Abstract
Objective
The authors examined current knowledge about psychoeducation for schizophrenia in Czech Republic.
Methods
The authors sent a screening survey to 550 mental health-care facilities and administered a detailed questionnaire to 113 providers of mental health and social services and to 200 service users. The authors also carried out 14 focus groups and 16 individual interviews.
Results
Forty-six departments provided some type of psychoeducation for schizophrenia; of these, 16 provided family psychoeducation for patients and relatives and 1 provided psychoeducation only for relatives. Service users who received psychoeducation performed significantly better in the test of knowledge than did service users who did not receive psychoeducation.
Conclusion
The authors propose a service user-driven curriculum based on information delivery followed by skills training. Psychiatrists should learn to explain schizophrenia relapse neurobiology to laypeople and to address relatives’ frustrations.
References
Pharoah F, Mari J, Rathbone J, Wong W. Family intervention for schizophrenia. Cochrane Database Syst Rev. 2010. doi:10.1002/14651858.
Xia J, Merinder LB, Belgamwar MR. Psychoeducation for schizophrenia. Cochrane Database Syst Rev. 2011. doi:10.1002/14651858.CD002831.pub2.
Sherman MD. The Support and Family Education (SAFE) Program: mental health factors for families. Psychiatr Serv. 2003;54:35–7.
Rummel-Kluge CH, Kluge M, Kissling W. Frequency and relevance of psychoeducation in psychiatric diagnoses: results of two surveys five years apart in German-speaking European countries. BMC Psychiatry. 2013;13:170. doi:10.1186/1471-244X-13-170.
Motlova L, Dragomirecka E, Spaniel F, Goppoldova E, Zalesky R, Selepova P, et al. Relapse prevention in schizophrenia: does group family psychoeducation matter? One-year prospective follow-up field study. Int J Psychiatry Clin Pract. 2006;10(1):38–44.
Rummel-Kluge CH, Pitschel-Walz G, Maulm J, Kissling W. Psychoeducation in schizophrenia—results of a survey of all psychiatric institutions in Germany, Austria and Switzerland. Schizophr Bull. 2006;32(4):765–75.
Feldmann R, Hornung WP, Prein B, Buchkremer G, Arolt V. Timing of psychoeducational psychotherapeutic interventions in schizophrenic patients. Eur Arch Psychiatr Clin Neurosci. 2002;252(3):115–9.
Pitschel-Walz G, Bäuml J, Bender W, Engel RR, Magner M, Kissling W. Psychoeducation and compliance in the treatment of schizophrneia. Results of the Munich psychosis information project study. J Clin Psychiatry. 2006;67:443–52.
Dyck DG, Short R, Vitaliano PP. Predictors of burden and infectious illness in schizophrenia caregivers. Psychosom Med. 1999;61:411–9.
Spaniel F, Hrdlička J, Novák T, Kožený J, Höschl C, Mohr P, et al. Effectiveness of the Information Technology-Aided Program of Relapse Prevention in Schizophrenia (ITAREPS): a randomized, controlled, double-blind study. J Psychiatr Pract. 2012;18:269–80.
Disclosure
This work was supported by a grant from MH CZ-DRO (PCP, 00023752) and 260045/SVV/2014.
Disclosure
The authors declare no conflicts of interest.
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Bankovská Motlová, L., Dragomirecká, E., Blabolová, A. et al. Psychoeducation for Schizophrenia in the Czech Republic: Curriculum Modification Based on Opinions of Service Users and Providers. Acad Psychiatry 39, 186–190 (2015). https://doi.org/10.1007/s40596-014-0234-4
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DOI: https://doi.org/10.1007/s40596-014-0234-4