FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1552802011> ?p ?o ?g. }

• W1552802011 endingPage "2" @default.
• W1552802011 startingPage "31" @default.
• W1552802011 abstract "Families play an essential role in supporting people with long-term mental illness in the community. In the UK, over 60% of those with a first episode of a major mental illness return to live with relatives, and this would seem to reduce only by 10-20% when those with subsequent admissions are included (1). However, the carer role is often not an easy one and may be associated with considerable personal costs. In schizophrenia, estimates from different studies suggest that up to two thirds of family members experience significant stress and subjective burden as a consequence of their caregiver role (2). Not only is such stress likely to affect the well being of the relatives and compromise their long-term ability to support the patient, but it may also have an impact on the course of the illness itself and on outcomes for the client. Hence, one of the most important advances in the treatment of schizophrenia in the last twenty years has been the development of family based intervention programmes.As detailed in Ian Falloon's paper, there is now robust evidence for the efficacy of this form of treatment, with many randomised controlled trials having demonstrated the superiority of family intervention over routine care in terms of patient relapse, hospitalisation and other outcomes. However, the dissemination of the interventions has not been without problems. From recent meta-analytic reviews, it is now clear that the short education or counselling programmes offered as family interventions are insufficient to have an impact on patient outcomes and do not affect relapse rates: A few les- sons on schizophrenia... was simply not sufficient to substantially influence the relapse rate (3). For the future, the quality of interventions needs to be enhanced and monitored to ensure that families are offered the intensity of help likely to give them substantial benefits. Successful family interventions require considerable investment in time, skill and commitment. Since for many patients the effect is to delay rather than to prevent relapse, many patients and families will need long-term and continuing intervention. Work with relatives of recently diagnosed schizophrenia patients indicates that this help needs to begin from the first onset of the psychosis (4).As Ian Falloon also notes, in recent years one of the biggest challenges has been to disseminate the benefits of family intervention in schizophrenia into routine service delivery. In the UK this has been largely through training programmes designed to provide clinicians, mainly community psychiatric nurses, with the knowledge and skills required to implement the family work (see 5 for a review of dissemination programmes). Despite the solid evidence base for the efficacy of family based psychological treatment programmes in schizophrenia, and the efforts of the training programmes, the implementation of family work in routine mental health services in the UK has been at best patchy. The consensus view in the literature is that family intervention implementation faces complex organisational and attitudinal difficulties (see, for example, 6), and insufficient attention has been paid to these in dissemination programmes. In discussing the factors which might make the transference from research to practice difficult, Mari and Streiner (7) suggested that the requirements of durable service oriented interventions may differ from those based on time limited research models.In an attempt to demonstrate the effectiveness of family interventions in standard psychiatric settings which take account of these differences, a randomised controlled pragmatic trial was carried out (8). The family intervention was based on the formal assessment of carer needs, and the programme was carried out by a clinical psychologist in conjunction with the patient's key worker - thus training was in situ. The fact that the intervention was found to be effective in reducing carer needs and in reducing patient relapse at 12 months post treatment (9) suggests that there are advantages in developing dissemination models based within services. The need for changing the clinical practice of the whole service rather than training individuals is underlined in the work of Corrigan and colleagues (10-12). However, difficulties arise not only from staff but also from carer reluctance to engage in family work. Several studies of community samples (e.g., 8,13) have shown that carer participation in family intervention is relatively low, with only 50% or so of carers taking up the offer of either a support service or family intervention (8), with possibly higher rates when help is offered at a time of crisis.Looking to the future, dissemination and engagement issues need to continue to be addressed and the implementation of family programmes within services presents many challenges. Further work needs to be done to identify optimum techniques for changing family attitudes where problems are particularly complex, for example in schizophrenia and co-morbid substance misuse. To date only one recent trial has evaluated a family based component for this client group (14)." @default.
• W1552802011 created "2016-06-24" @default.
• W1552802011 creator A5009840652 @default.
• W1552802011 date "2003-02-01" @default.
• W1552802011 modified "2023-09-23" @default.
• W1552802011 title "Issues in the dissemination of family intervention for psychosis." @default.
• W1552802011 cites W1980898185 @default.
• W1552802011 cites W1981797576 @default.
• W1552802011 cites W2007022390 @default.
• W1552802011 cites W2107406184 @default.
• W1552802011 cites W2108418511 @default.
• W1552802011 cites W2148410979 @default.
• W1552802011 cites W2151597099 @default.
• W1552802011 cites W2162641287 @default.
• W1552802011 cites W2164002004 @default.
• W1552802011 cites W2310150122 @default.
• W1552802011 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/1525066" @default.
• W1552802011 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16946884" @default.
• W1552802011 hasPublicationYear "2003" @default.
• W1552802011 type Work @default.
• W1552802011 sameAs 1552802011 @default.
• W1552802011 citedByCount "0" @default.
• W1552802011 crossrefType "journal-article" @default.
• W1552802011 hasAuthorship W1552802011A5009840652 @default.
• W1552802011 hasConcept C118552586 @default.
• W1552802011 hasConcept C134362201 @default.
• W1552802011 hasConcept C142724271 @default.
• W1552802011 hasConcept C15744967 @default.
• W1552802011 hasConcept C27415008 @default.
• W1552802011 hasConcept C2776035688 @default.
• W1552802011 hasConcept C2776412080 @default.
• W1552802011 hasConcept C2776674806 @default.
• W1552802011 hasConcept C2779134260 @default.
• W1552802011 hasConcept C2779483572 @default.
• W1552802011 hasConcept C2779878486 @default.
• W1552802011 hasConcept C2780665704 @default.
• W1552802011 hasConcept C46312422 @default.
• W1552802011 hasConcept C71924100 @default.
• W1552802011 hasConceptScore W1552802011C118552586 @default.
• W1552802011 hasConceptScore W1552802011C134362201 @default.
• W1552802011 hasConceptScore W1552802011C142724271 @default.
• W1552802011 hasConceptScore W1552802011C15744967 @default.
• W1552802011 hasConceptScore W1552802011C27415008 @default.
• W1552802011 hasConceptScore W1552802011C2776035688 @default.
• W1552802011 hasConceptScore W1552802011C2776412080 @default.
• W1552802011 hasConceptScore W1552802011C2776674806 @default.
• W1552802011 hasConceptScore W1552802011C2779134260 @default.
• W1552802011 hasConceptScore W1552802011C2779483572 @default.
• W1552802011 hasConceptScore W1552802011C2779878486 @default.
• W1552802011 hasConceptScore W1552802011C2780665704 @default.
• W1552802011 hasConceptScore W1552802011C46312422 @default.
• W1552802011 hasConceptScore W1552802011C71924100 @default.
• W1552802011 hasIssue "1" @default.
• W1552802011 hasLocation W15528020111 @default.
• W1552802011 hasOpenAccess W1552802011 @default.
• W1552802011 hasPrimaryLocation W15528020111 @default.
• W1552802011 hasRelatedWork W109455752 @default.
• W1552802011 hasRelatedWork W123593106 @default.
• W1552802011 hasRelatedWork W1984162324 @default.
• W1552802011 hasRelatedWork W1987721976 @default.
• W1552802011 hasRelatedWork W2047221965 @default.
• W1552802011 hasRelatedWork W2051483899 @default.
• W1552802011 hasRelatedWork W2055300275 @default.
• W1552802011 hasRelatedWork W2072477758 @default.
• W1552802011 hasRelatedWork W2080438748 @default.
• W1552802011 hasRelatedWork W2086558532 @default.
• W1552802011 hasRelatedWork W2159637835 @default.
• W1552802011 hasRelatedWork W2161996033 @default.
• W1552802011 hasRelatedWork W2170723891 @default.
• W1552802011 hasRelatedWork W2326576392 @default.
• W1552802011 hasRelatedWork W2546619292 @default.
• W1552802011 hasRelatedWork W2782676003 @default.
• W1552802011 hasRelatedWork W2810895383 @default.
• W1552802011 hasRelatedWork W2918897370 @default.
• W1552802011 hasRelatedWork W3026248379 @default.
• W1552802011 hasRelatedWork W3212851655 @default.
• W1552802011 hasVolume "2" @default.
• W1552802011 isParatext "false" @default.
• W1552802011 isRetracted "false" @default.
• W1552802011 magId "1552802011" @default.
• W1552802011 workType "article" @default.