Family Interventions in Psychosis: A Review of the Evidence and Barriers to Implementation
Family Interventions in Psychosis: A Review of the Evidence and Barriers to Implementation
复制标题
DOI：
10.1111/ap.12172
复制
发表时间：
2016-02-01
影响因子：
1.9
通讯作者：
Haddock, Gillian
中科院分区：
文献类型：
--
作者：
Bucci, Sandra;Berry, Katherine;Haddock, Gillian
精神分裂症的家庭干预是全世界推荐的心理干预措施。国家护理和临床卓越研究所（英国）和皇家澳大利亚和新西兰精神病学院分别建议在精神病的所有阶段和所有方面的护理中，家庭干预作为一线治疗和治疗的必要条件。然而，这些干预措施融入常规临床服务的成功一直存在问题，仍然是一个重大的challenge.MethodsWe概述了精神分裂症的家庭干预的国家指南，并审查这种方法的证据。借鉴最近的系统评价，并通过搜索电子数据库的相关文章，我们审查的障碍和促进者与实施家庭干预到常规的临床service.ResultsNational指南继续建议精神分裂症的心理干预，反映了证据基础，以支持提供这种方法在精神病谱。报告的执行率估计数仍然很低，在0%至53%之间。实施家庭干预的障碍存在于服务用户，临床医生和组织层面。促进实施家庭干预措施的因素已被报道在较小程度上。ConclusionsImplementation精神分裂症的家庭干预措施仍然很差，低于建议的水平，与广泛的变化报告的执行率。这反映了在为精神分裂症提供家庭干预方面的不平等。服务用户，临床医生和组织层面的障碍影响了家庭干预措施的实施。一个研究议程，以提高一致的精神分裂症的家庭干预措施的实施进行了讨论。
ObjectiveFamily interventions for schizophrenia are recommended psychological interventions worldwide. The National Institute for Care and Clinical Excellence (UK) and the Royal Australian and New Zealand College of Psychiatrists recommend family interventions as a first-line treatment and treatment essential, respectively, at all stages of psychosis and with all aspects of care. However, the success of the integration of these interventions into routine clinical services has been problematic and remains a major challenge.MethodsWe outline the national guidelines on family interventions for schizophrenia and review the evidence for this approach. Drawing on recent systematic reviews and through searching electronic databases for relevant articles, we review the barriers and facilitators associated with implementing family interventions into routine clinical services.ResultsNational guidelines continue to recommend psychological interventions for schizophrenia, reflecting the evidence base to support the provision of this approach across the psychosis spectrum. Reported estimates of implementation rates remain low and vary between 0% and 53%. Barriers to implementing family interventions exist at the service user, clinician, and organisational level. Factors that facilitate implementation of family interventions have been reported to a lesser extent.ConclusionsImplementation of family interventions for schizophrenia remains poor and is below recommended levels, with wide variation of implementation rates reported. This reflects inequality in the provision of family interventions for schizophrenia. Barriers at the service user, clinician, and organisational level have influenced the implementation of family interventions. A research agenda for improving consistent implementation of family interventions for schizophrenia is discussed.