Evidence-based psychosocial treatment practices in schizophrenia: Lessons from the Patient Outcomes Research Team (PORT) project

Anthony F. Lehman, Donald M. Steinwachs

Research output: Contribution to journalArticle

Abstract

The care of persons with schizophrenia, the prototypical severe mental illness, has been a barometer of mental health care policy for decades. The prevalence, severity, and costs of schizophrenia combine to make this illness a major health problem throughout the world. In 1992, the Agency for Health Care Policy and Research and the National Institute of Mental Health funded the Schizophrenia Patient Outcomes Research Team (PORT) at the University of Maryland School of Medicine and the Johns Hopkins University School of Public Health. The PORT undertook several activities, including a comprehensive review of the empirical literature on the treatment of persons with schizophrenia; development of evidence-based treatment recommendations; description of current treatment practices; and comparison of these current practices to the evidence-based treatment recommendations, using administrative claims data and a survey of persons under treatment for schizophrenia; and dissemination of the treatment recommendations to evaluate impacts on practices. The PORT found that despite considerable evidence for effective treatments for persons with schizophrenia, most patients do not receive an appropriately comprehensive treatment "package." In particular, efficacious psychosocial treatments are highly underutilized.

Original languageEnglish (US)
Pages (from-to)141-154
Number of pages14
JournalJournal of the American Academy of Psychoanalysis
Volume31
Issue number1
DOIs
StatePublished - Mar 1 2003

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Keywords

  • Family therapy
  • Psychotherapy
  • Quality of care
  • Schizophrenia
  • Treatment outcomes
  • Vocational rehabilitation

ASJC Scopus subject areas

  • Psychiatry and Mental health

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