Generalizability of the NAMI Family-to-Family Education Program: Evidence From an Efficacy Study

Micaela Mercado1, Ashley Ann Fuss1, Nanaho Sawano1

  • 1Dr. Mercado, Ms. Fuss, Ms. Gensemer, and Dr. Cleek are with the McSilver Institute for Poverty Policy and Research, Silver School of Social Work, New York University, New York City (e-mail: mm6539@nyu.edu ). Ms. Sawano, Ms. Brennan, and Ms. McManus are with National Alliance on Mental Illness-NYC Metro. Dr. Dixon and Ms. Haselden are with the New York State Psychiatric Institute, Columbia University Medical Center, New York City. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.

Previous studies conducted in Maryland of the Family-to-Family (FTF) education program of the National Alliance on Mental Illness (NAMI) found that FTF reduced subjective burden and distress and improved empowerment, mental health knowledge, self-care, and family functioning, establishing it as an evidence-based practice. In the study reported here, the FTF program of NAMI-NYC Metro was evaluated. Participants (N=83) completed assessments at baseline and at completion of FTF. Participants had improved family empowerment, family functioning, engagement in self-care activities, self-perception of mental health knowledge, and emotional acceptance as a form of coping. Scores for emotional support and positive reframing also improved significantly. Displeasure in caring for the family member, a measure of subjective burden, significantly declined. Despite the lack of a control group and the limited sample size, this study further supports the efficacy of FTF with a diverse urban population.