The family forum: Directions for the implementation of family psychoeducation for severe mental illness
The family forum: Directions for the implementation of family psychoeducation for severe mental illness
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DOI：
10.1176/ps.2008.59.1.40
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发表时间：
2008-01-01
影响因子：
3.8
通讯作者：
Dixon, Lisa B.
中科院分区：
文献类型：
--
作者：
Cohen, Amy N.;Glynn, Shirley M.;Dixon, Lisa B.
家庭心理教育可以降低精神分裂症患者的复发率。尽管有证据，调查表明，家庭与其亲属的治疗小组接触很少，更不用说参与以证据为基础的家庭心理教育实践了。退伍军人事务部主办了一次会议，即家庭论坛，以评估家庭心理教育的最新技术水平，并就增加家庭参与的下一步措施达成共识。论坛就这些问题达成了共识：应通过努力查明促成其成功的因素来优化家庭心理教育治疗模式，以便最大限度地传播;领导层的支持、对管理人员和临床医生进行家庭心理教育模式的培训以及充足的资源是成功实施家庭心理教育所必需的;由于家庭心理教育可能并不适合、有针对性或为所有家庭所接受，因此需要采取额外的补充策略，让家庭参与患者的心理健康护理;需要开展工作，开发和验证适当评估干预过程以及消费者和家庭结果的工具。还提供了与严重精神疾病患者家庭合作的启发式治疗，并根据家庭和消费者的需要和情况提供了不同强度的干预措施。本文介绍了研究和临床社区扩大服务家庭比例的机会。
It is well documented that family psychoeducation decreases relapse rates of individuals with schizophrenia. Despite the evidence, surveys indicate that families have minimal contact with their relative's treatment team, let alone participate in the evidence-based practice of family psychoeducation. The Department of Veterans Affairs (VA) sponsored a conference, the Family Forum, to assess the state of the art regarding family psychoeducation and to form a consensus regarding the next steps to increase family involvement. The forum reached consensus on these issues: family psychoeducation treatment models should be optimized by efforts to identify the factors mediating their success in order to maximize dissemination; leadership support, training in family psychoeducation models for managers and clinicians, and adequate resources are necessary to successfully implement family psychoeducation; because family psychoeducation may not be appropriate, indicated, or acceptable for all families, additional complementary strategies are needed that involve families in the mental health care of the patient; and work is required to develop and validate instruments that appropriately assess the intervention process and consumer and family outcomes. A treatment heuristic for working with families of persons with severe mental illness is also offered and provides a match of interventions at varying levels of intensity, tailored to family and consumer needs and circumstances. The article describes opportunities for the research and clinical communities to expand the proportion of families served.