Family Intervention for Psychosis

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a significant barrier to involving families in the care process?

Insufficient funding for programs

Lack of training among staff

Low motivation among patients

Reservations about involving families (correct)

What is essential for successfully implementing a family engagement pathway in inpatient settings?

Obtaining consent from the patient (correct)

Mandating attendance from family members

Providing financial incentives to families

Conducting surveys to assess family wants

What is a potential solution to support carers who feel isolated during involuntary care?

Peer support programs like OPAL (correct)

Weekly family visits to the ward

Group therapy sessions for families

Online resources for caregiver training

Which staff training element can improve the care process for families and patients?

Training on family intervention techniques Signup and view all the answers

What is an expected outcome of using Early Intervention Teams with family interventions?

Improvement in service user functioning Signup and view all the answers

What is the primary goal of family intervention in the context of psychosis?

To include family members in sessions with the person experiencing psychosis Signup and view all the answers

How long should a family intervention typically last, according to guidelines?

3 months to a year Signup and view all the answers

What role do carers play in the outcomes of individuals with psychosis?

They can help improve treatment adherence and access to services Signup and view all the answers

What does high expressed emotion (EE) predict regarding schizophrenia outcomes?

Increased likelihood of relapse and distress Signup and view all the answers

Which model of family intervention involves educating family members about psychosis?

Psychoeducational model (with patient) Signup and view all the answers

What has research shown about the effectiveness of brief psychoeducation?

Not effective at reducing relapse rates Signup and view all the answers

In the context of family intervention, what is a primary function of a carer?

To provide essential support and identify early signs of relapse Signup and view all the answers

What is a major challenge in implementing family interventions?

Availability of trained professionals Signup and view all the answers

Study Notes

Family Intervention for Psychosis

Evidence-based interventions for people experiencing psychosis and their families.
Focuses on involving family members in treatment.
Clinicians, family members, and individuals with psychosis participate in sessions together.

NICE Guidelines for Family Intervention

Inclusion of the person with psychosis/schizophrenia.
Duration: 3 months to a year.
Number of sessions: 10.
Can be for single families or multiple families.
Focus on the carer-patient relationship.
Aims to provide support, education, and treatment.
Definition of "carer": anyone with regular close contact with someone with psychosis/schizophrenia.

Positive Outcomes of Carer Involvement

Better outcomes for individuals with psychosis who have carers.
Facilitates access to relevant services.
Improves treatment adherence.
Helps identify early signs of relapse.
Reduced admission and relapse rates are observed.

Expressed Emotion (EE)

A measure of the family environment.
Assesses the positivity or negativity of family relationships.
Developed as a research tool to measure family relationships.
Can change over time and measured by scoring an interview (CFI) using 5 dimensions.

Impact of High EE

High EE is a predictor of poor outcomes in people with schizophrenia.
High EE significantly correlates with carer burden, leading to stress, distress, and low self-esteem.

Leventhal's Illness Perception Beliefs Model

Individuals perceive illness based on:
- Identity (symptoms, name of the illness)
- Cause (aetiology)
- Cure/control (extent of curability/managemenet)
- Consequences (impact on individual)
- Timeline (duration of illness)

Models of Family Intervention (FI)

Systemic-oriented: Focuses on the whole family (relationships, interactions, and dynamics).
Psychoeducational (with patient): Educates both individual and family members.
Psychoeducational (without patient): Focuses on providing information and improving the family emotional climate.
Integrated interventions: Different models integrated, directed at specific groups (patient and relatives, or patient alone, or community-based).

Benefits of Different Intervention Types (FI)

All models, except brief psychoeducation, result in lower relapse rates.
Long-term interventions are more effective.
Home environment plays a crucial role in outcome.

Challenges of Implementing Family Interventions

Training needs for clinicians are necessary.
Requires a system-wide approach and acceptance.
Reservations about involving families.
Difficulty engaging families with complex needs.
Establishing and maintaining positive working relationships.
Individualizing interventions is crucial.

Implementing Family Intervention in Inpatient Settings

Gaining consent from the patient.
Organizing meetings with the patient, carer, and clinician.
Discussing reasons for admission, information sharing, and collaborative plans.

Involuntary Care and Carer Support

Isolated and unsupported feelings among carers in involuntary care situations.
MHA review provides support to carers.
Lack of one-to-one/situation-specific support in existing interventions.
Peer support programs like OPAL are needed to address individual needs.

Example of Successful Implementation (Early Intervention Teams)

Family interventions provided to all eligible patients.
Training for all staff members.
Explicit standard of care monitored.
Improved service-user functioning and decreased relapses.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz explores evidence-based family interventions for individuals experiencing psychosis. It highlights the importance of carer involvement in treatment plans, the structure of sessions, and the positive outcomes of family participation. Understanding these interventions can enhance the support network for those affected by psychosis.