“Home hospitalization in mental health: characteristics,
essential components and results”
Prof. Ana Moreno Pérez. Psychiatrist. Hospital Príncipe of
Asturias, Alcalá de Henares, Madrid.
“Seeing oneself on the screen. Cinema as a tool for therapeutic
intervention in severe mental disease.”
Professors María Martín Martín-Blas, Psychiatrist. Hospital
Infanta Sofía, Madrid, and Inés García del Castillo, Psychiatrist,
HM Hospitals of Madrid.
"Therapy oriented towards increasing mentalization capacity
for borderline patients”
Prof. Josefina Mas Hesse, Psychiatrist. Coordinator of the Day
Hospital. Alcalá de Henares, Madrid.
“Key aspects of the evaluation and intervention in psychosis from
an evolutionary perspective “
Prof. Margarita Alcamí Pertejo, Psychiatrist, Child and Adolescent
Unit, Psychiatry Service of the University Hospital La Paz, Madrid
and Prof. Paloma Ortíz Soto, Psychiatrist, and Psychotherapist
of children and adolescents. Center ADI, Madrid.
WORKSHOP 5 / ENGLISH WORKSHOP
“How to apply Hallucination Focused Integrative therapy: the
best you can get”
Prof. Jack Jenner, Emeritus Professor in Community Psychiatry.
Former Head of the Outpatient Department of the Academic Hospital
of Groningen, Netherlands
Form: (1) Oral presentations on HIT, its modules, casepresentations, and (cost)effectiveness; (2) Assessment of hallucinations with Auditory Vocal Hallucinations Rating Scale (AVHRS) and Positive & Useful Hallucinations Inventory (PUVI), (3) video-displays of HIT interventions; (4) groupdiscussion on selected casevignettes, and (5) skills training.
Content: In this course (1) diagnostic assessment of auditory vocal hallucinations will be demonstrated and trained, and (2) psychosocial treatment with hallucination integrative therapy (HIT) for acoustic verbal hallucinations will be presented. Special attention will be given to: (i) engaging non-motivated patients into treatment with selective motivtaional strategies, (ii) treatment rationale with treatment examples, and (iii) effectiveness of treatment. How to (iv) organise integration of models and interventions as well as (v) timing of interventions are discussed, demonstrated , and trained.
Background: Prevalence of hallucinations is quite high in dissociative disorder (80%), schizophrenia (70%), psychotic depression, PTSD, and borderline personality disorder (alla bout 30%). Effectiveness of anti-psychotic medication is limited due to non-compliance (30-70%) and ineffectiveness when taken (20%). Hence, persistence of hallucinations is rather high.
HIT has been specifically developed for auditory vocal hallucination (AVH). The therapy is multi-modular consisting of: motivational strategies, two-realities approach, medication, copingtraining, CBT, psychoeducation and rehabilitation. The framework is made of directive problem-oriented family treatment, and out-reach service7/24.
Its effectiveness has been scientifically tested, and was found significantly more effective than TAU on burden; PANSS-scores on hallucination (NNT=2); depression, anxiety, disorganised thinking, and general psychopathology (NNTs=3-5); quol of life; and social disabilities (NNT=7). Results remained at follow-up. Other significant aspects are: Low drop-out rate (9% ), high satisfaction (>80% satisfied), lower costs than TAU, positive changes in relatives’attitudes towards the patient.
HIT has been positively evaluated in the current Dutch National Schizophrenia Treatment Guideline.
Hallucination assessment, HIT programme, and skills training in modules are pivotal in the workshop.
Targets: The workshop aims that participants:
- Have an impression of HIT methodology, its implementation, and its results,
- Have ideas about possibilities and pittfalls of integrating interventions with different backgrounds,
- Have been introduced in specialistic motivational strategies developed for this patient population.
1Jenner JA, Hallucination-focused Integrative Therapy (HIT). Routledge Publishing Co. NY, London, 2016
2Jenner, J.A., e.a. Effectiveness of cognitive therapy with coping training for persistent auditory hallucinations: a retrospective study of attenders of an outpatient department. Acta Psychiatrica Scnadinavica, 1998, 98: 384-389.
3 Jenner, J.A., Nienhuis FJ, Wiersma D, Willige van de G. Hallucination focused integrative treatment: a randomized controlled trial. Schizophrenia Bulletin 2004, 30(1):133-145
4 Wiersma,D., e.a. Hallucinations focused integrative treatment improves quality of life in schizophrenia patients. Acta Psychiatrica Scandinavica 2004:109; 194-201
5 Jenner JA. Hallucination Integrative Treatment (HIT). In : Hallucinations : A Guide to Treatment and Management (Eds. Laroy & Aleman). OUP, Oxford, 2010
6 Jenner JA. Beyond monotherapy : The HIT-story. In : The Neuroscience of Hallucinations. (Eds. Jardi R. et al.). Springer Verlag, New York, 2013.