Behavioural Family Management in Schizophrenia

Abstract

To test further the highly successful outcomes of a controlled study of in-home behavioural family management (BFM) for schizophrenic patients, a clinic-based version of this intervention was compared with customary care alone for 41 schizophrenic patients in a Veterans Administration (VA) mental health clinic. Monthly Brief Psychiatric Rating Scale (BPRS) ratings, conducted by clinic psychiatrists who were 'blind' to the patients' assignment, revealed that 3 (14%) patients who received behavioural family management as well as customary care, as compared with 11 (55%) patients who received customary care alone, had symptomatic exacerbations during the first year of treatment.

The Psychosocial Treatment of Schizophrenia: An Update

“…The model of Falloon et al (13) (behaviorally oriented problem-solving in the home) has been repeatedly transferred to other research settings (8,9,20,24). Unfortunately, the evidence for effectiveness in a more typical nonresearch setting is very limited, primarily because family therapy has not become the standard of care in the community (25).…”

Meta-análise de ensaios clínicos de intervenção familiar na condição esquizofrenia

“…Apesar de cinco ensaios relatarem randomização estratificada, a estratificação não aconteceu com relação a variáveis prog- Excluídos pelo resumo do artigo (65) Excluídos pelo texto do artigo (18) nósticas, anteriormente referidas, identificadas como relevantes pelos estudos disponíveis de boa qualidade. Apenas dois ensaios informaram claramente ter havido cegamento da alocação 59,63,64,65 . Os ensaios, em geral, não incluíram tabela pós-randomização relativa aos fatores prognósticos apontados pela literatura como relevantes para o desfecho recaída, referidos acima.…”

“…Quatro ensaios 52,53,54,59,60,65 foram classificados como comportamentais e dois 55,63,64 , como cognitivo-comportamentais.…”

“…Quanto ao cegamento do avaliador, apenas os ensaios comportamentais descritos por Glyn et al 59 e Randolph et al 65 , o ensaio de Veltro et al 60 e os ensaios pragmáticos realizados por Goldstein et al 49 e Tomaras et al 58 informaram a sua ocorrência na avaliação de recaída.…”

Occupational therapy in mental health: challenges and opportunities

“…Many people with mental illness are cared for in the community by carers who are unpaid and face many burdens associated with caring for someone with a disability (Gopinath and Chaturvedi, 1992;Randolph et al, 1994). One of the objectives of the National Mental Health Policy (1992) is to support the development and expansion of non-government organizations to assist carers through information provision, and opportunities to participate in mental health service decision-making (Commonwealth Department of Human Services and Health, 1992a).…”