Publication
Unmet needs in the management of schizophrenia
| Summary: | Studies on unmet needs during the last decades have played a significant role in the development and dissemination of evidence-based community practices for persistent schizophrenia and other severe mental disorders. This review has thoroughly considered several blocks of unmet needs, which are frequently related to schizophrenic disorders. Those related to health have been the first block to be considered, in which authors have examined the frequent complications and comorbidities found in schizophrenia, such as substance abuse and dual diagnosis. A second block has been devoted to psychosocial and economic needs, especially within the field of recovery of the persistently mentally ill. Within this block, the effects of the current economic difficulties shown in recent literature have been considered as well. Because no patient is static, a third block has reviewed evolving needs according to the clinical staging model. The fourth block has been dedicated to integrated evidence-based interventions to improve the quality of life of persons with schizophrenia. Consideration of community care for those reluctant to maintain contact with mental health services has constituted the fifth block. Finally, authors have aggregated their own reflections regarding future trends. The number of psychosocial unmet needs is extensive. Vast research efforts will be needed to find appropriate ways to meet them, particularly regarding so-called existential needs, but many needs could be met only by applying existing evidence-based interventions. Reinforcing research on the implementation strategies and capacity building of professionals working in community settings might address this problem. The final aim should be based on the collaborative model of care, which rests on the performance of a case manager responsible for monitoring patient progress, providing assertive follow-up, teaching self-help strategies, and facilitating communication among the patient, family doctor, mental health specialist, and other specialists. |
|---|---|
| Main Authors: | Torres-González, Francisco |
| Other Authors: | Ibanez-Casas, Inmaculada; Saldivia, Sandra; Ballester, Dinarte; Grandón, Pamela; Moreno-Küstner, Berta; Xavier, Miguel; Xavier, Miguel; Gómez-Beneyto, Manuel |
| Subject: | Needs Schizophrenia Severe mental disorders Unmet needs Psychiatry and Mental health Biological Psychiatry SDG 3 - Good Health and Well-being |
| Year: | 2014 |
| Country: | Portugal |
| Document type: | review |
| Access type: | open access |
| Associated institution: | Universidade Nova de Lisboa |
| Language: | English |
| Origin: | Repositório Institucional da UNL |
| _version_ | 1868983997033349120 |
|---|---|
| author | Torres-González, Francisco |
| author2 | Ibanez-Casas, Inmaculada Saldivia, Sandra Ballester, Dinarte Grandón, Pamela Moreno-Küstner, Berta Xavier, Miguel Xavier, Miguel Gómez-Beneyto, Manuel |
| author2_role | author author author author author author author author |
| author_facet | Torres-González, Francisco Ibanez-Casas, Inmaculada Saldivia, Sandra Ballester, Dinarte Grandón, Pamela Moreno-Küstner, Berta Xavier, Miguel Xavier, Miguel Gómez-Beneyto, Manuel |
| author_role | author |
| contributor_name_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Dove Medical Press RUN |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Torres-González, Francisco\"},{\"Person.name\":\"Ibanez-Casas, Inmaculada\"},{\"Person.name\":\"Saldivia, Sandra\"},{\"Person.name\":\"Ballester, Dinarte\"},{\"Person.name\":\"Grandón, Pamela\"},{\"Person.name\":\"Moreno-Küstner, Berta\"},{\"Person.name\":\"Xavier, Miguel\"},{\"Person.name\":\"Xavier, Miguel\",\"Person.identifier.orcid\":\"0000-0003-2698-1284\"},{\"Person.name\":\"Gómez-Beneyto, Manuel\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Dove Medical Press RUN |
| datacite.creators.creator.creatorName.fl_str_mv | Torres-González, Francisco Ibanez-Casas, Inmaculada Saldivia, Sandra Ballester, Dinarte Grandón, Pamela Moreno-Küstner, Berta Xavier, Miguel Xavier, Miguel Gómez-Beneyto, Manuel |
| datacite.date.Accepted.fl_str_mv | 2014-01-16T00:00:00Z |
| datacite.date.available.fl_str_mv | 2017-09-25T22:04:02Z |
| datacite.date.embargoed.fl_str_mv | 2017-09-25T22:04:02Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Needs Schizophrenia Severe mental disorders Unmet needs Psychiatry and Mental health Biological Psychiatry SDG 3 - Good Health and Well-being |
| datacite.titles.title.fl_str_mv | Unmet needs in the management of schizophrenia |
| dc.contributor.none.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Dove Medical Press RUN |
| dc.creator.none.fl_str_mv | Torres-González, Francisco Ibanez-Casas, Inmaculada Saldivia, Sandra Ballester, Dinarte Grandón, Pamela Moreno-Küstner, Berta Xavier, Miguel Xavier, Miguel Gómez-Beneyto, Manuel |
| dc.date.Accepted.fl_str_mv | 2014-01-16T00:00:00Z |
| dc.date.available.fl_str_mv | 2017-09-25T22:04:02Z |
| dc.date.embargoed.fl_str_mv | 2017-09-25T22:04:02Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://www.scopus.com/inward/record.url?scp=84892554562&partnerID=8YFLogxK |
| dc.language.none.fl_str_mv | eng |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Needs Schizophrenia Severe mental disorders Unmet needs Psychiatry and Mental health Biological Psychiatry SDG 3 - Good Health and Well-being |
| dc.title.fl_str_mv | Unmet needs in the management of schizophrenia |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_efa0 |
| description | Studies on unmet needs during the last decades have played a significant role in the development and dissemination of evidence-based community practices for persistent schizophrenia and other severe mental disorders. This review has thoroughly considered several blocks of unmet needs, which are frequently related to schizophrenic disorders. Those related to health have been the first block to be considered, in which authors have examined the frequent complications and comorbidities found in schizophrenia, such as substance abuse and dual diagnosis. A second block has been devoted to psychosocial and economic needs, especially within the field of recovery of the persistently mentally ill. Within this block, the effects of the current economic difficulties shown in recent literature have been considered as well. Because no patient is static, a third block has reviewed evolving needs according to the clinical staging model. The fourth block has been dedicated to integrated evidence-based interventions to improve the quality of life of persons with schizophrenia. Consideration of community care for those reluctant to maintain contact with mental health services has constituted the fifth block. Finally, authors have aggregated their own reflections regarding future trends. The number of psychosocial unmet needs is extensive. Vast research efforts will be needed to find appropriate ways to meet them, particularly regarding so-called existential needs, but many needs could be met only by applying existing evidence-based interventions. Reinforcing research on the implementation strategies and capacity building of professionals working in community settings might address this problem. The final aim should be based on the collaborative model of care, which rests on the performance of a case manager responsible for monitoring patient progress, providing assertive follow-up, teaching self-help strategies, and facilitating communication among the patient, family doctor, mental health specialist, and other specialists. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | review |
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| institution | Universidade Nova de Lisboa |
| instname_str | Universidade Nova de Lisboa |
| language | eng |
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| network_name_str | Repositório Institucional da UNL |
| oai_identifier_str | oai:run.unl.pt:10362/23580 |
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| person_str_mv | Torres-González, Francisco Ibanez-Casas, Inmaculada Saldivia, Sandra Ballester, Dinarte Grandón, Pamela Moreno-Küstner, Berta Xavier, Miguel Xavier, Miguel Xavier, Miguel https://www.ciencia-id.pt/D71F-6F62-6CFA D71F-6F62-6CFA http://orcid.org/0000-0003-2698-1284 0000-0003-2698-1284 Gómez-Beneyto, Manuel |
| publishDate | 2014 |
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| reponame_str | Repositório Institucional da UNL |
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| spelling | engenStudies on unmet needs during the last decades have played a significant role in the development and dissemination of evidence-based community practices for persistent schizophrenia and other severe mental disorders. This review has thoroughly considered several blocks of unmet needs, which are frequently related to schizophrenic disorders. Those related to health have been the first block to be considered, in which authors have examined the frequent complications and comorbidities found in schizophrenia, such as substance abuse and dual diagnosis. A second block has been devoted to psychosocial and economic needs, especially within the field of recovery of the persistently mentally ill. Within this block, the effects of the current economic difficulties shown in recent literature have been considered as well. Because no patient is static, a third block has reviewed evolving needs according to the clinical staging model. The fourth block has been dedicated to integrated evidence-based interventions to improve the quality of life of persons with schizophrenia. Consideration of community care for those reluctant to maintain contact with mental health services has constituted the fifth block. Finally, authors have aggregated their own reflections regarding future trends. The number of psychosocial unmet needs is extensive. Vast research efforts will be needed to find appropriate ways to meet them, particularly regarding so-called existential needs, but many needs could be met only by applying existing evidence-based interventions. Reinforcing research on the implementation strategies and capacity building of professionals working in community settings might address this problem. The final aim should be based on the collaborative model of care, which rests on the performance of a case manager responsible for monitoring patient progress, providing assertive follow-up, teaching self-help strategies, and facilitating communication among the patient, family doctor, mental health specialist, and other specialists.application/pdfenUnmet needs in the management of schizophreniaTorres-González, FranciscoIbanez-Casas, InmaculadaSaldivia, SandraBallester, DinarteGrandón, PamelaMoreno-Küstner, BertaXavier, MiguelPersonalXavier, MiguelDSpacehttp://dspace.org/items/1f1ba027-e7cf-4b4a-906b-35d61c74eb90DSpacehttp://dspace.org/items/1f1ba027-e7cf-4b4a-906b-35d61c74eb90XavierMiguelCiência IDhttps://www.ciencia-id.ptD71F-6F62-6CFAORCIDhttp://orcid.org0000-0003-2698-1284Scopus Author IDhttps://www.scopus.com7006066808Gómez-Beneyto, ManuelNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Dove Medical PressHostingInstitutionOrganizationalRUNe-mailmailto:run@unl.ptrun@unl.ptISSNIsPartOf1176-6328URNIsPartOfPURE: 3151538URNIsPartOfPURE UUID: f1f86bc0-4a13-4490-a942-d57003888056URNIsPartOfScopus: 84892554562URNIsPartOfPubMed: 24476630URNIsPartOfWOS: 000329743700001DOIIsPartOf10.2147/NDT.S410632017-09-25T22:04:02Z2014-01-162014-01-16T00:00:00ZURLhttp://www.scopus.com/inward/record.url?scp=84892554562&partnerID=8YFLogxKhttp://purl.org/coar/access_right/c_abf2open accessNeedsSchizophreniaSevere mental disordersUnmet needsPsychiatry and Mental healthBiological PsychiatrySDG 3 - Good Health and Well-being286505 bytesother research producthttp://purl.org/coar/resource_type/c_efa0reviewhttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://run.unl.pt/bitstreams/af2c042b-b28a-429c-abe4-1d4d20e962fb/download |
| spellingShingle | Unmet needs in the management of schizophrenia Torres-González, Francisco Needs Schizophrenia Severe mental disorders Unmet needs Psychiatry and Mental health Biological Psychiatry SDG 3 - Good Health and Well-being |
| status | SINGLETON |
| subject.fl_str_mv | Needs Schizophrenia Severe mental disorders Unmet needs Psychiatry and Mental health Biological Psychiatry SDG 3 - Good Health and Well-being |
| title | Unmet needs in the management of schizophrenia |
| title_full | Unmet needs in the management of schizophrenia |
| title_fullStr | Unmet needs in the management of schizophrenia |
| title_full_unstemmed | Unmet needs in the management of schizophrenia |
| title_short | Unmet needs in the management of schizophrenia |
| title_sort | Unmet needs in the management of schizophrenia |
| topic | Needs Schizophrenia Severe mental disorders Unmet needs Psychiatry and Mental health Biological Psychiatry SDG 3 - Good Health and Well-being |
| topic_facet | Needs Schizophrenia Severe mental disorders Unmet needs Psychiatry and Mental health Biological Psychiatry SDG 3 - Good Health and Well-being |
| url | http://www.scopus.com/inward/record.url?scp=84892554562&partnerID=8YFLogxK |
| visible | 1 |