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Barriers and facilitators to implementing family support and education in Early Psychosis Intervention programmes: A systematic review
Author(s) -
Selick Avra,
Durbin Janet,
Vu Nhi,
O'Connor Karen,
Volpe Tiziana,
Lin Elizabeth
Publication year - 2017
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12400
Subject(s) - psychoeducation , psycinfo , intervention (counseling) , psychological intervention , early psychosis , psychology , systematic review , inclusion (mineral) , family support , medline , evidence based practice , clinical psychology , medicine , nursing , psychiatry , alternative medicine , social psychology , physical therapy , pathology , political science , law
Family support is a core component of the Early Psychosis Intervention ( EPI ) model, yet it continues to have relatively low rates of implementation in practice. This paper reports results of a literature review on facilitators and barriers to delivering family interventions in EPI programmes. A search was conducted of 4 electronic databases, Medline, EMBASE , PsycINFO and Joanna Briggs, from 2000 to 2015 using terms related to early onset psychosis, family work and implementation. Four thousand four hundred and two unique studies were identified, 7 of which met inclusion criteria. Barriers and facilitators were coded and aggregated to higher‐level themes using a consensus approach. Five of 7 studies examined structured multifamily psychoeducation. Uptake by families was affected by: family/client interest and readiness to participate; ability to access supports; and support needs/preferences. Implementation by programmes was affected by staff access to training and resources to provide family support. A key finding across the identified studies was that families have different needs and preferences regarding the timing, length, intensity and content of the intervention. One size does not fit all and many families do not require the intensive psychoeducational programmes typically provided. The reviewed literature suggests that flexible, tiered approaches to care may better meet family needs and increase rates of uptake of family support. However, more research is needed on the effectiveness of different models of family support in early psychosis and how they can be successfully implemented.