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Application of cognitive-behavioural family intervention for schizophrenia in multidisciplinary teams

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Bibliographic Data

ID11509377
AuthorsDenis J Kavanagh (0000-0001-9072-8828, The University of Sydney, corresponding author), David J Kavanagh (The University of Sydney), Olga Piatkowska (Manly-Warringah Area Health Service), Dianne Clark (Western Sydney University), Paul O’halloran (0000-0001-6495-2359, University of Wollongong), Vijaya Manicavasagar (0000-0001-6483-7780, Academic Mental Health Unit, Liverpool Hospital, University of NSW), Alan Rosen (Royal North Shore Hospital and Community Mental Health Service), Christopher Tennant (0000-0002-9177-2860, University of Sydney and Royal North Shore Hospital and Area Health Services)
Year1993
Volume28
Issue3
Pages181-188
Publication date1993-11-01
Open AccessYes
TypeARTICLE
VenueAustralian Psychologist (JOURNAL)
Journal identifiersISSN: 0005-0067 • E-ISSN: 1742-9544
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00050069308258899
OpenAlexW1544999602
LanguageEN
Citations received8
References cited21

Cognitive-behavioural family interventions for schizophrenia have demonstrated utility in reducing relapse rates and improving functional status, but there is little information on the routine application of this work. In the current study therapists in standard health care settings were trained in delivering a cognitive-behavioural intervention to clients and families. Six months to 3 years after the family training, 45 therapists reported the number of families they had systematically treated, and the difficulties they had encountered. Sixty-nine per cent reported giving three sessions or more of the intervention to at least one family, but only 18% had used it with three or more families. Therapists reported particular difficulty integrating the family work with their other responsibilities and interests: Allowance of time to undertake the intervention, afterhours scheduling, and illness or holidays presented particular difficulties. Only 4% reported that their knowledge of behavioural techniques was a significant problem, but in a written test most therapists did not display minimum recall of the material on cognitive therapy, social skills training, or behavioural strategies. Therapists also reported whether they had used segments of the intervention in their routine clinical contacts. Over 80% said they applied all segments of the intervention at least once a month, but the frequencies for cognitive and behavioural strategies fell below 40% when they were corrected for recall of the segments. This study demonstrated significant problems in disseminating cognitive-behavioural approaches to multidisciplinary settings

Cognition · Cognitive psychology · Family therapy · Intervention (counseling · Multidisciplinary approach · Psychiatry · Psychotherapist · Recall · Schizophrenia (object-oriented programming · Social skills · Attachment and Relationship Dynamics · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Counseling, Therapy, and Family Dynamics · Psychology

  • The Role of Practitioner Self-Efficacy, Training, Program and Workplace Factors on the Implementation of an Evidence-Based Parenting Intervention in Primary Care

    Open Access•Karen Turner, Karen M T Turner et al.•The Journal of Primary Prevention•2011

  • Delivering Cognitive‐Behavioural Family Interventions for Schizophrenia

    Open Access•Juliana Onwumere, Sarah Grice et al.•Australian Psychologist•2016

  • Perceptions of mental health professionals and family caregivers about their collaborative relationships

    Open Access•Megan Andrew, John Farhall et al.•Australian Psychologist•2009

  • Training clinical psychologists

    Open Access•Denis J Kavanagh, David J Kavanagh•Australian Psychologist•2011

  • What the Problem May Be With Family Intervention … and With Dissemination More Generally

    Open Access•Denis J Kavanagh, David J Kavanagh•Australian Psychologist•2016

  • Outcomes of training in supervision

    Open Access•Denis J Kavanagh, David J Kavanagh et al.•Australian Psychologist•2008

  • Staff Training in Cognitive-Behavioral Family Intervention in Mental Illness Using the Multiple-Family Group Approach

    Open Access•Roy Laube, Roy E Laube et al.•Community Mental Health Journal•2000

  • The Questionnaire of Family Functioning

    Open Access•Rita Roncone, Monica Mazza et al.•Community Mental Health Journal•2007

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    George A Clum, Thomas G Bowers•Psychological Bulletin•1990

  • The efficacy of cognitive behavior therapies

    R Christopher Miller, Jessica Schiff Berman•Psychological Bulletin•1983

Citations per year0.31
Citation span2000 - 2016 (17)
Highly citedNo

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