Multi-Family Psycho-Education Group for Assertive Community Treatment Clients and Families of Culturally Diverse Background: A Pilot Study

Chow, Wendy; Law, Syk; Andermann, Lisa; Yang, Jian; Leszcz, Molyn; Wong, Jiahui; Sadavoy, Joel

doi:10.1007/s10597-010-9305-5

Cited by 32 publications

(29 citation statements)

References 26 publications

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“…72 This was delivered to participants in the community before referral into the service, including meetings at a community restaurant in order to encourage discussion and then recruitment and transport to and from the services where the intervention was provided. The barriers to care and culturally relevant concerns were discussed, while the MFPG was delivered.…”

Section: Results and Synthesismentioning

confidence: 99%

“…• Published sources, n = 3655 • Grey sources, n = 605 58,72,73 (one of which was from the grey literature 58 and one of which had a qualitative component that was separately extracted 72 ), two qualitative studies 40,74 (which included a case study in each) and two pure case studies. 14,75 Methods of analysis and synthesis…”

Section: Includedmentioning

confidence: 99%

“…70,71 three case series 58,72,73 (one of which was from the grey literature 58 and one of which had a qualitative component that was separately extracted 72 ), two qualitative studies (which included a case study in each) 40,74 and two pure case studies. 14,75 Two studies included economic information (see Figure 1).…”

Section: Patients' and Carers' Viewsmentioning

confidence: 99%

“…There were three case series: 15,58,72 one offered peer-based psychoeducation; 72 and two offered cultural consultation, a process that elicits illness narratives and training staff to elicit and assess these. 15,58 The two case studies 14,75 reported enhancements of existing therapies in terms of technical content and attention to beliefs for trauma symptoms among Turkish patients, 75 and the incorporation of assessment of health beliefs (explanatory models) into the assessment process for Bangladeshi patients.…”

Section: Description Of Interventions Tested In Non-trial Designsmentioning

confidence: 99%

“…58,72 Kirmayer et al 15 tested a CCS into which other professionals referred patients for assessment and recommendations. This developed from anthropological methods and ethnography, and was adapted for use in hospital settings.…”

Section: Synthesis Of Findings From the Non-trial Designsmentioning

confidence: 99%

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Interventions designed to improve therapeutic communications between black and minority ethnic people and professionals working in psychiatric services: a systematic review of the evidence for their effectiveness

Bhui

Aslam

Palinski

et al. 2015

Health Technology Assessment

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BackgroundBlack and minority ethnic (BME) people using psychiatric services are at greater risk of non-engagement, dropout from care and not receiving evidence-based interventions than white British people.ObjectivesTo identify effective interventions designed to improve therapeutic communications (TCs) for BME patients using psychiatric services in the UK, to identify gaps in the research literature and to recommend future research.ParticipantsBlack African, black Caribbean, black British, white British, Pakistani and Bangladeshi patients in psychiatric services in the UK, or recruited from the community to enter psychiatric care. Some studies from the USA included Hispanic, Latino, Chinese, Vietnamese, Cambodian and African American people.InterventionsAny that improve TCs between BME patients and staff in psychiatric services.Data sourcesThe published literature, ‘grey’ literature, an expert survey, and patients' and carers’ perspectives on the evidence base. Databases were searched from their inception to 4 February 2013. Databases included MEDLINE, Applied Social Sciences Index and Abstracts, The Cochrane Library, Social Science Citation Index, Allied and Complementary Medicine Database, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, EMBASE, The Campbell Collaboration and ProQuest for dissertations.Review methodsStudies were included if they reported evaluation data about interventions designed to improve therapeutic outcomes by improving communication between BME patients and psychiatric professionals. Qualitative studies and reports in the grey literature were included only if they gave a critical evaluative statement. Two members of the team selected studies against pre-established criteria and any differences were resolved by consensus or by a third reviewer, if necessary. Data were extracted independently by two people and summarised in tables by specific study designs. Studies were subjected to a narrative synthesis that included a thematic analysis contrasting populations, countries and the strength of evidence for any intervention. The components of the interventions were compared. Patient perspectives on acceptability were considered alongside quality scores and methodological strengths and weaknesses.ResultsTwenty-one studies (19 from the published literature and two from the grey literature) met the inclusion criteria. There were 12 trials, two observational quantitative studies, three case series, a qualitative study and three descriptive case studies. Only two studies, one a pilot trial and one a case series, included economic data; in both, a favourable but weak economic case could be made for the intervention. The trials tested interventions to prepare patients for therapeutic interventions, variable levels of ethnic matching (of professional to patient), cultural adaptation of therapies, and interventions that included social community systems in order to facilitate access to services. Empowering interventions favoured by patients and carers included adapted cognitive–behavioural therapy, assessments of explanatory models, cultural consultation, ethnographic and motivational interviews, and a telepsychiatry intervention.LimitationsStudies tended to have small sample sizes or to be pilot studies, and to use proxy rather than direct measures for TCs.ConclusionsEmpowering interventions should be further researched and brought to the attention of commissioners. Several promising interventions need further evaluative research and economic evaluations are needed.Study registrationThe study is registered as PROSPERO CRD42011001661.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Results and Synthesismentioning

confidence: 99%