An Integrated Approach to Family Work for Psychosis: A Manual for Family Workers

COVER......Page 1
Title Page......Page 5
Contents......Page 7
FOREWORD
......Page 11
PREFACE
......Page 13
ACKNOWLEDGEMENTS
......Page 17
Section 1:
Understanding Family
Work for Psychosis......Page 19
How to use this manual......Page 21
Understanding the process of family work for psychosis......Page 22
An integrated approach......Page 27
Summary......Page 28
Recommended web-based resources......Page 29
What do we mean by family work for psychosis?......Page 31
Components of family work......Page 33
Ownership: whose problem is it?......Page 34
Stress vulnerability models......Page 37
Expressed emotion (EE)......Page 41
Attribution theories......Page 46
Summary......Page 50
Recommended further reading......Page 51
Why offer family work for psychosis?......Page 53
Promoting collaboration between mental health service providers
and carers......Page 57
Government policy supporting family work for psychosis, and its
economic benefits......Page 59
Summary......Page 60
Recommended further reading......Page 61
Creating a climate conducive to family work......Page 62
Competence in practice......Page 63
Identifying carers to participate in family work......Page 66
Key points......Page 67
Recommended further reading......Page 68
Offering family work for psychosis......Page 69
Engaging families on in-patient units......Page 72
Getting started......Page 73
Increasing the likelihood of engaging families......Page 75
Recommended further reading......Page 76
Recommended web-based resource......Page 77
Choosing a venue......Page 78
Managing the environment in which family meetings take place......Page 80
Summary......Page 81
Section 2:
Delivering Family
Work for Psychosis......Page 83
How family work begins......Page 85
Co-working......Page 86
Skills and competences required to provide family work in
practice......Page 93
Supervision......Page 94
Promoting awareness of family work for psychosis......Page 98
Referral......Page 99
Initial meeting with family workers......Page 100
Summary......Page 104
Key points......Page 105
Recommended further reading......Page 106
The assessment proces......Page 107
The Relative Assessment Interview (Barrowclough and Tarrier 1997)......Page 109
The General Health Questionnaire (28) (Goldberg and Williams
1988)......Page 111
The Knowledge About Schizophrenia Interview (Barrowclough et
al. 1987)......Page 113
Service user global assessment......Page 115
Social Functioning Scale (Birchwood et al. 1990)......Page 116
The Manchester Short Assessment of Quality of Life Scale
(Priebe et al. 1999)......Page 118
Drug Attitude Inventory (Hogan et al. 1983)......Page 119
The Liverpool University Neuroleptic Side Effect Rating Scale
(Day et al. 1995)......Page 120
Key points......Page 123
Recommended web-based resources......Page 124
Bringing a family together and sharing information from the
individual assessments......Page 125
Family work skills and competences......Page 138
Education within family intervention......Page 141
Working with emotions......Page 143
Key points......Page 150
Recommended further reading......Page 151
Focusing on recovery......Page 153
Reframing......Page 154
Problem solving......Page 156
Promoting wider networks......Page 160
Endings and booster sessions......Page 163
Evaluating family work......Page 165
Key points......Page 169
Recommended further reading......Page 170
APPENDICES
......Page 171
APPENDIX 1 GLOSSARY OF TERMS
......Page 173
APPENDIX 2 WHO IS A CARER?
......Page 178
APPENDIX 3 FAMILY WORK FOR PSYCHOSIS
......Page 179
APPENDIX 4 FAMILY WORK LEAFLET
......Page 180
APPENDIX 5 WHO CAN HELP ME?
......Page 182
APPENDIX 6 ASSESSMENT OF CARER'S NEEDS INITIAL ASSESSMENT/REVIEW
......Page 183
APPENDIX 7 FAMILY WORK REFERRAL FORM
......Page 185
APPENDIX 8 FAMILY WORK SKILLS CHECKLIST
(FWSC)......Page 186
APPENDIX 9 FAMILY WORK ASSESSMENT  (FWA)
FORM......Page 191
APPENDIX 10 FAMILY MEETING NOTES
......Page 192
APPENDIX 11 SOLVING GLOBAL PROBLEMS AND ACHIEVING GOALS
......Page 194
REFERENCES
......Page 197
SUBJECT INDEX
......Page 206
AUTHOR INDEX
......Page 209