Soteria (psychiatric treatment)

Soteria house, Zwiefalten, Germany (2011)

The Soteria model is a milieu-therapeutic approach developed to treat acute schizophrenia, usually implemented in Soteria houses.[1]

Based on a recovery model, the common elements of the Soteria approach include the use of primarily nonmedical staff, who do not prescribe or administer antipsychotic medication to patients, and the preservation of residents' personal power, social networks, and communal responsibilities.[2]

Soteria houses provide a community space for people experiencing mental distress or crisis and have no restraint facilities. Loren Mosher, founder of the first Soteria house, believed that people with schizophrenia did, in fact, recover from the illness without the use of neuroleptics in a supportive home-like environment.[3]

Soteria houses are often seen as gentler alternatives to the psychiatric hospital system, which is perceived as authoritarian, hostile, or violent, and overly reliant on the use of psychiatric (particularly antipsychotic) drugs.[4]

Some psychiatrists contest the Soteria model's validity due to a perception that it diverges from the widely accepted biopsychosocial model, as well as research quality concerns.[2][5][6]

  1. ^ Cite error: The named reference :1 was invoked but never defined (see the help page).
  2. ^ a b Calton T, Ferriter M, Huband N, Spandler H (January 2008). "A systematic review of the Soteria paradigm for the treatment of people diagnosed with schizophrenia". Schizophr Bull. 34 (1): 181–92. doi:10.1093/schbul/sbm047. PMC 2632384. PMID 17573357.
  3. ^ Bola, John; Mosher, Loren (April 2003). "Treatment of acute psychosis without neuroleptics: Two year outcomes from the Soteria Project" (PDF). The Journal of Nervous and Mental Disease. 191 (4): 219–229. CiteSeerX 10.1.1.564.2860. doi:10.1097/01.nmd.0000061148.84257.f9. PMID 12695732. S2CID 1095393.
  4. ^ "Soteria Programme – International Mental Health Collaborating Network". Retrieved 2023-06-28.
  5. ^ Stupak, Radosław; Dobroczyński, Bartłomiej (2019-12-31). "The Soteria project: a forerunner of "a third way" in psychiatry?" (PDF). Psychiatria Polska. 53 (6): 1351–1364. doi:10.12740/PP/OnlineFirst/91731. ISSN 0033-2674. PMID 32017822. S2CID 55230325.
  6. ^ Carpenter, William T.; Buchanan, Robert W. (1 January 2002). "Commentary on the Soteria Project: Misguided Therapeutics". Schizophrenia Bulletin. 28 (4): 577–581. doi:10.1093/oxfordjournals.schbul.a006965. PMID 12795492.