title: Who does not get cognitive-behavioral therapy for schizophrenia when therapy is readily available?
abstract: OBJECTIVE
  The evidence base for using cognitive-behavioral therapy in schizophrenia is well established; it is recommended in guidelines by the Schizophrenia Patient Outcomes Research Team.
  
  
  METHODS
  Data were examined regarding referral patterns for patients with schizophrenia who were seen by one of four psychiatrists at the mental health center providing services to West Southampton (England).
  
  
  RESULTS
  Of the 142 patients identified, 69 had and 73 had not been referred for cognitive-behavioral therapy. Patients tended not to be referred if they were considered to be doing well and not in need of therapy or were unlikely to engage.
  
  
  CONCLUSIONS
  In a location where cognitive-behavioral therapy for schizophrenia was readily available, half of all patients were considered appropriate for referral. Improved engagement skills and more assertive outreach by therapists and consideration by referrers of the benefits of relapse prevention might bring the benefits of cognitive-behavioral therapy to a still broader group.
authors.affiliation: Mental Health Group, Royal South Hants Hospital, University of Southampton, Brintons Terrace, Southampton, Hampshire, SO14OYG United Kingdom. dgk@soton.ac.uk
authors.forename: David Graham
authors.initials: DG
authors.lastname: Kingdon
authors.forename: Holly
authors.initials: H
authors.lastname: Kirschen
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000706:statistics & numerical data*; D003155:Community Mental Health Centers / Q000592:standards*; D004739:England; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D011570:Psychiatry / Q000379:methods / Q000592:standards*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012559:Schizophrenia / Q000628:therapy*