Family Psychoeducation as an Evidence-Based Practice

Murray-Swank, Aaron; Dixon, Lisa B.

doi:10.1017/s109285290000972x

Cited by 89 publications

(62 citation statements)

References 39 publications

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“…In a large body of randomized trials, FPE programs lasting 9 months or more have demonstrated robust effects in reducing rates of relapse and hospitalization and have also improved social and vocational functioning 59 . A number of meta-analyses 58,60 and literature reviews [59][60][61][62] indicate that FPE is an evidence-based practice. Even more modest levels of family involvement in treatment have been associated with a number of beneficial outcomes, including increased treatment participation 63 ; greater satisfaction with care 64 ; and improved hope, knowledge, and patient empowerment 65 .…”

Section: Results Of Psychoeducational Programsmentioning

confidence: 99%

Psychoeducation for Psychotic Patients

Praško¹,

Vrbová²,

Látalová³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background. Psychoeducation programs have been shown in the last two decades to significantly improve the post-hospital discharge care of individuals with schizophrenia by demonstrated effects on rehospitalization rates, compliance with medication and knowledge. The benefits of psychoeducation can be sustained for up to seven years although most studies have not shown such enduring benefit. Psychoeducation is a type of psychotherapeutic support that aims to provide broad and adequate information on psychotic disorders for both patients and their families.Method. The purpose of the group psychoeducational program at the Psychiatric clinic in Olomouc is to familiarize patients with the core of the disorder, explain the part played by pharmacotherapy, teach recognition of the warning signs of relapse, to advise on communication problems within families, and finally the training of social skills.Results. Patients perceive the program as meaningful and helpful in better understanding their lives. INTRODUCTIONSchizophrenia is a chronic psychiatric illness affecting 1% to 2% of the population. Unfortunately, suboptimal follow-through with treatment too often leads to a classic revolving-door pattern of relapse and rehospitalization. While the core intervention in schizophrenia remains antipsychotic medication; the limitations of medication alone in symptomatic, relapse prevention, and satisfaction/quality of life terms have long prompted interest in wider forms of management. This aside, in the CATIE study 1 , a naturalistic randomized-controlled trial comparing five antipsychotic compounds, 74% of all patients discontinued their original medication before the end of the 18 months of the first phase of the trial.One inherent deficit in schizophrenicia is an inability to engage appropriately in social and occupational activities. The debilitating effect of this is often a lasting feature of the illness, despite adequate psychopharmacological intervention, often isolating them and making it difficult for them to advocate appropriate social support or community services. Further, studies have found that there is a correlation between poor social functioning and relapse. One of the challenges of this area, is also wide interindividual variability although standardized measures have been developed to rate the social deficits. These assessments have become important tools in the determination of effective non-pharmacological treatment strategies. In addition to long-term pharmacotherapy, quality education is considered an additional important form of assistanc.Family caregivers report high levels of burden related to caring for their mentally ill family members 2 . They may not have the knowledge and skills necessary to take on the caring responsibilities. As a result, patient relapse and readmission are common 3 .Although no evidence of a definitive cause of schizophrenia is yet available, it can be reasonably controlled though the use of pharmacotherapy and psychosocial interventions. Relapse rates (measured by number of h...

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Section: Results Of Psychoeducational Programsmentioning

confidence: 99%

Psychoeducation for Psychotic Patients

Praško¹,

Vrbová²,

Látalová³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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show abstract

“…5 Evidence showing benefit for patients with other diagnoses -obsessive compulsive disorder, major depressive disorder, and post-traumatic stress disorderis accumulating. 6 Uganda, a country of 28 million in East Africa, has a psychiatrist: population ratio of 1:1,000,000. 7 It is therefore necessary to use the psychiatrists' expertise to maximum effect while continuing to train other mental health professionals in evidence-based care and exploring creative ways to deliver it.…”

Section: Introductionmentioning

confidence: 99%

The role of psycho-education in improving outcome at a general hospital psychiatry clinic in Uganda

et al. 2013

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“…Considering these findings, authors recommended that family interventions should be offered to families of those with schizophrenia. Several studies and subsequent reviews reported similar results (55,83,92,94,95). Support for family intervention also resulted in some national guideline recommendation that treatment would be offered to caregivers (49,73).…”

Section: Family Interventionsmentioning

confidence: 72%