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Challenges for group leaders working with families dealing with early psychosis: a qualitative study

BACKGROUND: Family work is one of the best researched psychosocial interventions for patients with chronic psychosis. However, family work is less studied for patients with a first episode psychosis and the studies have revealed contradicting results. To our knowledge, no previous studies have exami...

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Autores principales: Nilsen, Liv, Norheim, Irene, Frich, Jan C., Friis, Svein, Røssberg, Jan Ivar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488981/
https://www.ncbi.nlm.nih.gov/pubmed/26134829
http://dx.doi.org/10.1186/s12888-015-0540-8
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author Nilsen, Liv
Norheim, Irene
Frich, Jan C.
Friis, Svein
Røssberg, Jan Ivar
author_facet Nilsen, Liv
Norheim, Irene
Frich, Jan C.
Friis, Svein
Røssberg, Jan Ivar
author_sort Nilsen, Liv
collection PubMed
description BACKGROUND: Family work is one of the best researched psychosocial interventions for patients with chronic psychosis. However, family work is less studied for patients with a first episode psychosis and the studies have revealed contradicting results. To our knowledge, no previous studies have examined qualitatively group leaders’ experiences with family work. In the present study we wanted to explore challenges faced by mental health professionals working as group leaders for family interventions with first episode psychosis patients. METHOD: A qualitative exploratory study was carried out based on digitally recorded in-depth interviews and a focus group interview with nine experienced mental health professionals. The interviews were transcribed in a slightly modified verbatim mode and analysed by systematic text condensation. RESULTS: Challenges faced by group leaders was classified into six categories: (1) Motivating patients to participate, encouraging potential participants was demanding and time-consuming; (2) Selecting participants by identifying those who can form a functional group and benefit from the intervention; (3) Choosing group format to determine whether a single or multi-family group is best for the participants; (4) Preserving patient independence, while also encouraging them to participate in the intervention; (5) Adherence to the protocol, while customizing adjustments as needed; (6) Fostering good problem-solving by creating a fertile learning environment and choosing the most appropriate problem to solve. CONCLUSIONS: Group leaders face challenges related to recruitment and selection of participants for family work, as well as in conducting sessions. Awareness of these challenges could help health professionals more specifically to tailor the intervention to the specific needs of patients and their families.
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spelling pubmed-44889812015-07-03 Challenges for group leaders working with families dealing with early psychosis: a qualitative study Nilsen, Liv Norheim, Irene Frich, Jan C. Friis, Svein Røssberg, Jan Ivar BMC Psychiatry Research Article BACKGROUND: Family work is one of the best researched psychosocial interventions for patients with chronic psychosis. However, family work is less studied for patients with a first episode psychosis and the studies have revealed contradicting results. To our knowledge, no previous studies have examined qualitatively group leaders’ experiences with family work. In the present study we wanted to explore challenges faced by mental health professionals working as group leaders for family interventions with first episode psychosis patients. METHOD: A qualitative exploratory study was carried out based on digitally recorded in-depth interviews and a focus group interview with nine experienced mental health professionals. The interviews were transcribed in a slightly modified verbatim mode and analysed by systematic text condensation. RESULTS: Challenges faced by group leaders was classified into six categories: (1) Motivating patients to participate, encouraging potential participants was demanding and time-consuming; (2) Selecting participants by identifying those who can form a functional group and benefit from the intervention; (3) Choosing group format to determine whether a single or multi-family group is best for the participants; (4) Preserving patient independence, while also encouraging them to participate in the intervention; (5) Adherence to the protocol, while customizing adjustments as needed; (6) Fostering good problem-solving by creating a fertile learning environment and choosing the most appropriate problem to solve. CONCLUSIONS: Group leaders face challenges related to recruitment and selection of participants for family work, as well as in conducting sessions. Awareness of these challenges could help health professionals more specifically to tailor the intervention to the specific needs of patients and their families. BioMed Central 2015-07-02 /pmc/articles/PMC4488981/ /pubmed/26134829 http://dx.doi.org/10.1186/s12888-015-0540-8 Text en © Nilsen et al. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Nilsen, Liv
Norheim, Irene
Frich, Jan C.
Friis, Svein
Røssberg, Jan Ivar
Challenges for group leaders working with families dealing with early psychosis: a qualitative study
title Challenges for group leaders working with families dealing with early psychosis: a qualitative study
title_full Challenges for group leaders working with families dealing with early psychosis: a qualitative study
title_fullStr Challenges for group leaders working with families dealing with early psychosis: a qualitative study
title_full_unstemmed Challenges for group leaders working with families dealing with early psychosis: a qualitative study
title_short Challenges for group leaders working with families dealing with early psychosis: a qualitative study
title_sort challenges for group leaders working with families dealing with early psychosis: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488981/
https://www.ncbi.nlm.nih.gov/pubmed/26134829
http://dx.doi.org/10.1186/s12888-015-0540-8
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