The Ability of Multifamily Groups to Improve Treatment Adherence in Mexican Americans With Schizophrenia

Kopelowicz, Alex; Zárate, Roberto; Wallace, Charles J.; Liberman, Robert Paul; López, Steven R.; Mintz, Jim

doi:10.1001/archgenpsychiatry.2011.135

Cited by 82 publications

(83 citation statements)

References 43 publications

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“…Cultural schemas or scripts associate illness representations with specific types of self-coping and help seeking, including the perceived relevance and efficacy of mental health treatments (Al-Krenawi et al, 2009; Kung & Lu, 2008; Saint-Arnault & Shimabukuro, 2012). Cultural adaptations of treatment interventions incorporating cultural scripts may enhance patient engagement and outcomes (Griner & Smith, 2006; Kopelowicz et al, 2012), indicating the value of identifying cultural models and interpretations before treatment (Lewis-Fernández et al, 2013). Non-medical forms of self-coping and help seeking are common and merit clinical attention because they may complement or conflict with psychiatric care (Bhikha, Farooq, Chaudhry, & Husain, 2012; Brown et al, 2011; Zafar et al, 2008).…”

Section: Resultsmentioning

confidence: 99%

Culture and Psychiatric Evaluation: Operationalizing Cultural Formulation forDSM-5

Lewis‐Fernández¹,

Aggarwal²,

Bäärnhielm³

et al. 2014

Psychiatry: Interpersonal and Biological Processes

233

130

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The Outline for Cultural Formulation (OCF) introduced with DSM-IV provided a framework for clinicians to organize cultural information relevant to diagnostic assessment and treatment planning. However, use of the OCF has been inconsistent, raising questions about the need for guidance on implementation, training, and application in diverse settings. To address this need, DSM-5 introduced a cultural formulation interview (CFI) that operationalizes the process of data collection for the OCF. The CFI includes patient and informant versions and 12 supplementary modules addressing specific domains of the OCF. This article summarizes the literature reviews and analyses of experience with the OCF conducted by the DSM-5 Cross-Cultural Issues Subgroup (DCCIS) that informed the development of the CFI. We review the history and contents of the DSM-IV OCF, its use in training programs, and previous attempts to render it operational through questionnaires, protocols, and semi-structured interview formats. Results of research based on the OCF are discussed. For each domain of the OCF, we summarize findings from the DCCIS that led to content revision and operationalization in the CFI. The conclusion discusses training and implementation issues essential to service delivery.

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Section: Resultsmentioning

confidence: 99%

Culture and Psychiatric Evaluation: Operationalizing Cultural Formulation forDSM-5

Lewis‐Fernández¹,

Aggarwal²,

Bäärnhielm³

et al. 2014

Psychiatry: Interpersonal and Biological Processes

233

130

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“…Hence, intervention content should be tailored to the individual rather than across a cultural group. Kopelowicz et al [62 ▪▪ ] reported a culturally adapted family intervention for Mexican American patients with schizophrenia, which improved adherence at 12 months postintervention, illustrating ways in which the intervention content and delivery can be addressed to barriers specific to the patient group without relying on generalizations about which barriers patients would face on the basis of their background. For example, they tailored intervention content on the basis of the outcomes from individual interviews with patients.…”

Section: New Developments In Adherence Interventionsmentioning

confidence: 99%

Medication nonadherence and psychiatry

Chapman

Horne

2013

Current Opinion in Psychiatry

122

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Purpose of reviewNonadherence to appropriately prescribed medication for psychiatric disorders prevents patients from realizing the full benefits of their treatment and negatively impacts on individuals, their families and the healthcare system. Understanding and reducing nonadherence is therefore a key challenge to quality care for patients with psychiatric disorders. This review highlights findings regarding the prevalence and consequence of nonadherence, barriers to adherence and new intervention methods from 2012 onwards.Recent findingsRecent research has highlighted that nonadherence is a global challenge for psychiatry and has linked nonadherence to poorer outcomes, including hospital admissions, suicide and mortality. Optimizing medication regimens can reduce nonadherence; however, often a complex interplay of factors affects individuals’ motivation and ability to follow their prescription. Psychiatrists can enable patients to develop an accurate model of their illness and treatment and facilitate adherence. However, nonadherence is often a hidden issue within consultations. Novel interventions using new technologies and tailoring techniques may have the potential to reduce nonadherence.SummaryNonadherence remains a significant challenge for patients with psychiatric disorders, physicians and healthcare systems. New developments demonstrate the importance of developing tailored interventions to enable patients to overcome perceptual and practical barriers to adherence.

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“…Professional support to such families may alter their situation, reduce their burden and increase their sense of security (Bademli & Cetinkaya Duman, 2014;Chien & Norman, 2009;Kopelowicz et al, 2012;Rummel-Kluge, Pitschel-Walz, Bäuml, & Kissling, 2006).…”

Section: Introductionmentioning

confidence: 99%

Professional views of supporting relatives of mental health clients with severe mental illness

Hjärthag

Persson

Ingvarsdotter

et al. 2017

Int J Soc Psychiatry

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Background: Supporting families where one person suffers from long-term severe mental illness (SMI) is essential, but seems hard to reach. The aim of this study was to examine professionals' views of supporting relatives of persons with SMI. Material: Individual interviews mirroring personal narratives and group interviews reflecting group-processed answers were conducted among 23 professionals and analyzed thematically. Results: Three themes emerged: (a) information and group interaction reduces stigma and increases well-being, (b) professionals need to feel secure and confident about how the support structure works and (c) collaboration is difficult but required on several levels. Conclusion: Trusting relationships with families were considered important, although seldom achieved; professionals wished to feel secure in their role toward relatives of a person with SMI; and professionals wanted to feel confident when working together with other services to support families.

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The Ability of Multifamily Groups to Improve Treatment Adherence in Mexican Americans With Schizophrenia

Cited by 82 publications

References 43 publications

Culture and Psychiatric Evaluation: Operationalizing Cultural Formulation forDSM-5

Culture and Psychiatric Evaluation: Operationalizing Cultural Formulation forDSM-5

Medication nonadherence and psychiatry

Professional views of supporting relatives of mental health clients with severe mental illness

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