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Schizophrenia Bulletin Advance Access originally published online on July 21, 2005
Schizophrenia Bulletin 2005 31(4):922-930; doi:10.1093/schbul/sbi036
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© The Author 2005. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oupjournals.org.

Development and Pilot Testing of a New Psychosocial Intervention for Older Latinos With Chronic Psychosis

Thomas L Patterson
Department of Psychiatry (0680), 9500 Gilman Drive, La Jolla, CA 92093-0680
University of California, San Diego
VA San Diego Healthcare System

Jesus Bucardo
University of California, San Diego
VA San Diego Healthcare System

Christine L McKibbin
University of California, San Diego
VA San Diego Healthcare System

Brent T Mausbach
University of California, San Diego

David Moore
University of California, San Diego
VA San Diego Healthcare System

Concepcion Barrio
San Diego State University

Sherrill R Goldman
University of California, San Diego
VA San Diego Healthcare System

Dilip V Jeste
University of California, San Diego
VA San Diego Healthcare System

To whom correspondence should be addressed; tel: (858) 534-3354, fax: (858) 534-7723, e-mail: tpatterson{at}ucsd.edu.

Latinos constitute the largest minority in the United States, and there is an increasing number of Latino patients with schizophrenia and other psychoses living into old age. However, few specific behavioral interventions have been developed aimed at improving the functioning of this group. We evaluated a psychosocial intervention designed to improve the everyday living skills of middle-aged and older outpatients with very chronic psychotic disorders. Three psychiatric clinics, specializing in care of Latinos, were randomly assigned to (1) a 24-session intervention entitled Programa de Entrenamiento para el Desarrollo de Aptitudes para Latinos (PEDAL) group therapy (n = 21) targeting areas identified in our previous work as being problematic for this population (e.g., using public transportation) or (2) a time-equivalent friendly support group (SG; n = 8). Compared to the patients randomized to SG, PEDAL-treated patients' performance on everyday living skills improved significantly postintervention and was still significantly better at a 6-month maintenance follow-up period and at a 12-month no-treatment follow-up period. There was no significant change in psychopathology. Limitations of this pilot study are discussed. Results suggest that participation in this skills training program, designed specifically for older Latino patients with long-standing psychotic disorders, has the potential to significantly increase the patients' independence and improve functional skills.

Keywords: psychosis / Hispanic / aging / skills training / everyday functioning


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