Disease management in Latinos with schizophrenia: A family-assisted, skills training approach

Alex Kopelowicz, Roberto Zarate, Veronica Gonzalez Smith, Jim Mintz, Robert Paul Liberman

Research output: Contribution to journalArticle

75 Scopus citations

Abstract

This study evaluated the effectiveness of a skills training program designed to teach disease management to Latinos with schizophrenia treated at a community mental health center. Ninety-two Latino outpatients with schizophrenia and their designated relatives were randomly assigned to 3 months of skills training (ST) versus customary outpatient care (CC) and followed for a total of 9 months. The skills training approach was culturally adapted mainly by including the active participation of key relatives to facilitate acquisition and generalization of disease management skills into the patients' natural environment. There was a significant advantage for the ST group over the CC group on several symptom measures, skill acquisition and generalization, level of functioning, and rates of rehospitalization. There were no significant differences between the groups on quality of life or caregiver burden. Skills training had a direct effect on skill acquisition and generalization, and utilization of disease management skills led to decreased rates of rehospitalization. Incorporating an intensive, culturally relevant generalization effort into skills training for Latinos with schizophrenia appeared to be effective in teaching disease management and viable in a community mental health center.

Original languageEnglish (US)
Pages (from-to)211-227
Number of pages17
JournalSchizophrenia bulletin
Volume29
Issue number2
DOIs
StatePublished - Jan 1 2003
Externally publishedYes

Keywords

  • Behavior therapy
  • Cultural
  • Latino
  • Psychiatric rehabilitation
  • Schizophrenia
  • Skill generalization
  • Skills training

ASJC Scopus subject areas

  • Psychiatry and Mental health

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