Cognitive Remediation
Cognitive Remediation delivers structured practice and strategy training to improve attention, memory, and executive skills, translating gains into daily life. This page shows how to combine drill-and-practice exercises with coaching that externalizes memory, sequences tasks, and builds habits. If you’re comparing an SMI rehabilitation conference, you’ll find program designs, session scripts, and integration with psychotherapy, supported employment/education, and family involvement. Outcomes matter when they generalize to work, school, and relationships—so we pair exercises with real-world goals, role play, and environment tweaks.
Consistency beats intensity. We outline cadence (2–3 sessions/week), homework, and fidelity checks that predict benefit; we review digital platforms, low-tech alternatives, and how to adapt for literacy, language, and sensory needs. Sleep and circadian regularity, activity breaks, and daylight improve learning and consolidation. Medication plans minimize cognitive side effects; peers reinforce practice and celebrate wins. For system-level planning around cognition in SMI, see Cognitive Dysfunction in Severe Mental Illness, which complements this page’s protocol depth.
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Drill-and-practice
- Target processing speed, working memory, and attention.
- Use graduated difficulty with immediate feedback.
Strategy coaching
- Teach chunking, external aids, and problem-solving sequences.
- Practice in real tasks—appointments, study, budgeting.
Task environment design
- Reduce noise/clutter; add visual cues and checklists.
- Schedule focused blocks with planned breaks.
Motivation and adherence
- Set specific, meaningful goals and track progress.
- Use reinforcement and peer accountability.
Programs, Delivery, and Equity
Program architecture
2–3 sessions/week plus homework for 8–16 weeks.
Integration with roles
Link tasks to school/work demands and family routines.
Digital and low-tech options
Pair apps with paper tools for flexibility and access.
Therapist training and fidelity
Use manuals, supervision, and checklists.
Youth and early psychosis
Build skills early to protect education trajectories.
Older adults with SMI
Adapt pace and sensory supports; account for comorbidity.
Measurement and outcomes
Track functional targets and QoL alongside cognitive change.
Access and inclusion
Language-appropriate materials; accommodate cost and transport.
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