Improving Psychosocial Functioning in Latinos with Schizophrenia

Chapter

Abstract

Social skills training (SST) is an evidence-based psychotherapy for individuals with schizophrenia, and it is well documented that with and without cultural modifications it improves psychosocial functioning in Latinos with schizophrenia. In this chapter, a general overview of SST using the Bellack et al. (Social skills training for schizophrenia. 2nd ed. The Guilford Press, New York, 2004) model and resources for mental health providers working with Spanish-speaking consumers diagnosed with schizophrenia to improve psychosocial functioning is provided. Social skills training groups teach a variety of interpersonal skills that improve communication with loved ones, medical and mental health providers, co-workers, work supervisors, friends, and strangers. A variety of basic behavioral principles such as role-playing, overlearning, shaping approaches, and providing positive feedback are employed in each SST group to teach the social skill assigned for that session. Social skills training is a structured intervention in which each group session follows the same format but only one skill is taught per group session. This chapter describes the four phases involved with delivering an SST group – preparatory phase, individual goal-setting session, designing the SST group curriculum, and implementation of an SST group. Consumer-facing handouts of the four basic social skills in Spanish and a sample SST curriculum are provided in the chapter.

References

  1. Bellack, A. S., Mueser, K. T., Gingerich, S., & Agresta, J. (2004). Social skills training for schizophrenia (2nd ed.). New York, NY: The Guilford Press.Google Scholar
  2. Dixon, L., Dickerson, F., Bellack, A., Bennett, M., Dickinson, D., Goldberg, R., et al. (2010). The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophrenia Bulletin, 36(1), 48–70. doi: 10.1093/schbul/sbp115
  3. Kendler, K. S., Gallagher, T. J., Abelson, J. M., & Kessler, R. C. (1996). Lifetime prevalence, demographic risk factors, and diagnostic validity of nonaffective psychosis as assessed in a US community sample. Archives of General Psychiatry, 53, 1022–1031. doi: 10.1001/ archpsyc.1996.01830110060007 CrossRefPubMedGoogle Scholar
  4. Kopelowicz, A., Zarate, R., Smith, V., Mintz, J., & Liberman, R. (2003). Disease management in Latinos with schizophrenia: A family-assisted, skills training approach. Schizophrenia Bulletin, 29(2), 211–228. http://dx.doi.org/10.1093/oxfordjournals.schbul.a006999 CrossRefPubMedGoogle Scholar
  5. Kurtz, M. M., & Mueser, K. T. (2008). Meta-analysis of controlled research on social skills training for schizophrenia. Journal of Consulting and Clinical Psychology, 76, 491–504.CrossRefPubMedGoogle Scholar
  6. Lewis-Fernández, R., Horvitz-Lennon, M., Blanco, C., Guarnaccia, P., Cao, Z., & Alegría, M. (2009). Significance of endorsement of psychotic symptoms by US Latinos. The Journal of Nervous and Mental Disease, 197(5), 337–347. http://dx.doi.org/10.1097/nmd.0b013e3181a2087e CrossRefPubMedPubMedCentralGoogle Scholar
  7. López, S. R., Barrio, C., Kopelowicz, A., & Vega, W. A. (2012). From documenting to eliminating disparities in mental health care for Latinos. American Psychologist, 67(7), 511–523.CrossRefPubMedGoogle Scholar
  8. NIMH » Schizophrenia. (2016). Nimh.nih.gov. Retrieved 8 June 2016, from http://www.nimh.nih.gov/health/statistics/prevalence/schizophrenia.shtml
  9. Patterson, T., Bucardo, J., McKibbin, C. L., Mausbach, B. T., Moore, D., Barrio, C., … Jeste, D. V. (2005). Development and pilot testing of a new psychosocial intervention for older Latinos with chronic psychosis. Schizophrenia Bulletin, 31(4), 922–930. http://dx.doi.org/10.1093/schbul/sbi036
  10. Valencia, M., Rascon, M., Juarez, F., Escamilla, R., Saracco, R., & Liberman, R. (2010). Application in Mexico of psychosocial rehabilitation with schizophrenia patients. Psychiatry: Interpersonal And Biological Processes, 73(3), 248–263. http://dx.doi.org/10.1521/psyc.2010.73.3.248
  11. Vega, W., Sribney, W., Miskimen, T., Escobar, J., & Aguilar-Gaxiola, S. (2006). Putative psychotic symptoms in the Mexican American population. The Journal of Nervous and Mental Disease, 194(7), 471–477. http://dx.doi.org/10.1097/01.nmd.0000228500.01915.ae

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of PsychologyThe University of Texas at El PasoEl PasoUSA
  2. 2.VA Caribbean Healthcare SystemSan JuanUSA

Personalised recommendations