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The variation has led to the suggestion that treatment responsive and treatment resistant schizophrenia be considered as two different subtypes. [ 149 ] [ 159 ] It is further suggested that if the subtypes could be distinguished at an early stage significant implications could follow for treatment considerations, and for research. [ 154 ]
However, the Bern approach differs from Mosher's original project in that it does not adopt the same anti-medical stance, using a consensual low-dose anti-psychotic treatment and including psychiatric staff. The following criteria were required for patients to be admitted: Aged 17–35;
Empirical support for cognitive remediation in traumatic brain injury and schizophrenia is documented by published randomized controlled trials and meta-analyses. [1] [2] [3] Effects on cognitive skill performance in schizophrenia are durable for months after the therapies are withdrawn, particularly in terms of executive functioning, working memory, and verbal memory.
Schizophrenia has great human and economic costs. [7] It decreases life expectancy by between 10 [13] and 28 years. [14] This is primarily because of its association with heart disease, [229] diabetes, [14] obesity, poor diet, a sedentary lifestyle, and smoking, with an increased rate of suicide playing a lesser role.
In many cases, patients wound up in adult homes or with their families, or homeless in large cities, [6] [7] and without the mental health care they needed. [8] Without community support, mentally ill people have more trouble getting treatment, maintaining medication regimens, and supporting themselves.
One month after passage, the administration estimated that the net cost of the program over the period between 2006 (the first year the program started paying benefits) and 2015 would be $534 billion. [19] As of February 2009, the projected net cost of the program over the 2006 to 2015 period was $549.2 billion. [20]
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