barrowclough issues in the dissemination of family intervention for psychosis

8/13/2019 BARROWCLOUGH Issues in the Dissemination of Family Intervention for Psychosis

1/4

Issues in the dissemination of familyintervention for psychosis

CHRISTINE BARROWCLOUGH1

Author information Copyright an Li!"n#" information S"" th" arti!$"% &ami$y int"r'"ntion# for m"nta$ i#or "r#( "ffi!a!y an "ff"!ti'"n"## %on pag" )*+

&ami$i"# p$ay an "##"ntia$ ro$" in #upporting p"op$" ,ith $ong-t"rm m"nta$ i$$n"## in th"!ommunity+ In th" U./ o'"r 0* of tho#" ,ith a fir#t "pi#o " of a ma2or m"nta$ i$$n"##r"turn to $i'" ,ith r"$ati'"#/ an thi# ,ou$ #""m to r" u!" on$y 3y 1*-)* ,h"n tho#",ith #u3#"4u"nt a mi##ion# ar" in!$u " 5

Th" fo$$o,ing popp"r u#"r int"rfa!" !ontro$ may not 3" a!!"##i3$"+ Ta3 to th" n"6t 3utton to r"'"rt th" !ontro$ to an a!!"##i3$" '"r#ion+

7"#troy u#"r int"rfa!" !ontro$ 18+ Ho,"'"r/ th" !ar"r ro$" i# oft"n not an "a#y on" anmay 3" a##o!iat" ,ith !on#i "ra3$" p"r#ona$ !o#t#+ In #!hi9ophr"nia/ "#timat"# from

iff"r"nt #tu i"# #ugg"#t that up to t,o thir # of fami$y m"m3"r# "6p"ri"n!" #ignifi!ant#tr"## an #u32"!ti'" 3ur "n a# a !on#"4u"n!" of th"ir !ar"gi'"r ro$" 5


7"#troy u#"r int"rfa!" !ontro$ ) 8+ Not on$y i# #u!h #tr"## $i:"$y to aff"!t th" ,"$$ 3"ing ofth" r"$ati'"# an !ompromi#" th"ir $ong-t"rm a3i$ity to #upport th" pati"nt/ 3ut it maya$#o ha'" an impa!t on th" !our#" of th" i$$n"## it#"$f an on out!om"# for th" !$i"nt+H"n!"/ on" of th" mo#t important a 'an!"# in th" tr"atm"nt of #!hi9ophr"nia in th" $a#tt,"nty y"ar# ha# 3""n th" "'"$opm"nt of fami$y 3a#" int"r'"ntion programm"#+

A# "tai$" in Ian &a$$oon;# pap"r/ th"r" i# no, ro3u#t "'i "n!" for th" "ffi!a!y of thi#form of tr"atm"nt/ ,ith many ran omi#" !ontro$$" tria$# ha'ing "mon#trat" th"#up"riority of fami$y int"r'"ntion o'"r routin" !ar" in t"rm# of pati"nt r"$ap#"/ho#pita$i#ation an oth"r out!om"#+ Ho,"'"r/ th" i##"mination of th" int"r'"ntion# ha#not 3""n ,ithout pro3$"m#+ &rom r"!"nt m"ta-ana$yti! r"'i",#/ it i# no, !$"ar that th"

#hort " u!ation or !oun#"$$ing programm"# off"r" a# fami$y int"r'"ntion# ar"in#uffi!i"nt to ha'" an impa!t on pati"nt out!om"# an o not aff"!t r"$ap#" rat"#( %Af", $"#- #on# on #!hi9ophr"nia+++ ,a# #imp$y not #uffi!i"nt to #u3#tantia$$y inf$u"n!" th"r"$ap#" rat"% 5


7"#troy u#"r int"rfa!" !ontro$


2/4

!ontinuing int"r'"ntion+ Wor: ,ith r"$ati'"# of r"!"nt$y iagno#" #!hi9ophr"nia pati"nt# in i!at"# that thi# h"$p n"" # to 3"gin from th" fir#t on#"t of th" p#y!ho#i# 5


7"#troy u#"r int"rfa!" !ontro$ =8+

A# Ian &a$$oon a$#o not"#/ in r"!"nt y"ar# on" of th" 3igg"#t !ha$$"ng"# ha# 3""n toi##"minat" th" 3"n"fit# of fami$y int"r'"ntion in #!hi9ophr"nia into routin" #"r'i!""$i'"ry+ In th" U. thi# ha# 3""n $arg"$y through training programm"# "#ign" to

pro'i " !$ini!ian#/ main$y !ommunity p#y!hiatri! nur#"#/ ,ith th" :no,$" g" an #:i$$#r"4uir" to imp$"m"nt th" fami$y ,or: 5#"" > for a r"'i", of i##"mination

programm"#8+ 7"#pit" th" #o$i "'i "n!" 3a#" for th" "ffi!a!y of fami$y 3a#" p#y!ho$ogi!a$ tr"atm"nt programm"# in #!hi9ophr"nia/ an th" "ffort# of th" training programm"#/ th" imp$"m"ntation of fami$y ,or: in routin" m"nta$ h"a$th #"r'i!"# in th"U. ha# 3""n at 3"#t pat!hy+ Th" !on#"n#u# 'i", in th" $it"ratur" i# that fami$yint"r'"ntion imp$"m"ntation fa!"# !omp$"6 organi#ationa$ an attitu ina$ iffi!u$ti"#5#""/ for "6amp$"/


7"#troy u#"r int"rfa!" !ontro$ 08/ an in#uffi!i"nt att"ntion ha# 3""n pai to th"#" ini##"mination programm"#+ In i#!u##ing th" fa!tor# ,hi!h might ma:" th" tran#f"r"n!"

from r"#"ar!h to pra!ti!" iffi!u$t/ ?ari an Str"in"r 5


7"#troy u#"r int"rfa!" !ontro$ @8 #ugg"#t" that th" r"4uir"m"nt# of ura3$" #"r'i!"ori"nt" int"r'"ntion# may iff"r from tho#" 3a#" on tim" $imit" r"#"ar!h mo "$#+

In an att"mpt to "mon#trat" th" "ff"!ti'"n"## of fami$y int"r'"ntion# in #tan ar p#y!hiatri! #"tting# ,hi!h ta:" a!!ount of th"#" iff"r"n!"#/ a ran omi#" !ontro$$" pragmati! tria$ ,a# !arri" out 5


7"#troy u#"r int"rfa!" !ontro$ 8+ Th" fami$y int"r'"ntion ,a# 3a#" on th" forma$a##"##m"nt of !ar"r n"" #/ an th" programm" ,a# !arri" out 3y a !$ini!a$ p#y!ho$ogi#tin !on2un!tion ,ith th" pati"nt;# :"y ,or:"r - thu# training ,a# in #itu+ Th" fa!t that th"int"r'"ntion ,a# foun to 3" "ff"!ti'" in r" u!ing !ar"r n"" # an in r" u!ing pati"ntr"$ap#" at 1) month# po#t tr"atm"nt 5

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B4http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B6http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B7http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B8http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B4http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B6http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B7http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525066/#B8


3/4

7"#troy u#"r int"rfa!" !ontro$ 8 #ugg"#t# that th"r" ar" a 'antag"# in "'"$opingi##"mination mo "$# 3a#" ,ithin #"r'i!"#+ Th" n"" for !hanging th" !$ini!a$ pra!ti!"

of th" ,ho$" #"r'i!" rath"r than training in i'i ua$# i# un "r$in" in th" ,or: ofCorrigan an !o$$"agu"# 5


7"#troy u#"r int"rfa!" !ontro$ 1*-


7"#troy u#"r int"rfa!" !ontro$ 1) 8+ Ho,"'"r/ iffi!u$ti"# ari#" not on$y from #taff 3uta$#o from !ar"r r"$u!tan!" to "ngag" in fami$y ,or:+ S"'"ra$ #tu i"# of !ommunity#amp$"# 5"+g+/


7"#troy u#"r int"rfa!" !ontro$ /


7"#troy u#"r int"rfa!" !ontro$ 1


4/4

barrowclough issues in the dissemination of family intervention for psychosis

Documents