Non-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countries
Abstract This study aimed to analyze treatment guidelines of 12 SEE countries to identify non-pharmacological interventions recommended for schizophrenia, explore the evidence base supporting recommendations, and assess the implementation of recommended interventions. Desk and content analysis were...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-03-01
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| Series: | npj Schizophrenia |
| Online Access: | https://doi.org/10.1038/s41537-022-00226-y |
| _version_ | 1797643118894383104 |
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| author | Lidija Injac Stevović Selman Repišti Tamara Radojičić Norman Sartorius Sonila Tomori Alma Džubur Kulenović Ana Popova Martina Rojnić Kuzman Ilias I. Vlachos Shukrije Statovci Alexei Bandati Antoni Novotni Stojan Bajraktarov Anca-Livia Panfil Nadja Maric Mirjana Delić Nikolina Jovanović |
| author_facet | Lidija Injac Stevović Selman Repišti Tamara Radojičić Norman Sartorius Sonila Tomori Alma Džubur Kulenović Ana Popova Martina Rojnić Kuzman Ilias I. Vlachos Shukrije Statovci Alexei Bandati Antoni Novotni Stojan Bajraktarov Anca-Livia Panfil Nadja Maric Mirjana Delić Nikolina Jovanović |
| author_sort | Lidija Injac Stevović |
| collection | DOAJ |
| description | Abstract This study aimed to analyze treatment guidelines of 12 SEE countries to identify non-pharmacological interventions recommended for schizophrenia, explore the evidence base supporting recommendations, and assess the implementation of recommended interventions. Desk and content analysis were employed to analyze the guidelines. Experts were surveyed across the 12 countries to assess availability of non-pharmacological treatments in leading mental health institutions, staff training, and inclusion in the official service price list. Most SEE countries have published treatment guidelines for schizophrenia focused on pharmacotherapy. Nine countries—Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Greece, Moldova, Montenegro, North Macedonia, and Serbia—included non-pharmacological interventions. The remaining three countries—Kosovo (UN Resolution), Romania, and Slovenia—have not published such treatment guidelines, however they are on offer in leading institutions. The median number of recommended interventions was seven (range 5–11). Family therapy and psychoeducation were recommended in most treatment guidelines. The majority of recommended interventions have a negative or mixed randomized controlled trial evidence base. A small proportion of leading mental health institutions includes these interventions in their official service price list. The interventions recommended in the treatment guidelines seem to be rarely implemented within mental health services in the SEE countries. |
| first_indexed | 2024-03-11T14:11:03Z |
| format | Article |
| id | doaj.art-3da75bd2d7ca48a5bb2cb8021a171979 |
| institution | Directory Open Access Journal |
| issn | 2334-265X |
| language | English |
| last_indexed | 2024-03-11T14:11:03Z |
| publishDate | 2022-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Schizophrenia |
| spelling | doaj.art-3da75bd2d7ca48a5bb2cb8021a1719792023-11-02T00:01:58ZengNature Portfolionpj Schizophrenia2334-265X2022-03-018111110.1038/s41537-022-00226-yNon-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countriesLidija Injac Stevović0Selman Repišti1Tamara Radojičić2Norman Sartorius3Sonila Tomori4Alma Džubur Kulenović5Ana Popova6Martina Rojnić Kuzman7Ilias I. Vlachos8Shukrije Statovci9Alexei Bandati10Antoni Novotni11Stojan Bajraktarov12Anca-Livia Panfil13Nadja Maric14Mirjana Delić15Nikolina Jovanović16Faculty of Medicine, University of Montenegro; Psychiatric Clinic, Clinical Center of MontenegroPsychiatric Clinic, Clinical Center of MontenegroPsychiatric Clinic, Clinical Center of MontenegroAssociation for the Improvement of Mental Health Programmes (AMH)University Hospital Center “Mother Teresa”Clinical Center of University of SarajevoMental Health Center “Prof. Nikola Shipkovenski”Zagreb School of Medicine, Zagreb University Hospital CenterFirst Psychiatry Department, Eginition Hospital, National and Kapodistrian University of AthensPsychiatry ClinicRepublican Dispensary of AddictionsUniversity Clinic of PsychiatryUniversity Clinic of PsychiatryCounty Emergency Clinical Hospital “Pius Brinzeu” Timisoara, Liaison Psychiatry DepartmentFaculty of Medicine, UB Institute of Mental Health and Clinic for Psychiatry CCSUniversity Psychiatric ClinicQueen Mary University of LondonAbstract This study aimed to analyze treatment guidelines of 12 SEE countries to identify non-pharmacological interventions recommended for schizophrenia, explore the evidence base supporting recommendations, and assess the implementation of recommended interventions. Desk and content analysis were employed to analyze the guidelines. Experts were surveyed across the 12 countries to assess availability of non-pharmacological treatments in leading mental health institutions, staff training, and inclusion in the official service price list. Most SEE countries have published treatment guidelines for schizophrenia focused on pharmacotherapy. Nine countries—Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Greece, Moldova, Montenegro, North Macedonia, and Serbia—included non-pharmacological interventions. The remaining three countries—Kosovo (UN Resolution), Romania, and Slovenia—have not published such treatment guidelines, however they are on offer in leading institutions. The median number of recommended interventions was seven (range 5–11). Family therapy and psychoeducation were recommended in most treatment guidelines. The majority of recommended interventions have a negative or mixed randomized controlled trial evidence base. A small proportion of leading mental health institutions includes these interventions in their official service price list. The interventions recommended in the treatment guidelines seem to be rarely implemented within mental health services in the SEE countries.https://doi.org/10.1038/s41537-022-00226-y |
| spellingShingle | Lidija Injac Stevović Selman Repišti Tamara Radojičić Norman Sartorius Sonila Tomori Alma Džubur Kulenović Ana Popova Martina Rojnić Kuzman Ilias I. Vlachos Shukrije Statovci Alexei Bandati Antoni Novotni Stojan Bajraktarov Anca-Livia Panfil Nadja Maric Mirjana Delić Nikolina Jovanović Non-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countries npj Schizophrenia |
| title | Non-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countries |
| title_full | Non-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countries |
| title_fullStr | Non-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countries |
| title_full_unstemmed | Non-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countries |
| title_short | Non-pharmacological interventions for schizophrenia—analysis of treatment guidelines and implementation in 12 Southeast European countries |
| title_sort | non pharmacological interventions for schizophrenia analysis of treatment guidelines and implementation in 12 southeast european countries |
| url | https://doi.org/10.1038/s41537-022-00226-y |
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