Background: Although bipolar disorder and schizophrenia have long been viewed as distinct illnesses, there is growing evidence that these two complex diseases share some common genes, which may manifest overlapping neuropsychological impairments. working memory dysfunction has proposed to be central the pathophysiology of schizophrenia, it received less attention in studies disorder. Method: We applied measures patients with (n = 15), schizoaffective psychotic 11) non‐psychotic 15) disorder,...

Cognitive adaptation training (CAT) is a psychosocial treatment that uses environmental supports such as signs, checklists, alarms, and the organization of belongings to cue sequence adaptive behaviors in home. Ninety-five outpatients with schizophrenia (structured clinical interview for diagnosis, Diagnostic Statistical Manual Mental Disorders, Fourth Edition) were randomly assigned (1) Full-CAT (CAT focused on many aspects community including grooming, care living quarters, leisure skills,...

Poor adherence to medication leads symptom exacerbation and interferes with the recovery process for patients schizophrenia. Following baseline assessment, 142 in maintenance at a community mental health center were randomized one of 3 treatments 9 months: (1) PharmCAT, supports including pill containers, signs, alarms, checklists organization belongings established weekly home visits from PharmCAT therapist; (2) Med-eMonitor (MM), an electronic monitor that prompts use medication, cues...

In a previous study, we found that cognitive adaptation training (CAT)—a manual-driven program of environmental supports designed to bypass deficits—improved multiple domains outcome in schizophrenia patients recently discharged from State psychiatric facility. The present study examined the efficacy CAT sample who had been community at least 3 months. Forty-five medicated were randomly assigned for 9 months one three conditions: (1) CAT, (2) condition controlled therapist time and provided...

Article AbstractObjective: To examine the effectiveness of quetiapine versus conventional antipsychotics in improving cognitive and functional outcomes. Method: Forty stable outpatients with DSM-IV schizophrenia treated public outpatient clinics were randomly assigned to continue taking antipsychotic medications or switch for 6 months, beginning September 1998 ending July 2000. Neurocognitive measures obtained at study entry, 3 months by raters blinded treatment. Group differences examined...

OBJECTIVE: Cognitive adaptation training is a psychosocial treatment that uses individually tailored environmental supports, such as signs, calendars, hygiene supplies, and pill containers, to cue sequence adaptive behavior in the client's home environment. Generic supports offer less costly provides predetermined package of helpful clients at time their routine clinic visit. Previous studies have demonstrated efficacy cognitive training. The study reported here examined extent which are...

Negative symptoms, including restricted affect, diminished emotional range, poverty of speech, decreased motivation and interests, sense purpose, social drive, contribute substantially to lost productivity, poor quality life, deficits, occupational educational attainment, generally outcomes observed for many individuals with schizophrenia. Although these symptoms may develop from neurobiological factors or as reactions overstimulation in the acute psychotic phase, they are thought be...

Abstract Several approaches to the treatment of cognitive impairments and their functional consequences for persons diagnosed with schizophrenia schizoaffective disorder have been developed in recent years. This article focuses on use Cognitive adaptation training (CAT), a psychosocial intervention that seeks bypass an effort improve outcomes. CAT relies environmental supports, such as signs, calendars, hygiene supplies, pill containers, cue sequence adaptive behavior client's home...

Abstract Schizophrenia is a complex neurodevelopmental disorder characterized by cognitive deficits. These deficits in functioning have been shown to relate variety of functional and treatment outcomes. Cognitive adaptation training (CAT) home‐based, manual‐driven that utilizes environmental supports compensatory strategies bypass improve target behaviors outcomes individuals with schizophrenia. Unlike traditional case management, CAT provides tailored meet the behavioral style...

This paper describes outcome and feasibility findings for a novel, brief intervention to facilitate discharge from lengthy psychiatric hospitalization. The examination of such transitional interventions is important given the suboptimal outcomes many individuals with severe mental illness at discharge, particularly in first month.In this study mixed methods design was used examine 6-week peer support worker-provided called 'Welcome Basket.' involves contact on hospital wards immediately...

There is a paucity of accessible, evidence-based tools for caregivers individuals with schizophrenia. This study examines changes in the self-assessed and caregiver-assessed outcomes people schizophrenia after exposure to cognitive adaptation training (CAT) guide that addressed pragmatic, in-home approaches offset impacts illness.This examined 4-month, pre-post CAT guide, as compared popular, general manual, families A total 17 caregiver-supported individual dyads completed all measures,...

The process of recovery in schizophrenia involves resolving persistent symptoms, addressing cognitive impairments, and improving functional outcomes. Our research group has demonstrated the efficacy adaptation training (CAT)—a home-based psychosocial treatment utilizing environmental supports such as medication containers, signs, checklists, organization belongings to bypass deficits functioning cue sequence adaptive behavior) for adherence medications outcomes schizophrenia. Early CAT pilot...

Objective: This demonstration project examined whether medication management coordinators enhanced continuity of care from inpatient facilities to an outpatient public mental health clinic. Methods: From 2004 2008, patients (N=325) hospitalized with schizophrenia or schizoaffective bipolar disorder enrolled in a program before discharge at their first clinic appointment. Medication supplemented existing practices by identifying recently patients, providing and prescribing clinicians...

Abstract There is increased interest over the last decade in use of Shared Decision Making with individuals serious mental illness to improve engagement treatment and clinical outcomes. We conducted semi-structured qualitative interviews 15 treated an outpatient transitional care clinic serving people immediately after discharge from a psychiatric hospitalization. Parallel were variety providers ( n = 9). Using latent thematic analysis, six themes identified including: (1) Differences Use...