Relatives and patients as partners in the management of schizophrenia. The development of a service model.
Considerable advances have been made in the family management of schizophrenia but there remains a major challenge for the psychiatric services to integrate these innovations into clinical practice. A number of important issues need to be considered in developing routine clinical services: the problem of engaging families in a therapeutic programme; the utility of the concept of 'expressed emotion'; and procedures for clinical practice. The latter include the needs of low-EE families; maintaining quality of intervention in a clinical context; responding to the multiplicity of needs of the patient and family; and integrating family interventions with ongoing rehabilitation practice. A model of service provision is described.
Smith
J
J
Department of Clinical Psychology, All Saints' Hospital, Birmingham.
Birchwood
M
M
D005196:Family Therapy / Q000379:methods; D006701:Home Nursing / Q000379:methods / Q000523:psychology*; D006791:Hostility; D006801:Humans; D010358:Patient Participation / Q000379:methods / Q000523:psychology*; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012931:Social Environment