Re:[tips] Talk Therapy Found to Ease Schizophrenia

2015-10-21 Thread Mike Palij 

On Tue, 20 Oct 2015 14:09:28 -0400, Christopher Green wrote:


I read this yesterday on the NY Time website and thought about
posting about it on TiPS but since no one reads the links I provide
I decided to let it go and leave it to someone else to post about it,
if they so cared.


But will the insurance companies ever be convinced to cover
long term talk therapy?


In the U.S., I believe the answer is either:

(1) No, or
(2) Yes but the amount paid for such services will be
so low that few clinicians (i.e., MDs) will bother.  We
still have a long way to go before there is parity between
mental health treatment and physical health treatment.

As the article has pointed out, "talk therapy" or, more
appropriately, comprehension cognitive behavioral therapy
including family therapy and other supports has been
indicated in the past to be effective (the article mentions
the "Open Dialogue" program in Finnland which uses
a structure similar to that used in this RCT but, paraphrasing
Hilary Clinton, this ain't Finnland).  What makes this
study significant is that it is a placebo (actually, treatment
as usual) control randomized controlled trial (RCT).

As promising as the results of this study is, there are
a couple of critical points to keep in mind:

(1) It only deals with people who arehaving a first psychotice
episode. Quoting from the abstract:

|Conclusions:
|Comprehensive care for first-episode psychosis can be
|implemented in U.S. community clinics and improves
|functional and clinical outcomes. Effects are more pronounced
|for those with shorter duration of untreated psychosis.

NOTE: Such a program "CAN" be implemented in US
community clinics.  Just like all those community centers
that were supposed to spring into existence in the 1960s
when psychiatric hospitals started to dump their partients
onto the streets.  We're still waiting for those centers.

(2) It is unclear how well such a program will work with
long-term homeless/unstable housing people with schizophrenia.
If implemented correctly, it may do some good.  If implemented
like most mental programs are implemented, don't expect too
much.


Christopher Green shared with you:

Talk Therapy Found to Ease Schizophrenia
New York Times - John Kane, chairman of the psychiatry department
at Hofstra North Shore-LIJ School of Medicine, who led a study on the
treatment of schizophrenia.

Credit Uli Seit for The New York Times


By the way, the link to the NYT article by Benedict Carey is:
http://www.nytimes.com/2015/10/20/health/talk-therapy-found-to-ease-schizophrenia.html
For fans of NPR, see:
http://www.npr.org/2015/10/20/450321109/study-suggests-talk-therapy-eases-symptoms-of-schizophrenia
And those of you who remember Time magazine, here's a link
to their version of the NYT article:
http://time.com/4079516/schizophrenia-talk-therapy/

The original research article can be accessed here
http://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2015.15050632
.

-Mike Palij
New York University
m...@nyu.edu




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Re: [tips] Talk Therapy Found to Ease Schizophrenia

2015-10-20 Thread Gerald Peterson 
Thnx Chris. Fascinating article/study. Of course, the "talk therapy" was more 
than simple conversation but part of help with everyday tasks and focused 
problem-solving conversations that sound like skill-building and learning what 
they might actually Do to control symptoms. I imagine the general reader will 
read other things into the idea of "talk therapy." Some interesting material to 
share with classes as to treatments and types of skills needed by psych 
therapists.  Gary



- Original Message -
From: "Christopher Green" 
To: "Teaching in the Psychological Sciences (TIPS)" 
Sent: Tuesday, October 20, 2015 2:09:28 PM
Subject: [tips] Talk Therapy Found to Ease Schizophrenia

 But will the insurance companies ever be convinced to cover long term talk 
therapy?
 Christopher Green shared with you:
 
Talk Therapy Found to Ease Schizophrenia
New York Times - John Kane, chairman of the psychiatry department at Hofstra 
North Shore-LIJ School of Medicine, who led a study on the treatment of 
schizophrenia.

Credit Uli Seit for The New York Times




Chris
-
Christopher D. Green
Department of Psychology
York University
Toronto, ON M6C 1G4
Canada

chri...@yorku.ca
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RE: [tips] Talk Therapy Found to Ease Schizophrenia

2015-10-20 Thread Jim Clark 
Also appears to have included a family education component. Reasonable approach 
given the role of Expressed Emotion (family over-involvement, intrusiveness) in 
relapse for Schizophrenia?

Jim

Jim Clark
Professor & Chair of Psychology
University of Winnipeg
204-786-9757
Room 4L41 (4th Floor Lockhart)
www.uwinnipeg.ca/~clark


-Original Message-
From: Gerald Peterson [mailto:peter...@svsu.edu] 
Sent: Tuesday, October 20, 2015 2:09 PM
To: Teaching in the Psychological Sciences (TIPS)
Subject: Re: [tips] Talk Therapy Found to Ease Schizophrenia

Thnx Chris. Fascinating article/study. Of course, the "talk therapy" was more 
than simple conversation but part of help with everyday tasks and focused 
problem-solving conversations that sound like skill-building and learning what 
they might actually Do to control symptoms. I imagine the general reader will 
read other things into the idea of "talk therapy." Some interesting material to 
share with classes as to treatments and types of skills needed by psych 
therapists.  Gary



- Original Message -
From: "Christopher Green" <chri...@yorku.ca>
To: "Teaching in the Psychological Sciences (TIPS)" <tips@fsulist.frostburg.edu>
Sent: Tuesday, October 20, 2015 2:09:28 PM
Subject: [tips] Talk Therapy Found to Ease Schizophrenia

 But will the insurance companies ever be convinced to cover long term talk 
therapy?
 Christopher Green shared with you:
 
Talk Therapy Found to Ease Schizophrenia New York Times - John Kane, chairman 
of the psychiatry department at Hofstra North Shore-LIJ School of Medicine, who 
led a study on the treatment of schizophrenia.

Credit Uli Seit for The New York Times




Chris
-
Christopher D. Green
Department of Psychology
York University
Toronto, ON M6C 1G4
Canada

chri...@yorku.ca
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