Innovations: Psychoeducation: Multifamily Group Treatment in a Program for Patients With First-Episode Psychosis: Experiences From the TIPS Project

Fjell, Anne; Gr, Bloch Thorsen; Friis, Svein; Jo, Johannessen; Tk, Larsen; K, Lie; Hg, Lyse; Melle, Ingrid; Simonsen, Erik; Na, Smeby; Al, Øxnevad; Wr, McFarlane; Vaglum, Per; McGlashan, Thomas H.

doi:10.1176/ps.2007.58.2.171

Cited by 21 publications

(9 citation statements)

References 8 publications

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“…Though treatment was well received by those who did take part, there was a long (6–12 months) delay in initiating MFG‐FPE, largely erasing any advantages of early family intervention. The authors concluded that in the first episode, “care should be taken to prevent a long delay before group commencement at this stressful period.” (Fjell et al., 2007, p. 171) Earlier intervention in the experimental territories was associated with lower symptom levels and fewer severe symptomatic syndromes compared to control (later treatment) areas, suggesting that outcomes might have been improved by earlier family intervention.…”

Section: New Outcome Resultsmentioning

confidence: 96%

“…In Norway, the TIPS study compared outcomes for adults experiencing their first psychotic episode in counties with early intervention to counties with intervention beginning in a usual (later) manner and timing. The treatment for all participants consisted of multifamily psychoeducation groups with added social skills training, in a quasi‐experimental design (Fjell et al., 2007, 2007; Johannessen, Larsen, McGlashan, & Vaglum, 2000). However, fewer than half of 301 consumers participated; reluctance to participate increased with age (Fjell et al., 2007).…”

Section: New Outcome Resultsmentioning

confidence: 99%

“…The treatment for all participants consisted of multifamily psychoeducation groups with added social skills training, in a quasi‐experimental design (Fjell et al., 2007, 2007; Johannessen, Larsen, McGlashan, & Vaglum, 2000). However, fewer than half of 301 consumers participated; reluctance to participate increased with age (Fjell et al., 2007). Though treatment was well received by those who did take part, there was a long (6–12 months) delay in initiating MFG‐FPE, largely erasing any advantages of early family intervention.…”

Section: New Outcome Resultsmentioning

confidence: 99%

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Recent Developments in Family Psychoeducation as an Evidence‐Based Practice

Lucksted

McFarlane

Downing

et al. 2011

J Marital Family Therapy

245

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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Section: New Outcome Resultsmentioning

confidence: 96%

Section: New Outcome Resultsmentioning

confidence: 99%

Section: New Outcome Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Recent Developments in Family Psychoeducation as an Evidence‐Based Practice

Lucksted

McFarlane

Downing

et al. 2011

J Marital Family Therapy

245

207

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“…Service users are paired with their respective family members for this structured problem-solving group activity (Breitborde et al, 2009;Fjell et al, 2007) offered by trained therapists.…”

Section: Specialized Phase-specific Treatmentmentioning

confidence: 99%

Early Intervention for Psychosis

Iyer¹,

Jordan²,

MacDonald³

et al. 2015

Journal of Nervous &Amp; Mental Disease

130

117

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This paper provides an overview of early intervention (EI) services for psychosis in Canada. We describe a leading Canadian EI program's approach to enhancing access (via early case detection, open referral, and rapid response) and providing specialized phase-specific treatment. Learnings from this program's research/evaluation indicate that EI can significantly improve service user and family engagement. Achieving and maintaining symptom remission (particularly negative symptoms) may be important for better social and occupational functioning in first-episode psychosis (FEP). Our program demonstrates the feasibility of establishing and sustaining an open referral, rapid-response system to address the chronic systemic problems of long waiting lists and barriers to access. We argue that an integrated clinical-research program based on specialized EI guidelines can significantly improve outcomes and advance FEP research.

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“…Han sier likevel at det kan vaere nødven-dig med visse tilpasninger for å få til et vellykket resultat (7). Dette siste ble gjort da familietilbudet var en del av behandlingen til pasienter som hadde sin første episode med psykose (TIPS prosjektet) i Norge og Danmark (32).…”

Section: Psykoedukativ Flerfamilieintervensjonunclassified

Psykoedukative flerfamiliegrupper for personer med ulik psykoseproblematikk

Nilsen¹,

Kjønnøy²,

Smeby³

2009

Nordic Journal of Nursing Research

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The purpose of the study is to evaluate the efficiency of a two-year psychoeducational multifamily group (PEMFG). The patients were hospitalised, suffering from different psychoses and participated with their families. PEMFG is described as an effective evidence based treatment. This study draws on theories about: symptom management, psychoeducational interventions, the vulnerability/stress model, expressed emotion in the family and psychosocial functioning. Nine patients (4 women and 5 men) with a long-term psychiatric illness and their family members (N=17) were recruited to two different groups after giving written consent. The study has a pretest-posttest design and lacks a control group. Global Assessment of Functioning Split Version (S-GAF) measured severity of symptoms and functioning. Perceptions of relationships were measured by felt Expressed Emotion Rating Scale (FEERS) and satisfaction measured by Users Satisfaction. The results show that the patients had a significant improvement both in symptoms and psychosocial functioning. The patients' perceptions of worry and control in their family members were significant reduced. The families' perceptions of the patient were stable. The results showed a high level of user satisfaction and perception of better copingstrategies. The family members experienced that they were both seen and heard and that that were an important resource in the treatment.

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Innovations: Psychoeducation: Multifamily Group Treatment in a Program for Patients With First-Episode Psychosis: Experiences From the TIPS Project

Cited by 21 publications

References 8 publications

Recent Developments in Family Psychoeducation as an Evidence‐Based Practice

Recent Developments in Family Psychoeducation as an Evidence‐Based Practice

Early Intervention for Psychosis

Psykoedukative flerfamiliegrupper for personer med ulik psykoseproblematikk

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