Family-Based Psychosocial Interventions for Severe Mental Illness: Social Barriers and Policy Implications

IF 3.4 Q1 EDUCATION & EDUCATIONAL RESEARCH Policy Insights from the Behavioral and Brain Sciences Pub Date : 2023-03-01 DOI:10.1177/23727322221128251
Franchesca S. Kuhney, D. Miklowitz, J. Schiffman, V. Mittal
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引用次数: 0

Abstract

Severe mental illnesses (SMI) such as schizophrenia, major depressive disorder, and bipolar disorder are prevalent, debilitating, and chronic conditions that come with significant costs to families, public health systems, and communities. Research indicates that emotional qualities within the family environment of the person with SMI (e.g., whether members are highly supportive, critical, or emotionally overinvolved) can either protect against or increase the risk for psychiatric relapse. Dovetailing this work is research indicating that family-based psychosocial interventions, which can increase family functioning through psychoeducation and skill building, can promote positive outcomes for individuals with SMI. Unfortunately, social barriers such as financial strain, inaccessibility of specialized care, stigma, and social marginalization may impede a patient's or family's ability to initiate and/or continue family services. We propose that improving treatment engagement requires a combination of state and federal policy initiatives supporting community resources, integrated health care, and partnerships with national organizations.
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严重精神疾病的家庭心理社会干预:社会障碍与政策启示
精神分裂症、重性抑郁障碍和双相情感障碍等严重精神疾病(SMI)是一种普遍的、使人衰弱的慢性疾病,给家庭、公共卫生系统和社区带来了巨大的成本。研究表明,SMI患者家庭环境中的情绪素质(例如,成员是否高度支持、挑剔或情绪过度)可以预防或增加精神病复发的风险。支持这项工作的研究表明,基于家庭的心理社会干预可以通过心理教育和技能培养来提高家庭功能,可以促进SMI患者的积极结果。不幸的是,经济压力、无法获得专业护理、污名化和社会边缘化等社会障碍可能会阻碍患者或家人开始和/或继续提供家庭服务的能力。我们建议,提高治疗参与度需要州和联邦政策举措的结合,支持社区资源、综合医疗保健以及与国家组织的伙伴关系。
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来源期刊
Policy Insights from the Behavioral and Brain Sciences
Policy Insights from the Behavioral and Brain Sciences Social Sciences-Public Administration
CiteScore
5.30
自引率
0.00%
发文量
24
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