Obesity is increasing at an alarming rate in patients with schizophrenia, possibly in association with the increased use of atypical antipsychotics. In order to address the weight and metabolic syndrome issues, Manhattan Psychiatric Center (MPC) has implemented the Solutions for Wellness and Team Solutions Program. This program is designed to create a supportive, educational and monitoring environment to stabilize both the psychiatric and medical conditions and to prepare patients for independent management of their psychiatric and physical health condition in the community.
The present program is divided into five detailed segments with three progressive levels, that provide a manualized lesson-by-lesson curriculum for implementation on the treatment mall. * Medication Education * Symptom recognition and management * Living Healthy * Interpersonal Skills * Discharge Preparation The program comprised of detailed instructor and patient manuals, specific curriculums and pre- and post-tests to determine acquisition of the learned materials. All modules are imbedded in weekly small group sessions. * Each of the 5 modules are discussed in groups in weekly morning or afternoon session, Monday through Friday. * Each module is divided into three 12-week periods for a total of 36 sessions. * Upon completing 12 weeks at Level 1, each patient moves to Level 2 and then Level 3 for 12 weeks each. * Each group has two trained instructors. * Number of patients per group: ≤ 15. * Sessions are interspersed within the patient's regular treatment mall classes
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
295
36 weeks of educational and supportive interventions
Manhattan Psychiatric Center
New York, New York, United States
Pre and post-test knowledge assessments attained from each module
Time frame: 36 weeks
Change in weight, abdominal girth, blood pressure, metabolic markers (Glucose , Insulin, C-peptide, Glycohemoglobin, total cholesterol, total triglycerides, HDL and LDL, leptin, and free fatty acid (FFA))
Time frame: 36 weeks
Systolic and diastolic blood pressure
Time frame: 36 weeks
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