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A Casebook of Family Interventions for Psychosis


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Table of Contents

About the Editors ix Contributors xi Preface xv I INTRODUCTION 1 1 Why Are Family Interventions Important? A Family Member Perspective 3 Martin Gregory II FIRST EPISODE PSYCHOSIS 21 2 Family Work in Early Psychosis 23 Grainne Fadden and Jo Smith 3 A Model of Family Work in First-Episode Psychosis: Managing Self-Harm 47 Jean Addington, April Collins, Amanda McCleery and Sabrina Baker 4 Working with Families to Prevent Relapse in First-Episode Psychosis 67 Kingsley Crisp and John Gleeson III INTERVENTIONS FOCUSING ON DRUG USE 91 5 Family Intervention for Complex Cases: Substance Use and Psychosis 93 Ian Lowens, Samantha E. Bowe and Christine Barrowclough 6 Family Motivational Intervention in Early Psychosis and Cannabis Misuse 117 Maarten Smeerdijk, Don Linszen, Tom Kuipers and Rene Keet IV VARIETY OF ISSUES ARISING INWORKING WITH RELATIVES 139 7 A Case of Family Intervention with a ?High EE? Family 141 Juliana Onwumere, Ben Smith and Elizabeth Kuipers 8 Coming to Terms with Mental Illness in the Family ?Working Constructively through Its Grief 167 Virginia Lafond 9 Interventions with Siblings 185 Jo Smith, Grainne Fadden and Michelle O?Shea 10 Family Intervention with Ethnically and Culturally Diverse Groups 211 Juliana Onwumere, Ben Smith and Elizabeth Kuipers V WORKING IN DIFFERENT CONTEXTS 233 11 Multiple Family Groups in Early Psychosis: A Brief Psychoeducational and Therapeutic Intervention 235 David Glentworth 12 Meeting the Needs of Families on Inpatient Units 259 Chris Mansell and Grainne Fadden VI SERVICE RELATED ISSUES 285 13 Setting Up a Family Interventions (FI) Service ? A UK Case Study 287 Frank Burbach and Roger Stanbridge 14 Overcoming Barriers to Staff Offering Family Interventions in the NHS 309 Grainne Fadden VII RELATIVES? SUPPORTING EACH OTHER 337 15 The COOL Approach 339 Claudia Benzies, Gwen Butcher and Tom Linton VIII CONCLUSION 355 16 Summary and Conclusions ?Where Are We up to and Where Are We Going? 357 Fiona Lobban and Christine Barrowclough Index 369

About the Author

Dr Fiona Lobban is a Senior Lecturer in Clinical Psychology at the Spectrum Centre for Mental Health Research at Lancaster University in the North West of England. She also works as a Consultant Clinical Psychologist supporting family work in the Early Intervention Service for Psychosis in Lancashire care NHS Trust. Professor Christine Barrowclough is Professor of Clinical Psychology at the University of Manchester, UK, and has been engaged in research and clinical work with families of people with psychosis for many years.


"Clinicians working with family members of persons with psychosis need practical, hands-on information about different treatment models, strategies and case examples addressing common challenges and special populations, caregiver perspectives, and guidelines for developing family intervention services in routine practice settings. This outstanding book meets these vital needs, and deserves a place on the bookshelf of all clinicians working with this population." ?Kim T. Mueser, Professor of Psychiatry and Community and Family Medicine, Dartmouth Medical School Hanover, New Hampshire "This is a special book prepared by many of the most outstanding professionals in the field and will greatly enhance practical knowledge on working with families for clinicians and managers. Family work is not an "extra" and we all should be involved. Readers will find here a wealth of information and inspiration as well as excellent tools to apply the methods in their clinical settings." ?Diane Froggatt, Secretary and Development Officer, World Fellowship for Schizophrenia and Allied Disorders "This fine book, by taking a casebook approach, provides rich insights into how family interventions translate theory into practice. Few accounts, if any, give a clearer picture of what family interventions for psychosis look and feel like." ?Professor George Szmukler, Psychiatry and Society, Institute of Psychiatry, UK "This excellent book reflects a maturing of the field of family work for psychosis while also providing a powerful stimulus for future development. Its detailed focus on research-informed practice, combined with a critical reflective edge means that it contains a wealth of invaluable ideas and suggestions about developing and providing services for families, without being simply another ?how to? text. I would strongly recommend it to all who are concerned with improving services for people with psychosis, and it should be required reading on specialist family therapy and family interventions training programmes." ?Dr Alex Reed, Family Therapist & Family Therapy Trainer "Reading this book gave me an overwhelming sense of relief. For the last 25 years, I have been associated with families coping with psychosis. I have watched them struggle to understand, to accept, and to learn how to manage the bewildering array of difficult circumstances created by psychosis in a loved family member?This book shows us how to develop and utilize this resource for the benefit of all concerned, and is an invaluable resource for mental health clinicians, family carers and service users alike." ?Dr. Margaret Leggatt, Founding Director SANE-Australia

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