Table 3.
Range of psychosocial interventions in psychosis
| Example | Reference | Evidence from systematic reviews |
|---|---|---|
| Strong evidence | ||
| Cognitive behaviour therapy | Penn et al17, Kingdon and Turkington18 | Promising, underevaluated interventionw25; reduces symptomsw26 |
| Family interventions | Penn et al17, Garety et al23 | Have a role in relapse prevention; improve many other outcomesw26 |
| Psychoeducational interventions | Penn et al17 | Any intervention reduced relapse rates at 9 and 18 monthsw27 |
| Supported employment | Crowther et alw28 | No evidence of efficacy of prevocational training: recommend to place the patient first, then trainw28 |
| Good evidence | ||
| Nidotherapy: manipulation of the environment | Tyrer and Bajaj16 | — |
| Cognitive behaviour therapy early after admission | Tarrier et alw29 | — |
| Vocational rehabilitation | RANZCP guidelines | — |
| Healthy living groups | McCreadie14 | — |
| Music therapy during acute admission | Talwar et alw30 | — |
| Interventions for the community (not patients) | Wolff et alw31 | — |
| No evidence currently | ||
| Compliance therapy | McIntosh et alw32 | One trial met criteria but failed to show benefits in outcomesw32 |
| Life skills training | Robertson et alw33 | Based on two randomised trials, no benefits shownw33 |
| Motivational interviewing for substance misuse | Jeffery et alw34 | No benefit of integrated treatment for comorbid substance misusew34 |