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Family therapy - Coggle Diagram
Family therapy
Evaluation
With the emphasis on openness there can be an issue with family members being reluctant to share sensitive information as it may cause or reopen family tensions. Some family members may also be reluctant to talk about or admit their problems
Can be useful for patients who lack insight into their illness or cannot speak coherently about it, as family members are able to assist here. Family members have lots of useful information and insight into a patients behaviour and moods so can speak for them
As well as decreasing relapse rate and lowering the need for hospitalisation, family therapy can educate family members to help manage a patients medication regime, decreasing the need for clinicians to do this, making the treatment for cost effective
Younger patients who still live at home with their families are in a good position to benefit from family therapy
Although a combination of drug and family therapy treatments is desirable, due to cost restraints it is often not possible to offer patients this treatment
The schizophrenia commission estimates that family therapy is cheaper than standard care by £1004 a patient over three years - cost effective
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A form of psychotherapy based on the idea that as family dysfunction can play a role in the development of SZ, altering relationship and communication patterns , particularly lowering expressed emotion, should helps schizophrenics recover
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Therapist meets regularly with the patient and family, who are encouraged to talk openly about the patients symptoms, behaviour and progress with their treatment and how the patients illness affects them
Family members are taught to support each other and be caregivers, with each person given a specific role in the rehabilitation of the patient
There is an emphasis on openness, with no details remaining confidential, though boundaries of what is and is not acceptable are drawn up in advance as part of a document of informed consent
It is given for a set amount of time, usually between 9 months and a year, with a focus on reducing symptoms and allowing family members to develop skills that can be continued after therapy has ended
Leff - Compared family therapy with routine outpatient care for schizophrenics with families high in expressed emotion, finding in the first 9 months of treatment 50% of those receiving routine care relapsed but only 8% of those receiving family therapy relapsed. This rose after 2 years to 75% relapsing who received routine care compared to compared with 50% for family therapy
Pilling - meta analysis of several forms of psychological treatment for SZ, including 18 studies of family therapy with 1467 patients, finding family therapy had the smallest number of patients who relapsed and the lowest number of hospital readmissions, as well as the highest number of patients who took their medication. However CBT had the best success rate with treatment resistant forms of SZ