Family Intervention, barriers to its implementation
Cardiff Metropolitan University
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Background: Family Intervention is an evidence based therapy recommended in the NICE guidelines for treating patients with Psychosis. Although the psychosocial therapy is a recommended form of treatment a recent audit of standards indicated that the therapy was underused locally. Aims: To improve on a baseline service evaluation on a range of different measures relating to the delivery of Family Intervention within a Community Mental Healthcare Team (CMHT). Methods: Working with two CMHT two studies were carried out. A preliminary study was employed to evaluate the materials. The main study was initially designed to assess the effect of training on baseline measures ‘skill’ and ‘knowledge’ using a purpose built questionnaire. Three semi structured interviews were also conducted. Subsequent to a delay in training the focus changed to initial effects of training on baseline measures. Results: Difficulties with the EBPAS highlighted in the preliminary study resulted in a change of measure to the CAI. The main study indicated that ‘Culture’ and ‘Leadership’ appeared problematic within this team, although overall the context emerged as ‘open to change’. A number of themes were identified from the data set; ‘support’, ‘obstacles’ and ‘FI as a choice’. Conclusions: Obstacles encountered during the involvement with the CMHT resulted in a failure to complete a accurate service evaluation. A number of barriers to the adoption of FI were identified from the data collected from the CMHT and within the account of the interviewee. A lack of support for FI on a local level is suggested as preventing implementation in this team. However, the inconsistent support for FI on an organisational level appears to have impeded its adoption from the onset. Overall if the data is accurate then this study indicates that underlying structural problems are impacting on the adoption of FI.
BSc (Hons) Psychology
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