[Treatment adherence as a social ability: a case of patients with schizophrenia].
Psychosocial rehabilitation programs are available for schizophrenic patients to develop social abilities. Taking into account deficits in drug compliance of such patients, psycho-educational programs have been developed to tackle patients' abilities to take their drugs. One year after discharge from psychiatric facilities however, only 50% of the psychotic patients are still compliant with their drug treatment. The aim of our paper is to describe concepts associated with drug adherence as a social ability, and to illustrate these concepts with a program designed for psychotic patients. First, we define the concept of social rehabilitation, second, we describe strategies available to enhance adherence to drug treatment, third, we present a psycho-educational program developed at St. Egrève Hospital, France. This program is centered on the patient's own capacities to become adherent. Individual in-patient consultations, developed by a team of 3 professionals (psychiatrist, pharmacist, nurse) are linked to indiviual follow-up at home. Their scope is to identify specific targets for the patient's self-efficacy to run his drug treatment in an autonomous way.
Baudrant-Boga
M
M
Holtzmann
J
J
Allenet
B
B
Debeauchamp
I
I
Giraud-Baro
E
E
D014150:Antipsychotic Agents / Q000627:therapeutic use*; D005602:France; D006801:Humans; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D012559:Schizophrenia / Q000188:drug therapy* / Q000534:rehabilitation; D012919:Social Behavior
D014150:Antipsychotic Agents