A Casebook of Family Interventions for Psychosis (eBook)

Dr Fiona Lobban is a Senior Lecturer in Clinical Psychology at the Spectrum Centre for Mental Health Research at Lancaster University in the North West of England. She also works as a Consultant Clinical Psychologist supporting family work in the Early Intervention Service for Psychosis in Lancashire care NHS Trust. Professor Christine Barrowclough is Professor of Clinical Psychology at the University of Manchester, UK, and has been engaged in research and clinical work with families of people with psychosis for many years.

About the Editors ix

Contributors xi

Preface xv

I INTRODUCTION 1

1 Why Are Family Interventions Important? A Family Member
Perspective 3

Martin Gregory

II FIRST EPISODE PSYCHOSIS 21

2 Family Work in Early Psychosis 23

Gráinne Fadden and Jo Smith

3 A Model of Family Work in First-Episode Psychosis: Managing
Self-Harm 47

Jean Addington, April Collins, Amanda McCleery and Sabrina
Baker

4 Working with Families to Prevent Relapse in First-Episode
Psychosis 67

Kingsley Crisp and John Gleeson

III INTERVENTIONS FOCUSING ON DRUG USE 91

5 Family Intervention for Complex Cases: Substance Use and
Psychosis 93

Ian Lowens, Samantha E. Bowe and Christine Barrowclough

6 Family Motivational Intervention in Early Psychosis and
Cannabis Misuse 117

Maarten Smeerdijk, Don Linszen, Tom Kuipers and René
Keet

IV VARIETY OF ISSUES ARISING INWORKING WITH RELATIVES
139

7 A Case of Family Intervention with a 'High EE'
Family 141

Juliana Onwumere, Ben Smith and Elizabeth Kuipers

8 Coming to Terms with Mental Illness in the Family
-Working Constructively through Its Grief 167

Virginia Lafond

9 Interventions with Siblings 185

Jo Smith, Gráinne Fadden and Michelle O'Shea

10 Family Intervention with Ethnically and Culturally Diverse
Groups 211

Juliana Onwumere, Ben Smith and Elizabeth Kuipers

V WORKING IN DIFFERENT CONTEXTS 233

11 Multiple Family Groups in Early Psychosis: A Brief
Psychoeducational and Therapeutic Intervention 235

David Glentworth

12 Meeting the Needs of Families on Inpatient Units 259

Chris Mansell and Gráinne Fadden

VI SERVICE RELATED ISSUES 285

13 Setting Up a Family Interventions (FI) Service - A UK
Case Study 287

Frank Burbach and Roger Stanbridge

14 Overcoming Barriers to Staff Offering Family Interventions in
the NHS 309

Gráinne Fadden

VII RELATIVES' SUPPORTING EACH OTHER 337

15 The COOL Approach 339

Claudia Benzies, Gwen Butcher and Tom Linton

VIII CONCLUSION 355

16 Summary and Conclusions -Where Are We up to and Where
Are We Going? 357

Fiona Lobban and Christine Barrowclough

Index 369

"Clinicians working with family members of persons with psychosis
need practical, hands-on information about different treatment
models, strategies and case examples addressing common challenges
and special populations, caregiver perspectives, and guidelines for
developing family intervention services in routine practice
settings. This outstanding book meets these vital needs, and
deserves a place on the bookshelf of all clinicians working with
this population."

-Kim T. Mueser, Professor of Psychiatry and Community
and Family Medicine, Dartmouth Medical School Hanover, New
Hampshire

"This is a special book prepared by many of the most outstanding
professionals in the field and will greatly enhance practical
knowledge on working with families for clinicians and managers.
Family work is not an "extra" and we all should be involved.
Readers will find here a wealth of information and inspiration as
well as excellent tools to apply the methods in their clinical
settings."

-Diane Froggatt, Secretary and Development Officer,
World Fellowship for Schizophrenia and Allied Disorders

"This fine book, by taking a casebook approach, provides rich
insights into how family interventions translate theory into
practice. Few accounts, if any, give a clearer picture of what
family interventions for psychosis look and feel like."

-Professor George Szmukler, Psychiatry and Society,
Institute of Psychiatry, UK

"This excellent book reflects a maturing of the field of family
work for psychosis while also providing a powerful stimulus for
future development. Its detailed focus on research-informed
practice, combined with a critical reflective edge means that it
contains a wealth of invaluable ideas and suggestions about
developing and providing services for families, without being
simply another 'how to' text. I would strongly
recommend it to all who are concerned with improving services for
people with psychosis, and it should be required reading on
specialist family therapy and family interventions training
programmes."

-Dr Alex Reed, Family Therapist & Family Therapy
Trainer

"Reading this book gave me an overwhelming sense of relief. For
the last 25 years, I have been associated with families coping with
psychosis. I have watched them struggle to understand, to accept,
and to learn how to manage the bewildering array of difficult
circumstances created by psychosis in a loved family
member...This book shows us how to develop and utilize this
resource for the benefit of all concerned, and is an invaluable
resource for mental health clinicians, family carers and service
users alike."

-Dr. Margaret Leggatt, Founding Director
SANE-Australia