INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA

In 2016, the Russian Federation started a reform of residential institutions for psychiatric patients. An essential condition of its success is reintegration of patients into society, which implies development and implementation of effective psychosocial rehabilitation programs. Materials and Method...

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Autor principal:	MARIA E. SISNEVA
Formato:	article
Lenguaje:	RU
Publicado:	Moscow State University of Psychology and Education 2021
Materias:	psychoneurological residential institutions rehabilitation patients psychosocial rehabilitation cultural-historical psychology cognitive-behavioral therapy resocialization. Psychology BF1-990
Acceso en línea:	https://doaj.org/article/dc949412b8a74d469db7ae128b16f33f
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spelling	oai:doaj.org-article:dc949412b8a74d469db7ae128b16f33f2021-11-10T16:30:35ZINTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA10.17759/cpp.20212903092075-34702311-9446https://doaj.org/article/dc949412b8a74d469db7ae128b16f33f2021-11-01T00:00:00Zhttps://psyjournals.ru/files/124391/cpp_2021_n3_Sisneva.pdfhttps://doaj.org/toc/2075-3470https://doaj.org/toc/2311-9446In 2016, the Russian Federation started a reform of residential institutions for psychiatric patients. An essential condition of its success is reintegration of patients into society, which implies development and implementation of effective psychosocial rehabilitation programs. Materials and Methods. In 2018, an integrated rehabilitation program was developed and implemented for the first time in Psychoneurological Residential Institution No. 22 in Moscow. The program integrated the principles and methods of M. Spivak’s systemic approach, cultural-historical psychology, and cognitive-behavioral therapy. The rehabilitation group included 12 patients with chronic mental disorders and disabilities who had resided in the institution for 3 to 16 years. The total duration of the program was 6 months. An expert assessment of the participants’ psychological and social competencies in the major life areas (housing and everyday life; work and employment; hygiene; interpersonal relations; hobbies and leisure) was carried out before and after the rehabilitation program, using Spivak’s diagnostic scales. Results. A study of the integrated rehabilitation program effectiveness showed a statistically significant improvement in the patients’ competencies in the major life areas. Follow-up of the dynamics within the following 3 years upon the program completion revealed positive changes in their social adaptation. Output. A preliminary conclusion could be made that the proposed integrated rehabilitation program might be effective for shaping and training of social skills that increase the patients’ autonomy, as well as for overcoming self-limiting attitudes and avoidance strategies resulting from their negative experience of social “defeats” and institutional experience of learned helplessness. Each of the three integrated approaches contributed to achieving the rehabilitation objectives. Further research with larger samples is needed.MARIA E. SISNEVAMoscow State University of Psychology and Educationarticlepsychoneurological residential institutionsrehabilitation patientspsychosocial rehabilitationcultural-historical psychologycognitive-behavioral therapyresocialization.PsychologyBF1-990RUКонсультативная психология и психотерапия, Vol 29, Iss 3, Pp 140-158 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	psychoneurological residential institutions rehabilitation patients psychosocial rehabilitation cultural-historical psychology cognitive-behavioral therapy resocialization. Psychology BF1-990
spellingShingle	psychoneurological residential institutions rehabilitation patients psychosocial rehabilitation cultural-historical psychology cognitive-behavioral therapy resocialization. Psychology BF1-990 MARIA E. SISNEVA INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA
description	In 2016, the Russian Federation started a reform of residential institutions for psychiatric patients. An essential condition of its success is reintegration of patients into society, which implies development and implementation of effective psychosocial rehabilitation programs. Materials and Methods. In 2018, an integrated rehabilitation program was developed and implemented for the first time in Psychoneurological Residential Institution No. 22 in Moscow. The program integrated the principles and methods of M. Spivak’s systemic approach, cultural-historical psychology, and cognitive-behavioral therapy. The rehabilitation group included 12 patients with chronic mental disorders and disabilities who had resided in the institution for 3 to 16 years. The total duration of the program was 6 months. An expert assessment of the participants’ psychological and social competencies in the major life areas (housing and everyday life; work and employment; hygiene; interpersonal relations; hobbies and leisure) was carried out before and after the rehabilitation program, using Spivak’s diagnostic scales. Results. A study of the integrated rehabilitation program effectiveness showed a statistically significant improvement in the patients’ competencies in the major life areas. Follow-up of the dynamics within the following 3 years upon the program completion revealed positive changes in their social adaptation. Output. A preliminary conclusion could be made that the proposed integrated rehabilitation program might be effective for shaping and training of social skills that increase the patients’ autonomy, as well as for overcoming self-limiting attitudes and avoidance strategies resulting from their negative experience of social “defeats” and institutional experience of learned helplessness. Each of the three integrated approaches contributed to achieving the rehabilitation objectives. Further research with larger samples is needed.
format	article
author	MARIA E. SISNEVA
author_facet	MARIA E. SISNEVA
author_sort	MARIA E. SISNEVA
title	INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA
title_short	INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA
title_full	INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA
title_fullStr	INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA
title_full_unstemmed	INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA
title_sort	integrating resources of m. spivak’s systemic approach, cognitive-behavioral therapy and cultural-historical psychology in addressing challenges of reforming residential institutions for psychiatric patients in russia
publisher	Moscow State University of Psychology and Education
publishDate	2021
url	https://doaj.org/article/dc949412b8a74d469db7ae128b16f33f
work_keys_str_mv	AT mariaesisneva integratingresourcesofmspivakssystemicapproachcognitivebehavioraltherapyandculturalhistoricalpsychologyinaddressingchallengesofreformingresidentialinstitutionsforpsychiatricpatientsinrussia
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INTEGRATING RESOURCES OF M. SPIVAK’S SYSTEMIC APPROACH, COGNITIVE-BEHAVIORAL THERAPY AND CULTURAL-HISTORICAL PSYCHOLOGY IN ADDRESSING CHALLENGES OF REFORMING RESIDENTIAL INSTITUTIONS FOR PSYCHIATRIC PATIENTS IN RUSSIA

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