Family contact, experience of family relationships, and views about family involvement in treatment among VA consumers with serious mental illness.
Family psychoeducation is a highly effective, but underused, evidence-based practice in the treatment of schizophrenia and other serious mental illnesses. This study examined views about family relationships and family participation in care among a sample of 69 consumers with serious mental illness receiving treatment within the Department of Veterans Affairs healthcare system. We found that younger consumers and those with higher levels of psychiatric symptoms were more likely to report family conflict and distress. Of participating consumers, 67% wanted family participation in their psychiatric treatment and those with at least weekly contact with family were more likely to want family participation. Consumers endorsed a number of barriers to family participation in their mental health treatment, including their own concerns about privacy and burdening family and skepticism that family involvement would be helpful. We discuss implications of these findings for the implementation of evidence-based family programs, including efforts toward development of a novel intervention that will address consumers' concerns and promote effective family participation in care.
Murray-Swank
Aaron
A
Department of Veterans Affairs (VA) Capitol Health Care Network (Veterans Integrated Service Network 5), Mental Illness Research, Education, and Clinical Center (MIRECC), Baltimore, MD, USA. Aaron.Murray-Swank@va.gov
Glynn
Shirley
S
Cohen
Amy N
AN
Sherman
Michelle
M
Medoff
Deborah P
DP
Fang
Li Juan
LJ
Drapalski
Amy
A
Dixon
Lisa B
LB
D005195:Family Relations; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006787:Hospitals, Veterans / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010353:Patient Education as Topic; D011785:Quality Assurance, Health Care / Q000379:methods*; D018434:Sickness Impact Profile; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000523:psychology*