Research shows that many adults with serious mental illness live with or maintain contact with their families. But families are rarely given information about their relative's illness and their own needs for support are ignored. To be optimally beneficial, family members and other caregivers need education about the disorder, some knowledge of illness management techniques, and personal support. Family psychoeducation (FPE) is a powerful evidence-based psychosocial intervention that serves consumers and their families. FPE has proven efficacious in reducing relapse and hospitalization, reducing symptoms, increasing employability of persons with severe and persistent mental illness, and, in many cases, enhancing their families' well-being. Its success rests with a state-of-the-art education model for improving caregivers' understanding of their loved one's illness through learning what is known and not known about it and how to assess and cope with its manifestations. Here, in the first book of its kind, Harriet P. Lefley traces the history of FPE -- including the developments in mental health services and systems and theoretical approaches that inform it -- and the robust empirical evidence it now claims after a quarter-century of development and evaluation at major research centers around the world. Presenting first the approach's generic components, training models, and required competencies, Lefley then discusses the available variations, such as Family Education (FE), a brief manualized form of FPE offered by professionally trained family members that has some empirical support for knowledge gains and easing family distress. The result is a comprehensive, practical introduction to family psychoeducation that critically appraises the evidence and examines the model's place in contemporary mental health systems. This groundbreaking volume is an ideal training tool for graduate students of social work, psychology, and psychiatry and a valuable addition to the clinician's armamentarium of evidence-based practices for clients with serious mental illness.
Author(s): Harriet P. Lefley
Edition: 1
Year: 2009
Language: English
Pages: 200
CONTENTS......Page 16
1 INTRODUCTION......Page 20
2 FAMILY INTERVENTIONS IN MAJOR MENTAL ILLNESS: Models and Commonalities......Page 27
3 FAMILIES, SCHIZOPHRENIA, AND OTHER MAJOR DISORDERS: Historical Background......Page 34
4 THEORETICAL PREMISES AND RESEARCH OVERVIEWS: The Evidence for Family Psychoeducation......Page 47
5 MODEL RESEARCH PROGRAMS: Family Psychoeducation......Page 54
6 EARLY INTERVENTIONS: Prodromal, Children, and Adolescents......Page 77
7 DIVERSE DIAGNOSES AND SPECIAL POPULATIONS......Page 87
8 INTERNATIONAL AND CROSS-CULTURAL STUDIES: Uniformities and Variations......Page 99
9 FAMILY EDUCATION......Page 115
10 TRAINING AND TRAINING ISSUES......Page 125
11 IMPLEMENTATION IN SERVICES......Page 131
12 UNRESOLVED ISSUES IN FAMILY PSYCHOEDUCATION: A Critical Assessment......Page 141
13 FUTURE TRENDS IN FAMILY INVOLVEMENT IN TREATMENT......Page 148
Appendix......Page 160
References......Page 168
C......Page 186
G......Page 187
L......Page 188
P......Page 189
V......Page 190
Z......Page 191
B......Page 192
E......Page 193
F......Page 194
G......Page 195
M......Page 196
N......Page 197
R......Page 198
T......Page 199
Z......Page 200