Training and disseminating family interventions for schizophrenia: developing family intervention skills with multi‐disciplinary groups

Abstract

Family interventions for psychosis are not routinely available, in spite of a robust evidence base, clear policies and guidelines, and requests from service recipients. The reasons for this are complex involving three key groups: service recipients, clinicians and organizations. This paper first of all identifies barriers to implementation in relation to each of these groups. It then outlines a range of strategies that may be employed at a number of levels to bring about change in each of these systems. The strategies are drawn from current research in the area, and from experiences over a seven‐year period in the Meriden West Midlands Family Programme.

Family interventions in early psychosis: specificity and effectiveness

“…In a climate of limited resources and of training and implementation difficulties with clinicians (Fadden, 2006, Kuipers, 2007, it is important that services have clear methods for identifying those in need of family interventions in early psychosis. However, evidence on how families successfully adapt following the first episode remains limited (Gleeson et al 2010).…”

Implementing the NICE guideline for schizophrenia recommendations for psychological therapies: a qualitative analysis of the attitudes of CMHT staff

“…Despite some success with team-based training approaches and fl agship training programmes, there remain organizational factors impeding the dissemination and implementation of FIs, such as lack of support for training, clinical services being overwhelmed with change and the absence of systematic data collection (Fadden, 2006(Fadden, , 2007(Fadden, , 2009Leggatt, 2007;Smith and Velleman, 2002). CBT has been found to have a low priority in mental health services, with little time allocated to CBT interventions in a case management approach where the emphasis tends to be placed on generic tasks at the expense of 'extra' psychosocial interventions (Farhall & Cotton, 2002).…”

Avaliação do comportamento motor de crianças entre zero a 12 meses incompletos em região periférica na cidade de Santos

“…Sem o envolvimento familiar, sugerem os autores, a intervenção tende a não obter sucesso, e os poucos efeitos atingidos ficam propensos a desaparecer quando a intervenção é descontinuada. Destaca-se, assim, o processo de interação da criança em seu ambiente (o organismo, o lar, a creche, a escola, a vizinhança) como mecanismo responsável pelo seu desenvolvimento 23 . A avaliação do desenvolvimento do comportamento através da Escala de Desenvolvimento do Comportamento da Criança -EDCC pode favorecer a detecção precoce de atrasos e dificuldades no desenvolvimento do comportamento e contribuir para prevenir os efeitos prejudiciais na criança, seja no planejamento detalhado de estratégias de estimulação, no encaminhamento para especialistas ou no aprimoramento do conhecimento e da sensibilidade parental sobre o desenvolvimento da criança com uma possível redução dos distúrbios na interação pais/ criança 13,14 .…”