Evaluation of an interaction-skills training for reducing the burden of family caregivers of patients with severe mental illness: a pre-posttest design

Gharavi, Yasmin; Stringer, Barbara; Hoogendoorn, Adriaan W.; Boogaarts, Jan; Raaij, B. van; Meijel, Berno van

doi:10.1186/s12888-018-1669-z

Cited by 17 publications

(14 citation statements)

References 16 publications

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“…The results highlighted that most psychoeducation interventions focused specifically on skills development and general education around dementia. In other populations, skill development showed an increase in family carers' sense of competency, self-efficacy, and sense of control (Crellin et al, 2014;Gharavi et al, 2018;Macdonald et al, 2011). Throughout the trajectory of dementia, there are several transition points (Adams, 2006;Harris & Keady, 2009), where people with dementia require additional practical and emotional support from family carers; general education about these changes and signposting/instruction on how to access appropriate services may help family carers feel less overwhelmed and reduce carer burden.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Interventions for Family Carers of People With Dementia: A Systematic Review and Meta-Analysis

et al. 2020

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Objective:This study aimed to review and synthesize findings of the effectiveness of psychosocial interventions aimed at improving outcomes for family carers of people with dementia. Method: A systematic review and meta-analysis were conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We systematically searched the following databases: Cochrane, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, Excerpta Medica Database (EMBASE), and Applied Social Sciences Index and Abstracts (ASSIA). RevMan 5 software was used to conduct meta-analysis and subgroup analysis using a random-effects model. Results: The search yielded 22 high-quality intervention articles that were suitable for further meta-analysis. Meta-analysis revealed that psychosocial interventions have a small to moderate significant effect on carer burden (standardized mean difference [SMD] = −0.34, confidence interval [CI] = [−0.59, −0.09]), depression (SMD = −0.36, CI = [−0.60, −0.13]), and general health (SMD = 0.34, CI = [0.18, 0.51]). Discussion: Psychosocial interventions had a positive impact on carer outcomes; however, these results should be interpreted with caution, given the significant level of heterogeneity in study designs. Future research could examine contextual and implementation mechanisms underlying psychosocial interventions to develop effective support systems for family carers of people with dementia.

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Section: Discussionmentioning

confidence: 99%

Psychosocial Interventions for Family Carers of People With Dementia: A Systematic Review and Meta-Analysis

et al. 2020

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“…Mental health courts should ensure they are incorporating victims’ rights into the mental health court process, establish protocols to guide interactions with victims, obtain specialized training to effectively relate to both defendants and their victims, and be knowledgeable about community resource available to both defendants and victims (Glassberg & Dodd, 2008). A number of programs exist to help family members to improve interactions with their relative with mental health and to reduce violence (Gharavi et al, 2018; Hyde, 1997; Kitchener & Jorm, 2006; Madathumkovilakath et al, 2018; Melamed & Gelkopf, 2013). Mental health courts should provide a program, refer family victims to community-based programs, or work with victims’ rights and mental health organizations to develop such programs if they do not exist in the community.…”

Section: Discussionmentioning

confidence: 99%

The Role of Mental Health Courts in Mitigating Family Violence

Linhorst

Kondrat

Eikenberry

et al. 2020

J Interpers Violence

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Mental health courts are one potential means to mitigate violence against family members by people with mental illness. This study identified the rate at which cases of family violence come before a mental health court and the success of defendants charged with assaulting family members. In a sample of 1,456 defendants eligible to participate in a mental health court, descriptive statistics were used to report rates of admission of defendants charged with assaulting family members and their characteristics; a static group design was used to compare post-program rearrests among defendants who assaulted family members who successfully completed the program, who did not complete the program, and who did not participate despite being eligible; and logistic regression was used to determine the effect of participation on rearrest when controlling for demographic and clinical factors. The study found that family violence occurred in 24.7% of admitted cases. Most eligible defendants who assaulted family members (75.8%) participated in the court program, and among those who did, 72.2% successfully completed the program. Defendants who assaulted family members and had a positive program termination had a much lower rate of rearrest post-program completion compared with those who did not complete the program or did not participate despite being eligible, a finding that held when controlling for other factors. This study suggests that mental health courts can be an effective option for mitigating family violence committed by people with mental illness.

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“…The burden on families stems from monitoring the patient’s hygiene, the use of medication, comportment at social gatherings, follow-up with health care providers, and the need to deal with mood, cognitive and behavioural changes [ 11 – 13 ]. The burden of care on families with schizophrenia causes emotional distress in family members and increases their chances of also developing schizophrenia or other forms of mental illness [ 14 ]. Specifically, in Africa, the family burden is compounded by family labelling, besides the delayed treatment reducing the speed of recovery.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial rehabilitation of individuals with schizophrenia: a scoping review protocol

Oyelade

Nkosi-Mafutha

2022

Syst Rev

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Background The psychosocial rehabilitation of an individual with mental illness is an evidence-based approach to reducing the burden of the illness and the associated stigma globally. Specifically, in Africa, it has promising scope for African life and the African economy. Psychosocial rehabilitation is described as a set of approaches that aim to assist an individual in achieving restoration from a state of dependency caused by schizophrenia to a state of being an independent decision-maker. However, there seems to be a dearth of literature and implementation of psychosocial rehabilitation in Africa. Therefore, it is necessary to map studies on how psychosocial rehabilitation is conducted for people living in Africa with the most chronic form of mental illness, schizophrenia. Methods This study will adopt the Arksey and O’Malley scoping review framework to search and compile relevant studies. This process will involve three steps: title screening, to be performed solely by the principal investigator, followed by abstract and full-text screening, to be performed independently by two reviewers (the principal investigator and co-investigator). Rayyan QCRI, a systematic reviews web app, will be used for tracking the screening records, and data charting form will be used to extract basic data of included studies. The risk of bias in the articles identified for screening will be assessed by the Mixed Method Appraisal Tool (MMAT). Finally, the content analysis of the screened studies will be performed with NVivo. Expected outcome This study has the likelihood of revealing a research gap in psychosocial rehabilitation approaches and methods. The review results will constitute part of the available evidence that the researchers aim to adopt in the broader part of the project, which aims to develop implementation strategies for the psychosocial rehabilitation of chronic mental illnesses, specifically schizophrenia, in Sub-Sahara Africa. The implementation process also encompasses disseminating the findings of this review to stakeholders, which will enhance their knowledge of the current state of Sub-Saharan Africa and may stimulate support for the implementation of rehabilitation strategies.

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Evaluation of an interaction-skills training for reducing the burden of family caregivers of patients with severe mental illness: a pre-posttest design

Cited by 17 publications

References 16 publications

Psychosocial Interventions for Family Carers of People With Dementia: A Systematic Review and Meta-Analysis

Psychosocial Interventions for Family Carers of People With Dementia: A Systematic Review and Meta-Analysis

The Role of Mental Health Courts in Mitigating Family Violence

Psychosocial rehabilitation of individuals with schizophrenia: a scoping review protocol

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