 months, followed by 18 months of follow-up with case management in the community. Antipsychotic medication was prescribed through "doctor's choice" by psychiatrists who were blind to the psychosocial treatment assignments.
Patients who received skills training showed significantly greater independent living skills during a 2-year follow-up of everyday community functioning.
Skills training can be effectively conducted by paraprofessionals, with durability and generalization of the skills greater than that achieved by occupational therapists who provide their patients with psychosocial occupational therapy.
作者比较了接受心理社会职业治疗或社交技能训练（由辅助专业人员进行）治疗后持续性精神分裂症门诊患者的社区功能。
80名持续性精神分裂症门诊患者被随机分配，分别接受心理社会职业治疗或社交技能训练，每周12小时，为期6个月，随后在社区进行18个月的病例管理随访。抗精神病药物由对心理社会治疗分配不知情的精神科医生通过“医生选择”方式开具。
在对日常社区功能进行的2年随访中，接受技能训练的患者显示出显著更强的独立生活技能。
辅助专业人员能够有效地开展技能训练，所训练技能的持久性和通用性优于为患者提供心理社会职业治疗的职业治疗师所取得的效果。
