A Casebook of Family Interventions for Psychosis

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