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The Treatment of Acute Psychosis Without Neuroleptics: Six-Week Psychopathology Outcome Data From the Soteria Project

Author

Listed:
  • Loren R. Mosher

    (Soteria Project, 401 Hungerford Drive, Suite 500, Rockville, MD 20850, USA)

  • Robert Vallone

    (Soteria Project, 2626 Bryant Street, Palo Alto, CA 94306, USA)

  • Alma Menn

    (Soteria Project, 748 Clipper Street, San Francisco, CA 94114, USA)

Abstract

Background : Today's treatment of acute psychosis usually includes short-term hospitalization and anti-psychotic drug treatment. The Soteria project compared this form of treatment (control) with that of a small, home-like social environment, usually without neuroleptics (experimental). Method: Newly diagnosed, young, unmarried persons with DSM-11 schizophrenia were randomly assigned to treatment in two experimental and two control settings. Subjects and families were assessed at admission on 29 independent variables. Treatment environments were studied by means of Moos', COPES or WAS scales. Three dependent six week psychopathology outcome measures were collected. Results: The groups were comparable on 25 of 29 admission variables. The environments of the two experimental and two control settings were different from each other. The milieus were similar to each other within each condition. At six weeks, psychopathology in both groups had improved significantly, and similarly, and overall change was the same. Conclusion : Specially designed, replicable milieus were able to reduce acute psychotic symptomatology within six weeks, usually without antipsychotic drugs, as effectively as usual hospital ward treatment that included routine neuroleptic drug use.

Suggested Citation

  • Loren R. Mosher & Robert Vallone & Alma Menn, 1995. "The Treatment of Acute Psychosis Without Neuroleptics: Six-Week Psychopathology Outcome Data From the Soteria Project," International Journal of Social Psychiatry, , vol. 41(3), pages 157-173, September.
  • Handle: RePEc:sae:socpsy:v:41:y:1995:i:3:p:157-173
    DOI: 10.1177/002076409504100301
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    Cited by:

    1. David Brunt & Lars Hansson, 2002. "A Comparison of the Psychosocial Environment of Two Types of Residences for Persons with Severe mental Illness: Small Congregate Community Residences and Psychiatric Inpatient Settings," International Journal of Social Psychiatry, , vol. 48(4), pages 243-252, December.
    2. Sharon Young & Matt Snyder & Lisa Schactman, 2015. "Early recovery from Psychotic Spectrum Disorder within a therapeutic community: Significance and effects," Psychosis, Taylor & Francis Journals, vol. 7(1), pages 37-47, January.

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