Some Aspects of Family Interventions in Schizophrenia. II: Financial Considerations

1991 ◽  
Vol 159 (4) ◽  
pp. 481-484 ◽  
Author(s):  
Nicholas Tarrier ◽  
Karen Lowson ◽  
Christine Barrowclough
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Expressed Emotion ◽  
Intervention Group ◽  
Family Intervention ◽  
Control Group ◽  
The Family ◽  
Patient Groups ◽  
Mean Cost

The direct costs to the mental health services for patients who participated in a trial of a behavioural family intervention to reduce schizophrenic relapse were estimated. Comparisons were made between two patient groups from households of high expressed emotion (HEE): one group received a nine-month family intervention (HEE Intervention) and the other group routine treatment (HEE Control). A third group consisted of patients from low-EE households (LEE Control). The significant decrease in relapse rates in the HEE Intervention group compared with the HEE Control group has previously been reported; the analysis of costs indicates that any increase in costs due to the family intervention is outweighed by a decrease in usage of the established mental health services. The intervention resulted in a decrease of 27% in mean cost per patient.

The Salford Family Intervention Project: Relapse Rates of Schizophrenia at Five and Eight Years

1994 ◽  
Vol 165 (6) ◽  
pp. 829-832 ◽  
Author(s):  
Nicholas Tarrier ◽  
Christine Barrowclough ◽  
Kathleen Porceddu ◽  
Elizabeth Fitzpatrick
Keyword(s):  
Predictive Power ◽  
Expressed Emotion ◽  
Intervention Group ◽  
Family Intervention ◽  
Control Group ◽  
Long Term Effects ◽  
The Family ◽  
Schizophrenic Patients ◽  
Relapse Rates

BackgroundThis study assessed the long-term effects of family intervention on schizophrenic relapse.MethodForty schizophrenic patients who had participated in a family intervention trial and who had not experienced relapse at two years after discharge from the index admission were traced through case notes and hospital records. The percentage of patients experiencing a relapse was estimated for patients in the family intervention group, the high-EE control group, and the low-EE control group, at five years and eight years after discharge.ResultsThere were significantly fewer relapses in the family intervention group than in the high-EE control group at both five years and eight years. The number of relapses in the low-EE control group was lower than in the high-EE control group, but this just failed to reach significance.ConclusionsThe benefit of family intervention and the predictive power of EE are sustained over eight years. Expressed emotion (EE) has remained a remarkably robust predictor of relapse in schizophrenia. Kavanagh (1992) cited 20 out of 23 prospective studies that showed patients who returned to live with high-EE relatives had higher relapse rates over 9–12 months after discharge than did patients returning to live with low-EE relatives. Seventeen of these studies reported this difference to be significant.British Journal of Psychiatry (1994),165, 829–832

Variability of clinical and managerial decisions in mental health services of Region Lombardia: the vignette method

1997 ◽  
Vol 6 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Giuseppe Biffi ◽  
Giuseppe Cuttitta ◽  
Roberto Bezzi ◽  
Germana Magnani ◽  
Daniele Piacentini ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Epidemiology ◽  
Continuous Training ◽  
Managerial Decisions ◽  
Continuous Quality ◽  
The Family ◽  
Quality Assurance Project ◽  
Good Agreement

SUMMARYThis paper concerns one of the four research projects developed during a training course in clinical epidemiology managed by the Lombardy training centers IREF. Objectives — To compare the recommandations for treatment concerning 9 vignettes derived from the Australian Quality Assurance Project. Setting — Six Mental Health Services of Regione Lombardia. Design and Participants — For each vignette, all psychiatrists working in the 6 Mental Health Services were asked to fill in a questionnaire about treatment location, psychopharmacology, psychotheraphy, priority between psychotherapy and psychopharmacology and degree of difficulty in answering. Results — 44 out of 52 target psychiatrists took part to the study. Remarkable variability for treatment location and psychotherapies; moderate variation for psychodrugs prescriptions and a good agreement for diagnoses were observed. In drugs prescription an eccess of association was observed. The most prevalent model of psychotherapy was the psychodynamic, followed by the cognitivebehavioural and the family-systemic. There was a tendency toward a flexible approach, as suggested by recommendations of different psychotherapeutic models according to the nature of the disorder. No case were judged very difficult; only in 3 cases a judgement of «somewhat difficult» was expressed by more than 20% (but less than 30%) of the psychiatrists. Conclusions — Studies of this type are very easy to carry out and give useful information for continuous training programs and Continuous Quality Improvement projects.

scholarly journals Knowledge and Understanding of Mental Disorders in Families of People with Mental Disorders

2020 ◽  
Vol 8 (T2) ◽  
pp. 136-140
Author(s):  
Rosalina Sandi ◽  
Sudirman Nasir ◽  
Apik Indarty Moedjiono ◽  
Erniwati Ibrahim
Keyword(s):  
Mental Health ◽  
Qualitative Research ◽  
Content Analysis ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Mental Disorder ◽  
Phenomenological Approach ◽  
South Sulawesi ◽  
The Family

BACKGROUND: Utilization barriers of mental health services are the lack of knowledge about mental health. AIM: This study aimed to identify the knowledge and understanding of the families of people with mental disorders about mental disorders. METHODS: This study is a qualitative research with phenomenological approach. Data were obtained by interview, unstructured observation, and documentation on seven informants in Puskesmas Larompong Luwu, South Sulawesi. Content analysis was used to identify topics or categories in the data. RESULTS: The family of people with mental disorders still has negative views about people with mental disorders. People with mental disorders are often called the term “lunatic,” insane, scary, and dangerous. In addition, people with mental disorders regarded as a person who has a disease that makes people uncomfortable because of behavior that is unnatural. Families have an understanding that the causes of mental disorders associated with the occult and mystical or supernatural events. The factors that cause families have minimal understanding of the appropriate handling for people with mental disorders. CONCLUSION: It was concluded that the knowledge and understanding of mental disorder which is owned by the family of people with mental disorders as the holder of a healing role in supporting people with mental disorders are lacking.

scholarly journals Australia – being there (in praise of general practice)

1997 ◽  
Vol 21 (1) ◽  
pp. 48-49
Author(s):  
Alcuin Wilkie
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Mental Health Services ◽  
Health Services ◽  
Family Doctor ◽  
Therapeutic Role ◽  
The Family ◽  
Being There

“… the cardinal requirement for the improvement of the mental health services in this country, is … a strengthening of the family doctor in his therapeutic role.” – Michael Shepherd (1966).

scholarly journals Incorporating Children and Young People’s Voices in Child and Adolescent Mental Health Services Using The Family Model

2017 ◽  
Vol 5 (3) ◽  
pp. 183-194 ◽  
Author(s):  
Benjamin Hoadley ◽  
Freya Smith ◽  
Cecilia Wan ◽  
Adrian Falkov
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Children And Young People ◽  
Family Model ◽  
The Family ◽  
Family Focused Practice

Mental illness in children and young people is increasing in frequency and complexity, is emerging earlier and is persisting into adulthood. This is a global issue with implications for research, policy and practice. Children and young people require the experience of safe, nurturing relationships for optimal lifelong outcomes. Despite awareness of this in Child and Adolescent Mental Health services, a focus on the relational context in which children and young people present is not universal. A challenge in family focused practice is to ensure that no individual’s voice is ‘too loud’ and that children and young people’s voices are heard. This article illustrates how a balance between individual and systems understanding can be achieved in therapeutic work by incorporating the voices of children and young people and concerns of other family members. This article describes an approach to improving family focused practice in a public Child and Adolescent Mental Health service. Use of The Family Model, as a family focused practice tool, is presented across three service settings. The Family Model intervention is briefly described, outlining the way in which it supports collaborative practice and assists clinicians to achieve the balance described above. Vignettes will demonstrate how children and young people’s voices are explicitly incorporated in formulating mental health issues with two generations to generate developmentally informed care plans.

Child Mental Health Services in the United Arab Emirates

1999 ◽  
Vol 4 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Harith Swadi
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Human Resources ◽  
United Arab Emirates ◽  
Child Mental Health ◽  
Economic Wealth ◽  
Child Mental Health Services ◽  
The Family ◽  
Growth And Change

This paper is an account of child mental health services in a country that has undergone very rapid socioeconomic growth and change. Despite the economic wealth and the availability of funding, there are problems with human resources. Patterns of morbidity are similar to Western cultures, but attitudes to child mental health in the community are different. Such difficulties necessitate taking different approaches in service delivery. Child psychiatrists have to assume a variety of roles and working through the family seems to be surprisingly feasible and acceptable.

Barriers and Supports Experienced by Pacific Peoples in Aotearoa New Zealand’s Mental Health Services

2021 ◽  
pp. 002202212110398
Author(s):  
Christina Fa’alogo-Lilo ◽  
Claire Cartwright
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Health Services ◽  
Cultural Values ◽  
Mental Health Problems ◽  
Service Providers ◽  
Health Problems ◽  
Service Users ◽  
The Family

As with minority groups internationally, Pacific peoples in New Zealand (Pasifika) experience higher rates of mental health problems than the general population, and are less likely to access mental health services. This study investigated the barriers and supports for Pasifika accessing and using mental health services with participation of 25 Pasifika (10 service-providers, 11 ex-service-users, and 4 ex-service-users/providers) in order to gain their key informant perspectives. A Pasifika-appropriate Talanoa approach was used to guide the data-collection process and the qualitative data were analyzed using thematic analysis. Barriers included stigma among Pasifika regarding mental health problems, commitment to finding solutions within the family, and both mistrust and lack of knowledge of services. Within the services, non-Pasifika providers often lacked understanding of the collectivist cultural values and practices of Pasifika, including spiritual beliefs. They were more likely to use services if the providers were respectful of Pasifika practices and paid attention to developing relationships in a culturally appropriate way. This included involvement of the Pasifika family, when possible. Service-users often benefited from contact with Pasifika providers within mainstream services. These results support previous cross-cultural research that indicates the importance of offering evaluation and intervention services grounded in an understanding and respect for the cultural significance and meaning of mental health problems for the person, the family, and their community. While efforts are made to address these issues in New Zealand, change is slow and ongoing cultural training for service-providers along with psychoeducation for Pasifika about mental health services is strongly desirable.

The Family Navigation Project: An innovation in working with families to match mental health services with their youth's needs

2016 ◽  
Vol 35 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Roula Markoulakis ◽  
Staci Weingust ◽  
Jeanne Foot ◽  
Anthony Levitt
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Youth Mental Health ◽  
The Family ◽  
Specialized Care ◽  
Navigation Service

The Family Navigation Project provides an innovative navigation service that supports families who are struggling with navigating the complex youth mental health and addictions system. Navigators engage one-on-one with families to help them access timely and specialized care for youth experiencing mental health or addictions concerns.

A Theory-Driven Intervention and Evaluation to Explore Family Caregiver Empowerment

1997 ◽  
Vol 5 (3) ◽  
pp. 184-191 ◽  
Author(s):  
Craig Anne Heflinger ◽  
Leonard Bickman ◽  
Denine Northrup ◽  
Susan Sonnichsen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Group Intervention ◽  
Service Providers ◽  
Control Group ◽  
Parent Group ◽  
Appropriate Treatment ◽  
Intermediate Outcomes ◽  
Two Factors

The conceptualization, development, implementation, and evaluation of the Family Empowerment Project are described in this article. A multicomponent parent training curriculum was designed, incorporating three components: knowledge about the service system; skills with which to interact with the system; and mental health services efficacy, or improved and optimistic attitudes of efficacy and intention to collaborate actively with service providers in securing appropriate treatment for their children. An experimental design was used to test the efficacy of this model with caregivers of children receiving mental health services (n = 250), randomly assigned to the parent group curriculum or a no-treatment control group. Intermediate outcomes of the project at a 3-month follow-up were assessed. The parent group intervention was found to significantly affect two factors that appear crucial to increasing caregiver empowerment: knowledge of the mental health services system and mental health services efficacy.

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