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Counseling Psychology and Psychotherapy
2025. Vol. 33, no. 4, 57–75
doi:10.17759/cpp.2025330403
ISSN: 2075-3470 / 2311-9446 (online)

Application of modern approaches to medical and psychological rehabilitation at the inpatient stage of psychiatric care

 
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Abstract

Relevance. While defining the role of psychoeducation as targeted training for patients with mental disorders to independently navigate disease-related subject areas that are important for treatment and rehabilitation, the authors emphasize the need to modify programs based on the characteristics of the target patient group. The aim: provide a theoretical and practical justification for an innovative psychoeducation program for the inpatient treatment of patients with schizophrenia spectrum disorders (SSDs). Results. Arguments in favor of the early initiation of psychorehabilitative work with patients with SSD are presented, along with results of a comparison between the authors’ developed program and traditional psychoeducational interventions across various parameters (such as goals, setting features, session structure, etc.). The advantages of the new program are described, including, in particular, the capacity for patients with a disease duration of over five years to participate. Conclusions. The study of the effectiveness of the innovative psychoeducation program for patients with SSD demonstrated a significant change in patients’ attitudes towards their illness and treatment, a reduction in self-stigmatization, and an increase in compliance.

General Information

Keywords: medical and psychological rehabilitation, schizophrenia spectrum disorders, psychoeducation

Journal rubric: Research Reviews

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2025330403

Received 11.10.2025

Revised 01.12.2025

Accepted

Published

For citation: Palin, A.V., Sirota, N.A. (2025). Application of modern approaches to medical and psychological rehabilitation at the inpatient stage of psychiatric care. Counseling Psychology and Psychotherapy, 33(4), 57–75. (In Russ.). https://doi.org/10.17759/cpp.2025330403

© Palin A.V., Sirota N.A., 2025

License: CC BY-NC 4.0

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Information About the Authors

Alexandr V. Palin, Head of the Department of Medical and Psychological Care, Mental-health Clinic No. 4 named after P.B. Gannushkin, аssistant of the Department of Psychiatry, аssistant of the Department of Psychiatry, Psychotherapy and Psychosomatic Pathology Faculty of Continuing Medical Education, Peoples’ Friendship University of Russia named after Patrice Lumumba; Applicant, Department of Clinical Psychology, A.P. Chekhov Scientific and Educational Institute of Social, Humanitarian and Economic Sciences, Russian University of Medicine, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0002-9480-731X, e-mail: pavelpalin@yandex.ru

Nataliya A. Sirota, Doctor of Medicine, Professor, head of the Department of Clinical Psychology, A.P. Chekhov Scientific and Educational Institute of Social, Humanitarian and Economic Sciences, Russian University of Medicineзаведующая кафедрой клинической психологии Научно-образовательного института социальных, гуманитарных и экономических наук имени А.П. Чехова, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0003-2736-9986, e-mail: sirotan@mail.ru

Contribution of the authors

Alexandr V.Palin — research concept; research planning; development of a group innovative program for psychoeducation, manuscript writing and formatting; research supervision.

 

Natalia A.Sirota — annotation; literature review and compilation of the reference list; participation in the interpretation of results.

All authors participated in the discussion of the results and approved the final text of the manuscript.

Conflict of interest

The authors declare no conflict of interest.

Ethics statement

The study was reviewed and approved by the Interuniversity Ethics Committee of the Federal State Budgetary Educational Institution of Higher Education "Russian University of Medicine" (Protocol № 06-25 dated 19.06.2025).

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