Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-10T05:31:36.125Z Has data issue: false hasContentIssue false

Behavioural Family Management in Schizophrenia

Outcome of a Clinic-Based Intervention

Published online by Cambridge University Press:  02 January 2018

Eugenia T. Randolph*
Affiliation:
West Los Angeles VAMC (Veterans Administration Medical Center) (B151J), 11301 Wilshire Boulevard, Los Angeles, CA 90073
Spencer Eth
Affiliation:
ACOS for Ambulatory Care, West Los Angeles VAMC (116A)
Shirley M. Glynn
Affiliation:
West Los Angeles VAMC (B151J)
George G. Paz
Affiliation:
West Los Angeles VAMC
Gregory B. Leong
Affiliation:
West Los Angeles VAMC
Andrew L. Shaner
Affiliation:
Psychiatric Evaluation and Admission, West Los Angeles VAMC
Angus Strachan
Affiliation:
Santa Monica Family Consultants, 2510 Main Street, Suite 201, Santa Monica, CA 90405
Walter Van Vort
Affiliation:
West Los Angeles VAMC
Javier I. Escobar
Affiliation:
Department of Psychiatry, University of Connecticut, Farmington, 06107
Robert P. Liberman
Affiliation:
Clinical Research Center for Schizophrenia, Department of Psychiatry, University of California, Los Angeles, CA 90025, USA
*
Correspondence

Abstract

To test further the highly successful outcomes of a controlled study of in-home behavioural family management (BFM) for schizophrenic patients, a clinic-based version of this intervention was compared with customary care alone for 41 schizophrenic patients in a Veterans Administration (VA) mental health clinic. Monthly Brief Psychiatric Rating Scale (BPRS) ratings, conducted by clinic psychiatrists who were ‘blind’ to the patients' assignment, revealed that 3 (14%) patients who received behavioural family management as well as customary care, as compared with 11 (55%) patients who received customary care alone, had symptomatic exacerbations during the first year of treatment.

Type
Papers
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Endicott, J., Spitzer, R., Fleiss, J., et al (1976) The global assessment scale: a procedure for measuring overall severity of psychiatric disturbance. In ECDEU Assessment Manual for Psychopharmacology revised edn) (ed. Guy, W.), pp. 583585. Rockville: US Department of Health, Education and Welfare.Google Scholar
Falloon, I., Boyd, J., McGill, C., et al (1982) Family management in the prevention of exacerbations of schizophrenia. New England Journal of Medicine, 306, 14371440.CrossRefGoogle ScholarPubMed
Falloon, I., Boyd, J., McGill, C., (1984) Family Care of Schizophrenia: A Problem-Solving Approach to the Treatment of Mental Illness. New York: Guilford Press.Google Scholar
Falloon, I., Boyd, J., McGill, C., et al (1985) Family management in the prevention of morbidity of schizophrenia: clinical outcome of a two-year longitudinal study. Archives of General Psychiatry, 42, 887896.CrossRefGoogle ScholarPubMed
Falloon, I., Mueser, K., Gingerich, S., et al (1988) Behavioural Family Therapy: A Workbook. Buckingham, UK: Buckingham Mental Health Service.Google Scholar
Goldstein, M. J., Rodnick, E. H., Evans, J. R., et al (1978) Drug and family therapy in the aftercare treatment of acute schizophrenia. Archives of General Psychiatry, 35, 169177.CrossRefGoogle Scholar
Hogarty, G., Anderson, M., Reiss, D., et al (1986) Family psycho-education, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. I. One year effects of a controlled study on relapse and expressed emotion. Archives of General Psychiatry, 31, 609618.CrossRefGoogle Scholar
Keith, S., Schooler, N., Bellack, A., et al (1989) The influence of family management on patient stabilization. Schizophrenia Research, 2, 224.CrossRefGoogle Scholar
Leff, J., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121134.CrossRefGoogle ScholarPubMed
Leff, J., & Vaughn, C. (1985) Expressed Emotion in Families: Its Significance for Mental Illness. New York: Guilford Press.Google Scholar
Lefley, H. & Johnson, D., (eds.) (1990) Families as Allies in Treatment of the Mentally Ill: New Directions for Mental Health Professionals. Washington, DC: American Psychiatric Press.Google Scholar
Liberman, R. (1988) Psychiatric Rehabilitation of Chronic Mental Patients. Washington, DC: American Psychiatric Press.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The brief psychiatric rating scale. Psychological Report, 10, 799812.CrossRefGoogle Scholar
Tarrier, N., Barrowclough, C., Vaughn, C., et al (1988) The community management of schizophrenia: a controlled trial of behavioural intervention with families to reduce relapse. British Journal of Psychiatry, 153, 532542.CrossRefGoogle ScholarPubMed
Tarrier, N., Barrowclough, C., (1990) Family interventions for schizophrenia. Behavior Modification, 14, 408440.CrossRefGoogle ScholarPubMed
Vaughn, C. & Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 15, 157165.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorjus, N. (1974) The Description and Classification of Psychiatric Symptoms: An Instruction Manual for PSE and CA TEGO System. London: Cambridge University Press.Google Scholar
Wyatt, R. (1991) Neuroleptics and the natural course of schizophrenia. Schizophrenia Bulletin, 17, 325352.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.