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BMC Psychiatry

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Open Access 01-12-2018 | Research article

Effectiveness of a social inclusion program in people with non-affective psychosis

Authors: Fausto Mazzi, Flavia Baccari, Francesco Mungai, Manuela Ciambellini, Lisa Brescancin, Fabrizio Starace

Published in: BMC Psychiatry | Issue 1/2018

Abstract

Background

People with psychotic illness suffer from reduced quality of life and often from an insufficient level of social inclusion. These variables are associated with several negative outcomes, such as higher neuro-cognitive deficits, negative symptoms, internalised stigma, increased cardiovascular risk and, most importantly, excess mortality. To date, only a minority of social interventions in psychosis have been investigated. Since 2011, the Department of Mental Health and Substance Abuse in Modena introduced the “Social Point” program, which provides social inclusion interventions to promote active social participation for patients suffering from severe mental illness.

The aim of this study was to assess whether a social inclusion intervention is associated with better outcomes in terms of personal and social recovery, with particular reference to the areas of social functioning and activity, and subjective dimensions such as self-esteem, self-stigma and perceived quality of life.

Methods

A cross-sectional design was adopted to compare 30 subjects, selected at the completion of “Social Point” program, with a group of subjects, matched for socio-demographic and clinical features, selected from a wait list for “Social Point”. All subjects were evaluated by means of instruments assessing: level of disability, level of functioning, severity of psychopathology, self-esteem, internalised stigma and quality of life.

Results

Overall, the results of the study suggest that social inclusion interventions may be effective in people suffering from non-affective psychosis. A dose-effect relationship was also found between higher number of activities per patient and better outcomes within both social and psychopathological domains. However, due to the cross-sectional design of the study no definitive causality can be inferred.

Conclusion

Psychosocial interventions promoting social inclusion are likely to represent an effective approach to improve personal and social recovery.

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Title: Effectiveness of a social inclusion program in people with non-affective psychosis
Authors: Fausto Mazzi
Flavia Baccari
Francesco Mungai
Manuela Ciambellini
Lisa Brescancin
Fabrizio Starace
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-018-1728-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Effectiveness of a social inclusion program in people with non-affective psychosis

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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