Family psychoeducation is an evidence-based practice that has been shown to reduce relapse rates and facilitate recovery of persons who have mental illness. A core set of characteristics of effective family psychoeducation programs has been developed, including the provision of emotional support, education, resources during periods of crisis, and problem-solving skills. Unfortunately, the use of family psychoeducation in routine practice has been limited. Barriers at the level of the consumer and his or her family members, the clinician and the administrator, and the mental health authority reflect the existence of attitudinal, knowledge-based, practical, and systemic obstacles to implementation. Family psychoeducation dissemination efforts that have been successful to date have built consensus at all levels, including among consumers and their family members; have provided ample training, technical assistance, and supervision to clinical staff; and have maintained a long-term perspective.
A national survey was used to explore the potential fo r resilience among family members ofpeople with mental illness. The sample included 131 family members: mothers, fathers, wives, husbands, sisters, brothers, daughters, sons, and extended family members. Responding to open-ended questions, participants were asked to describe any family, per sonal, or consumer strengths that had developed as a result o f the mental illness. Family resilience was reported by 87.8% o f participants. Personal re silience was reported by 99.2%; and consumer resilience by 75.6%.Components o f these composite scores were identified. Implications o f these findings are discussed, and suggestions fo r professional practice are offered.
Family burden reported by parents of offspring with severe mental illness was examined to determine whether burden increases with age. Older parents were troubled by cognitive dimensions of burden, while younger parents were distressed by their offspring's behavior, suggesting that interventions should vary according to parents' age as well as developmental stage of their child's illness.
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