Clinician Integrity in Multiple Family Groups: Psychometric Properties and Relationship with Schizophrenia Client and Caregiver Outcomes

McDonell, Michael G.; Rodgers, Martina L.; Short, Robert; Norell, Diane; Pinter, Lori; Dyck, Dennis G.

doi:10.1007/s10608-006-9098-6

Cited by 16 publications

(21 citation statements)

References 47 publications

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“…Since the 2002 review paper, regarding FPE with adults with schizophrenia (MacFarlane, Dixon, Lukens, & Lucksted, 2002), there were a variety of new RCTs. There was a significant study in Washington State involving 97 consumers and their family members that replicated previous work showing that, compared with standard care, MFG-FPE reduced relapse, symptomatology, and hospitalization with no net increase in outpatient services over 3 years (McDonell et al, 2007).…”

Section: Family Psycho-education For Major Mental Illnessmentioning

confidence: 56%

Intervention Research in Couple and Family Therapy: A Methodological and Substantive Review and an Introduction to the Special Issue

Sprenkle

2012

J Marital Family Therapy

127

108

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This article serves as an introduction to this third version of research reviews of couple and family therapy (CFT) that have appeared in this journal beginning in 1995. It also presents a methodological and substantive overview of research in couple and family therapy from about 2001/2002 to 2010/2011 (the period covered in this issue), while also making connections with previous research. The article introduces quantitative research reviews of family-based intervention research that appear in this issue on 10 substantive areas including conduct disorder/delinquency, drug abuse, childhood and adolescent disorders (not including the aforementioned), family psycho-education for major mental illness, alcoholism, couple distress, relationship education, affective disorders, interpersonal violence, and chronic illness. The paper also introduces the first qualitative research paper in this series, as well as a paper that highlights current methodologies in meta-analysis. The first part of this article rates the 10 content areas on 12 dimensions of methodological strength for quantitative research and makes generalizations about the state of quantitative methodology in CFT. The latter part of the papers summarizes and makes comments on the substantive findings in the 12 papers in this issue, as well as on the field as a whole.

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Section: Family Psycho-education For Major Mental Illnessmentioning

confidence: 56%

Intervention Research in Couple and Family Therapy: A Methodological and Substantive Review and an Introduction to the Special Issue

Sprenkle

2012

J Marital Family Therapy

127

108

View full text Add to dashboard Cite

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“…Finally, for many mental health interventions, poor fidelity to a core model has been found to compromise outcomes (for example, the study by Bond & Salyers, 2004). One study found a strong relationship between fidelity and positive and negative symptom outcomes for FPE after 2 years (McDonell et al., 2007). Most FPE studies, however, do not report any information on the fidelity of their intervention’s delivery to whichever model of FPE they are using.…”

Section: Resultsmentioning

confidence: 99%

Recent Developments in Family Psychoeducation as an Evidence‐Based Practice

Lucksted

McFarlane

Downing

et al. 2011

J Marital Family Therapy

244

207

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Among potential resources for people with serious mental illnesses (SMI) and their families, professionally delivered family psychoeducation (FPE) is designed to engage, inform, and educate family members, so that they can assist the person with SMI in managing their illness. In this article, we review research regarding FPE outcomes and implementation since 2001, updating the previous review in this journal (McFarlane, Dixon, Lukens, & Lucksted, Journal of Marital and Family Therapy 2003; 29, 223). Research on a range of FPE variations continues to return mostly positive effects for adults with schizophrenia and increasingly, bipolar disorder. More recent studies include functional outcomes as well as the more common relapse and hospitalization. FPE research involving adults with other diagnoses is increasing, as is FPE research outside the United States In both cases, uneven methodologies and multiple FPE variations make drawing conclusions difficult, although the core utility of access to information, skill building, problem solving, and social support often shines though. Since the previous review, several FPE programs for parents of children or youth with mood disorders have also been developed, with limited research showing more positive than null results. Similarly, we review the developing inquiry into early intervention and FPE, short-form FPE, and cost studies involving FPE. The second half of the article updates the paradox of FPE's evidence base versus its persistently low use, via recent implementation efforts. Multiple challenges and facilitating factors across healthcare systems and financing, individual programs and providers, family members, and consumers shape this issue, and we conclude with discussion of the need for empirical evaluation of implementation strategies and models.

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“…For instance, McDonell et al. () documented a nonlinear decline in outcome as fidelity to the MFG‐FPE model declined; only high fidelity MFG implementation replicated relapse results, unlike even moderate, let alone low, fidelity. Clearly, as in other advanced methods in medicine and technology, advances in outcomes require adherence to the methods used originally to achieve them.…”

Section: Mediating Effectsmentioning

confidence: 99%

Family Interventions for Schizophrenia and the Psychoses: A Review

2016

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Family psychoeducation as a treatment for schizophrenia was developed 40 years ago almost simultaneously and independently by investigators who at the time were not family therapists. Although the original goal was to decrease high expressed emotion as a means of preventing relapse, later variations have gone beyond to focus on social and role functioning and family well-being. Explicitly disavowing the earlier assumptions that family pathology caused relapse and deterioration, family psychoeducation seeks to engage family members as more sophisticated partners, complementing interventions by clinicians with specialized interactions and coping skills that counter the neurologic deficits inherent to the disorder. It has proved to be one of the most consistently effective treatments available. Reports on outcome studies now number more than 100, while meta-analyses put relapse rate reduction at 50-60% over treatment as usual. The most recent application in first episode and prodromal psychosis, combined with other evidence-based interventions, is yielding perhaps the most promising results yet achieved-substantial return of functioning and avoidance of psychosis altogether. Reviewed here are its scientific, theoretical, and clinical sources, a description of the most commonly applied version-the multifamily group format, selected clinical trials spanning those four decades, international and ethnic adaptations, and studies on mechanisms of efficacy.

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Clinician Integrity in Multiple Family Groups: Psychometric Properties and Relationship with Schizophrenia Client and Caregiver Outcomes

Cited by 16 publications

References 47 publications

Intervention Research in Couple and Family Therapy: A Methodological and Substantive Review and an Introduction to the Special Issue

Intervention Research in Couple and Family Therapy: A Methodological and Substantive Review and an Introduction to the Special Issue

Recent Developments in Family Psychoeducation as an Evidence‐Based Practice

Family Interventions for Schizophrenia and the Psychoses: A Review

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