The Family Member Provider Outreach Program

Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., B151j, Los Angeles, CA 90073, USA. sglynn
Psychiatric services (Washington, D.C.) (Impact Factor: 1.99). 09/2008; 59(8):934. DOI: 10.1176/
Source: PubMed
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    ABSTRACT: Family involvement in the care of persons with psychiatric illness is important for recovery-oriented comprehensive mental health services; however, family involvement infrequently occurs. The Department of Veterans Affairs Office of Mental Health Services has sponsored Family Forum II to provide a broad intervention framework for family involvement in the care of persons with psychiatric illness. This article presents guidance provided by Family Forum II. Services highlighted include family consultation, family education, and family psychoeducation; and an intervention framework is presented. Several dimensions of fostering family involvement are emphasized as vital to the process of engagement in meaningful services. An intervention framework for family involvement enables consumers, family members, providers, and administrators to navigate and cultivate family service choices in a family-friendly agency.
    American Journal of Psychiatric Rehabilitation 01/2012; 15(1):5-25. DOI:10.1080/15487768.2012.655223
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    ABSTRACT: The stress of living with unpredictable, disturbing schizophrenic symptoms can erode interpersonal relationships. Stressful family interactions are associated with poorer prognosis. Several investigators have developed educational or more intensive skills-based family programs to increase illness knowledge and improve prognosis in schizophrenia. An extensive body of research supports the benefits of participating in family-based treatments for schizophrenia, especially those of longer duration and emphasizing skill development, in reducing relapse rates. In spite of the data, these programs are underimplemented and underutilized. Barriers to their use likely arise from patients, relatives, and mental health professionals. Newer programs, which include novel engagement strategies, target subpopulations with poor prognoses, or use innovative technologies, may make these programs more accessible to a wider range of families. Engaging individuals with schizophrenia and their loved ones in a collaborative effort to design new, more consumer-driven family interventions is warranted.
    Current Psychiatry Reports 03/2012; 14(3):237-43. DOI:10.1007/s11920-012-0265-z · 3.05 Impact Factor
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    ABSTRACT: Associations between PTSD and difficulties in intimate relationships have prompted national calls for partner-involvement in treatment for PTSD. However, research is limited evaluating patient preferences for the format of these services or predictors of these preferences. Such information is vital to shaping services so they are relevant to those most interested in them and to those with greatest need. To address these gaps, we surveyed 185 coupled veterans as they presented for mental health appointments at a VA PTSD treatment clinic. We assessed broad interest in greater partner-involvement, specific interest in couple therapy, and potential predictors of these interests, including family concerns, relationship satisfaction, PTSD symptom severity, and combat era. We found unique positive associations between interest in partner-involvement and both family concerns and relationship satisfaction, suggesting those most interested in partner-involvement are likely those experiencing the greatest family concerns and the most satisfied in their intimate relationships. Associations between interest and PTSD severity were nonsignificant. Interest in couple therapy was significantly greater among returning veterans than Vietnam/Korean War Veterans. However, these two groups did not vary significantly in their interest in greater partner-involvement more broadly. Discussion of findings considers the roles of both insight into PTSD-related family problems and relationship satisfaction in motivating interest in partner-involvement in care, the potential need to address motivation for partner-involvement among veterans in distressed relationships, and the importance of alternative methods of partner-involvement to full courses of couple therapy, particularly for Vietnam/Korean War era veterans. (PsycINFO Database Record (c) 2013 APA, all rights reserved)
    Psychological Trauma Theory Research Practice and Policy 07/2013; 5(4):334. DOI:10.1037/a0028366 · 0.89 Impact Factor
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