The festival of Psychiatric Nursing in Malta provided a wonderful opportunity for myself and Jacqeline Sin (pictured), from Berkshire to present our work on developing family inclusive Early Intervention Services. Here is our abstract and audio of our session Download Gamble and Sin Horatio 2008
The new millennium has seen a world-wide initiative to develop Early Interventions in Psychosis Services (EIPS) underpinned by various evidence-based interventions. Family interventions (FI) for psychosis is one of these major interventions within EIPS and have a well established evidence base. However, clinicians need to be mindful of the need for modification when working alongside families with individuals newly diagnosed with first episode psychosis (FEP).
A recent literature review on family interventions in FEP has highlighted the paucity of phase-specific research into FI for families with a young adult with FEP and questioned the appropriateness of certain FI models (Askey, Gamble & Gray, 2007). The needs of families in early episodes of psychosis can fluctuate a great deal (Slade et al, 2003). Despite a well-established family interventions for psychosis service in Berkshire, England, local experience suggests that up-take rate of FI by families within EIPS is only within the range of 47-32% (Berkshire Healthcare NHS Foundation Trust, unpublished clinical audit 2005 & 2006). Services need to be developed to incorporate evidence based interventions as well as to address the needs of the families and carers (Sin, Moone and Newell, 2007). The presentation highlighted:
- How services have adopted the Kuipers et al (2002) family work model into establishing a carers’ psychoeducation group
- Various means of collaboration with carers to address future development of services including developing a carer-led support group
- Implications for service development and further research, e.g. siblings’ needs and experiences