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Implementation case study: Multifamily group intervention in first-episode psychosis programs.

Julia Browne1,2, A Simone Sanders3, Michelle Friedman-Yakoobian2,3

  • 1Center of Excellence for Psychosocial and Systemic Research, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.

Early Intervention in Psychiatry
|November 8, 2020
PubMed
Summary
This summary is machine-generated.

Implementing multifamily psychoeducational groups (MFG) in first-episode psychosis (FEP) programs faces challenges. Addressing clinic-specific barriers and facilitators is key to successful integration of these family interventions.

Keywords:
barriersfacilitatorsfamily interventionmodificationsschizophrenia

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Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Implementation Science

Background:

  • Family interventions are crucial for first-episode psychosis (FEP) treatment.
  • Low implementation rates of family interventions in FEP programs necessitate research into real-world delivery factors.

Purpose of the Study:

  • To examine the training participation and implementation of McFarlane-model multifamily psychoeducational groups (MFG) in FEP early intervention programs.
  • To identify barriers and facilitators impacting MFG implementation.
  • To document modifications made to MFG during implementation.

Main Methods:

  • Twenty-three practitioners from six FEP early intervention programs received in-person MFG training and consultation.
  • Training participation was tracked via attendance.
  • Implementation outcomes, including barriers, facilitators, and modifications, were assessed through practitioner reports 15 months post-training.

Main Results:

  • Low frequency of MFG groups was observed, with the first group starting 7 months post-training.
  • Numerous clinic-specific barriers were identified across intervention, practitioner, and recipient domains.
  • Practitioners reported facilitators and implemented modifications to address challenges and support MFG delivery.

Conclusions:

  • Implementing MFG in real-world FEP programs presents significant challenges.
  • Identifying and addressing clinic-specific factors is vital for successful MFG implementation.
  • Further research is needed to optimize the integration of family interventions in FEP services.