Delivering Cognitive‐Behavioural Family Interventions for Schizophrenia

Bibliographic Data

ID11510956
AuthorsJuliana Onwumere (0000-0001-7119-7451, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, corresponding author), Sarah Grice (Institute of Psychiatry, Psychology and Neuroscience, King’s College London), Elizabeth Kuipers (0000-0002-0041-7338, Institute of Psychiatry, Psychology and Neuroscience, King’s College London)
Year2016
Volume51
Issue1
Pages52-61
Publication date2016-01-21
Open AccessYes
TypeARTICLE
VenueAustralian Psychologist (JOURNAL)
Journal identifiersISSN: 0005-0067 • E-ISSN: 1742-9544
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1111/ap.12179
OpenAlexW2262793234
LanguageEN
Citations received7
References cited123

BackgroundIn 1993, Kavanagh and colleagues outlined outcomes from a training programme designed to equip mental health practitioners to deliver evidence‐based cognitive‐behavioural family interventions within routine care. The authors highlighted how the training had not been able to deliver notable increases in the numbers of families being seen by the trained clinicians. There were significant issues in the translation and provision of family interventions within clinical settings, specifically difficulties with the integration of family interventions and caseload demands, and insufficient time within job plans and service settings to undertake the work. The authors posed the question: what can the matter be? Interestingly, the same question was being asked over a decade later.ObjectiveThe current article provides a narrative review of the issues on implementation of family interventions in psychosis.ResultsCurrent evidence suggests that while there exist pockets of good practice and provision for family interventions, it was a mistake to assume that care coordinators would be able to include these family interventions as part of their role, effectively to add duties without significant modification to their current roles and duties. It also seems to have been an underestimate of the skills required for delivering family work in psychosis and the ongoing requirements for high‐quality supervision.ConclusionWe argue for carer specialists to be involved in mental health teams, particularly early intervention teams, and for a triage system to offer families a range of evidence‐based support, as well as family interventions for more complex problems and presentations

Family therapy · Intervention (counseling · Mental health · Psychiatry · Psychological intervention · Family Caregiving in Mental Illness · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Schizophrenia research and treatment

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