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Article   |    
Impact of Community-Based Psychosocial Treatment on Clients' Level of Functioning
Karen Weltman; Lori Poveromo; Ralph Nofi
Psychiatric Services 1988; doi:
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The authors thank Paul Haberman, M.B.A., Wilma Bucci, Ph.D., Irving Link, A.C.S.W., and Bruce Dohren wend, Ph.D.

Adelphi University in Garden City, New York

City University of New York in New York City

Hahnemann University in Philadelphia

American Psychiatric Association

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The results of this study support the conclusion that a comprehensive psychosocial program is effective in helping chronic mentally ill individuals achieve a higher level of functioning. Its effectiveness was particularly apparent on the more objective measures of recidivism and social adjustment. The significant improvement in demonalization self-reports, which parallebed improvements in SAM scores, also supports the program's effectiveness. Future research into client functioning in community-based treatment programs should use a more comprehensive social adjustment measure that would include other dimensions in addition to indepen- dent living and vocational status. Such an instrument would provide a more sensitive gauge of social adjustment than the one used in this study. Measuring interpemsonal skills, as well as family and social relationships, might also reflect more subtle functional improvements in a chronically ill popula- tion. Finally, it is hoped that future research will provide a greater op- portunity to make much-needed comparisons of outcomes across programs and client samples.

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