A brief family intervention for depression in primary care

Abstract

This study tested the feasibility and outcomes of a brief psychoeducational intervention for family members of depressed veterans in primary care. Family members of veterans enrolled in TIDES, a VA collaborative care programme for depression in primary care, were invited to participate. High enrolment rates, high treatment retention and completion, and high levels of satisfaction with the intervention indicate that the programme is feasible and acceptable to family members. Veterans showed a decrease in depression severity, improvements in symptom and occupational global functioning, and an increase in general life satisfaction. Family members' attitudes about antidepressant medication use became more positive, and their knowledge of depression increased. There were no changes in behavioural activation or in family functioning. Overall, family members and clinical staff rated the intervention very positively. Staff members did note some obstacles to implementation and made suggestions to overcome identified obstacles. Practitioner points• The use of Motivational Interviewing was an important contributor to generating interest in the family programme • Family members involved in depression treatment evidence gains in positive attitudes towards medication use and an increased knowledge of depression • Systematic training and ongoing contact with clinicians are key factors in improving their confidence and skills in working with families and increasing their commitment to implementing the intervention