The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements.
The Schizophrenia Patient Outcomes Research Team (PORT) psychosocial treatment recommendations provide a comprehensive summary of current evidence-based psychosocial treatment interventions for persons with schizophrenia. There have been 2 previous sets of psychosocial treatment recommendations (Lehman AF, Steinwachs DM. Translating research into practice: the Schizophrenia Patient Outcomes Research Team (PORT) treatment recommendations. Schizophr Bull. 1998;24:1-10 and Lehman AF, Kreyenbuhl J, Buchanan RW, et al. The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2003. Schizophr Bull. 2004;30:193-217). This article reports the third set of PORT recommendations that includes updated reviews in 7 areas as well as adding 5 new areas of review. Members of the psychosocial Evidence Review Group conducted reviews of the literature in each intervention area and drafted the recommendation or summary statement with supporting discussion. A Psychosocial Advisory Committee was consulted in all aspects of the review, and an expert panel commented on draft recommendations and summary statements. Our review process produced 8 treatment recommendations in the following areas: assertive community treatment, supported employment, cognitive behavioral therapy, family-based services, token economy, skills training, psychosocial interventions for alcohol and substance use disorders, and psychosocial interventions for weight management. Reviews of treatments focused on medication adherence, cognitive remediation, psychosocial treatments for recent onset schizophrenia, and peer support and peer-delivered services indicated that none of these treatment areas yet have enough evidence to merit a treatment recommendation, though each is an emerging area of interest. This update of PORT psychosocial treatment recommendations underscores both the expansion of knowledge regarding psychosocial treatments for persons with schizophrenia at the same time as the limitations in their implementation in clinical practice settings.
Dixon
Lisa B
LB
VA Capitol Health Care Network Mental Illness Research Education and Clinical Center, Baltimore, MD, USA. Ldixon@psych.umaryland.edu
Dickerson
Faith
F
Bellack
Alan S
AS
Bennett
Melanie
M
Dickinson
Dwight
D
Goldberg
Richard W
RW
Lehman
Anthony
A
Tenhula
Wendy N
WN
Calmes
Christine
C
Pasillas
Rebecca M
RM
Peer
Jason
J
Kreyenbuhl
Julie
J
D026683:Advisory Committees; D000437:Alcoholism / Q000534:rehabilitation; D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003156:Community Mental Health Services; D016832:Employment, Supported; D019317:Evidence-Based Medicine; D005196:Family Therapy; D006801:Humans; D017063:Outcome Assessment, Health Care; D016032:Randomized Controlled Trials as Topic; D012559:Schizophrenia / Q000175:diagnosis / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012951:Socialization; D019966:Substance-Related Disorders / Q000534:rehabilitation; D014040:Token Economy; D015431:Weight Loss