Psychosocial therapies in severe mental illness: update on evidence and recommendations
Abstract
PURPOSE OF REVIEW: To provide an overview of the update of the evidence-based and consensus-based German S3 guideline on psychosocial therapies for severe mental illnesses (SMI), with particular attention to current developments and future research tasks. RECENT FINDINGS: There has been a significant increase in studies on the effectiveness of psychosocial interventions in treatment of people with SMI. In the guideline a distinction is made between system-level interventions (e.g. multidisciplinary team-based psychiatric community care) and single-handed (nonteam-based) interventions (e.g. psychoeducation). Furthermore, principles of treatment (e.g. recovery-orientation) and self-help interventions (e.g. peer support) are addressed. The update of the guideline includes 33 recommendations and 12 statements. Compared with the first edition, there were upgrades in the recommendation of Supported Employment (A) and Supported Housing (A). Interventions such as peer support (B) and lifestyle interventions (A) were included for the first time. Developments are discussed in the context of most recent literature. Areas for further research are highlighted and fields for next updates such as antistigma interventions and supported parenting were identified. SUMMARY: The present guideline offers an important opportunity to further improve health services for people with SMI. However, guideline implementation is challenging.
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One reason for the predominance of psychosocial interventions could be that psychosocial impairments should rather be seen as a consequence of chronic mental illness.
“One reason could be that psychosocial impairments should rather be seen as a consequence of chronic mental illness.59”
From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [59]
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- Authors
- Gühne, U., Weinmann, S., Riedel-Heller, S. G., & Becker, T.
- Affiliations
- Leipzig University (DE)
- Vivantes Klinikum (DE)
- Universität Ulm (DE)
- Corresponding author
- Riedel-Heller, Steffi G.
- Becker, Thomas
- Venue
- Current Opinion in Psychiatry
- Published
- 2020-07
- Volume
- 33
- Issue
- 4
- Pages
- 414-421
- ISSN
- 0951-7367 (ISSN-L)
- 1473-6578
- OpenAlex
- W3027591844
- Cited by
- 19
- References
- 75
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 5 · 2020: 2
- FWCI
- 0.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- psychosocial interventions, severe mental illness, S3 guideline, supported employment, supported housing, peer support, psychoeducation, recovery-oriented treatment, self-help intervention, lifestyle intervention, multidisciplinary team, guideline implementation
- MeSH terms
- Psychosocial Intervention, Mental Disorders, Humans, Practice Guidelines as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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