Family education in schizophrenia: A comparison of two approaches

Abstract

Background:Family education programme (FEP) for families of persons with schizophrenia is practised in several centres as a part of patient-and family-related services.Aim:This paper describes two models of FEP conducted at the Schizophrenia Research Foundation (SCARF), Chennai.Methods:The first programme was a part of a research study and was structured utilizing standard evaluation instruments. The second was flexible and tailored to the needs of the family members.Results:After the first programme, the psychopathology of patients and the burden of caregiving on primary caregivers did not show any significant difference but there was a significant gain in caregivers' knowledge with information and experience sharing. Most families seemed to prefer the second programme, which recorded better attendance and participation.Conclusion:Informal educational sessions with periodic ‘across-the-table’ re-inforcers may be more effective and practical in the Indian setting.

Psychoeducational intervention for caregivers of Indian patients with schizophrenia: a randomised‐controlled trial

“…Naturally, reservations have been expressed about the applicability of such models of family intervention to community and out‐patient settings, where most patients are managed (24). There are also a few studies of group‐based educational interventions with caregivers, which appear to improve attitudes and reduce burden among them (25). However, such interventions are generally of short duration, and most studies are not controlled.…”

Recent Developments in Family Psychoeducation as an Evidence‐Based Practice

“…Thara, Padmavati, Lakshmi, and Karpagavalli (2005) reported that their 6‐session FPE program yielded a significant pre‐to‐post change only in “occupational disability” among 30 family members of people with schizophrenia in Chennai, India. They reported no changes in burden, depression or anxiety, although both significant and null results are impossible to interpret with no comparison or control group.…”

Developing Guideline on Patient and Family Education in Promoting Mental Health and Preventing Schizophrenia

“…The education content to improve treatment adherence in schizophrenia includes schizophrenia facts, healthcare access, crisis prevention, the importance of treatment compliance, relapse prevention and management, physical health promotion, and dealing with schizophrenia problems including problem solving and coping skills [14][15][16][17][18][19]. Community involvements includes community mobilization to raise awareness on schizophrenia and community support [14].…”