Sections
Family Intervention for Psychotic and Severe Mood Disorders: Introduction | Empirical and Theoretical Foundations | Family Psychoeducation Outcomes in Schizophrenia
and Other Psychiatric Disorders | Psychoeducational Multifamily Group Treatment: Methods
and Techniques | Single-Family Psychoeducation | Conclusion | Key Points | References | Suggested Readings
Excerpt
Family intervention for the severe psychiatric
syndromes—psychotic and severe mood disorders—has
been established as one of the most effective treatments available,
complementing but nearly doubling the treatment effects of medication.
Often subsumed under the term family psychoeducation, it
is a method for incorporating a patient's family members,
other caregivers, and friends into the acute and ongoing treatment
and rehabilitation process. The descriptor psychoeducation can
be misleading: family psychoeducation includes many cognitive, behavioral,
and supportive therapeutic elements; often uses a consultative framework;
and shares characteristics with some types of family therapy. On
the basis of a family–patient–professional partnership,
the most effective models are essentially cognitive-behavioral therapy
with consistent inclusion of family members as collaborators. Family
psychoeducation can include any layperson or paraprofessional person
who is providing support to persons with a severe mental illness.
It combines providing clear and accurate education for family members
about the psychobiology of the major disorders with training and
ongoing guidance in problem-solving, communication, and coping skills,
while providing and developing social support. The goals are both
to markedly improve clinical and functional outcomes and quality
of life for the patient and to reduce family stress and strain as
an indispensable means of achieving those outcomes. Family psychoeducation
combines the complementary expertise and experience of family members,
patients, and professionals.