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.

Family Psychoeducation for Serious Mental Illness (Evidence-Based Practices)

Politics & Social Sciences

Lefley, Harriet P.

Social Sciences

Oxford University Press

Cross-Cultural Training for Mental Health Professionals

Pedersen, Paul B.

Charles C. Thomas Pub Ltd

With the trend of deinstitutionalization, family members are finding themselves increasingly in the position of primary caregivers to mentally ill adults - a role for which they are often untrained and unprepared. This volume explores the experiences of these caregivers.  The author: discusses the characteristics and conceptual models related to mental illness; surveys the experience of mental illness in the context of the family life cycle and developmental stages of the illness; appraises the burdens on the family including social stigma, refusal of treatment, stress and the relationship between the mentally ill and caregivers within the family; and reviews family responses including coping strategies and professional and

Family Caregiving in Mental Illness (Family Caregiver Applications series)

Sage Publications, Inc.

With the trend of deinstitutionalization, family members are finding themselves increasingly in the position of primary caregivers to mentally ill adults - a role for which they are often untrained and unprepared. This volume explores the experiences of these caregivers. The author: discusses the characteristics and conceptual models related to mental illness; surveys the experience of mental illness in the context of the family life cycle and developmental stages of the illness; appraises the burdens on the family including social stigma, refusal of treatment, stress and the relationship between the mentally ill and caregivers within the family; and reviews family responses including coping strategies and professional and

Health, Fitness & Dieting

Psychology & Counseling

The outgrowth of a conference sponsored by the National Institute of Mental Health, and organized by the National Alliance for the Mentally Ill, this volume promotes the modification of clinical education so that families of the mentally ill will be viewed as allied rather than adversaries by new generations of professionals. Based on the historical fact that mental health professionals have traditionally related to families of the mentally ill only through their patients, this book proposes new directions for interactive relationships between families of the mentally ill and mental health professionals.
The book begins with a historical perspective on relationships between mental health professionals and families of the mentally ill. The text points out that the negative relationships now in evidence between relatives of the mentally ill and mental health professionals are actually a legacy of historical American social thought on treatment of the mentally ill. These treatment methods, in their time, had profound effects on the arrangements of care of the mentally ill and their families. Many professional attitudes that are now troublesome to family caregivers are remnants of policies and practices that first took shape during the mid-nineteenth century as a part of the asylum approach to mental illness.
Families as Allies in Treatment of the Mentally Ill: New Directions for Mental Health Professionals provides an overview of issues ,including research directions for new conceptualization of families and the social context of helping families of the mentally ill. This volume addresses ethical and legal considerations in interviewing families of the seriously mentally ill. Each chapter is followed by a commentary, with additional comments ad points of view on the chapter subject.

Families As Allies in Treatment of the Mentally Ill: New Directions for Mental Health Professionals

Amer Psychiatric Pub Inc

In this era of revolutionary progress in the areas of science and medicine, it comes as no surprise that knowledge of the biology of mental illness and psychopharmacologic treatments has increased greatly within the past few decades. During this same time frame, however, the experiential side of mental illness has been almost completely neglected by researchers and educators. Fortunately, the trend is being reversed. Leading authorities are becoming increasingly aware that the personal experiences of people with severe and persistent mental illness can reveal the most authentic--and perhaps most helpful--information on behaviors that have long puzzled professionals in the field. This has contributed to a renewed and growing interest in learning more about the ways people experience mental illness and the process of recovery. Leading the way in redressing the imbalance, this book examines the subjective experiences of patients with multiple diagnoses, including schizophrenia, bipolar illness, major endogenous depression, and other disorders with psychotic features and long-term disabling consequences. Numerous personal accounts are drawn from research reports, newsletters, journals, spoken reports, and observed behavior to shed light on the inner worlds of people afflicted with severe and persistent mental illness. The volume covers a wide range of topics, starting with disturbances in the sense of self, in emotions, relationships, and behaviors, and in the ways reality is experienced by the mentally ill. In the process, some common patterns of lifetime experience are revealed even among patients with great differences in levels of functional capability and in their emotional and rational assessment of their experience. The final section of the book is directed toward understanding the process of acceptance, growth toward recovery, and the development of an acceptable identity and new purpose in life. Material is presented within the conceptual framework of coping and adaptation and self theory; in addition, considerable attention is given to the patient's perception of which types of personal and professional relationships have been helpful or not helpful. As a result, the book yields important lessons--from the patients themselves--on how service providers, caregivers, and the community at large can be most helpful to those afflicted with major mental illness. Professionals who wish to increase their capacity for empathy, develop more effective rehabilitation strategies, and advance research linking brain anomalies and patient experience will find this book illuminating. Because it illustrates in moving and powerful ways how people truly experience psychiatric disability in a society that demeans their condition and in a helping environment that only dimly understands their agony, the book will be extremely useful for psychiatrists, psychologists, social workers, psychiatric nurses, educators, and graduate students in psychopathology and clinical skills training.

Surviving Mental Illness: Stress, Coping, and Adaptation

Hatfield, Agnes B.

Mental Health

The Guilford Press

Helping Families Cope with Mental Illness

Helping Families Cope With Mental Illness (Chronic Mental Illness, 2)

In this age of spiraling health care costs, it is imperative that the family's role in treating patients with chronic mental illness not be overlooked - by policy makers and clinicians alike. The families themselves insist that the government and care-providing agencies learn new ways to relate to them and patients. Helping Families Cope with Mental Illness is a comprehensive guide to the family's experience of chronic and serious mental illness for clinicians and educators in a wide range of mental health disciplines. It details all major areas of the clinician-family relationship - consumer perspectives, cultural diversity, social policy, ethical issues, practical coping strategies, research and training issues, major service issues, managed care, and cost-saving measures.

Helping Families Cope With Mental Illness (Chronic Mental Illness,)

Wasow, Mona

Psychology Press

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