1 / 57

Family Education Family Psychoeducation Family Consultation

Family Education Family Psychoeducation Family Consultation. PSRT 4271: The Family Role in Rehabilitation Week 7; T.H. Pyle, Instructor. Live case update…. Today’s Learning Objectives. Disability Theory Intervention Mechanics 3 Critical Family Interventions IFSS Intro. Modalities.

rowa
Download Presentation

Family Education Family Psychoeducation Family Consultation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Family EducationFamily Psychoeducation Family Consultation PSRT 4271: The Family Role in Rehabilitation Week 7; T.H. Pyle, Instructor

  2. Live case update…

  3. Today’s Learning Objectives • Disability Theory • Intervention Mechanics • 3 Critical Family Interventions • IFSS Intro

  4. Modalities • Family education (FE) • Family psychoeducation (FPE) • Family consultation (FC)

  5. Modalities • Family education (FE) ____ • Family psychoeducation (FPE) IFSS • Family consultation (FC) IFSS

  6. What Causes Disability?

  7. The Tragedy Model (Swain & French, 2000) • What causes disability? • Impairment? Or reaction to it? • What basis? • Disabled want to be other than disabled? • Disabling expectations? • “Independent”, “normal”, “adjust”, “accept” • Ingrained identities of non-disabled? • Invalidation by non-disabled? • Experts, family, media

  8. Disability Philosophy (Power & Dell Orto, 2004) • Traditional view: Tragedy • Debilitation • Chronicity • Families at fault • Modern view: Opportunity • Enjoy life • Affirm values • Determine lifestyle

  9. Positive Personal Identity • Disability enhances life • Special benefits • “Liberation of disfigurement” • Heightened understanding of others’ trials

  10. Positive Collective Identity • Redefining disability • Barriers constructed in a disabling society… • Organized movement: A social network! • Collective expression

  11. “The Affirmation Model” (Swain & French, 2000) • “A valuing approach…” • Not through… • … assumptions on non-disabled. • … the medical model • By disabled, about disabled

  12. Intervention: Assumptions (Power & Dell Orto, 2004, p. 124) • Interventions = joint ventures. • Families have needs.. • Family needs change. • Responses come from more than illness. • Families face multiple “risks”. • Families may oppose interventions. • Family participation is beneficial to all. • Different families respond differently.

  13. Intervention: Assumptions (Power & Dell Orto, 2004, p. 124) • Interventions = joint ventures. • Families have needs.. • Family needs change. • Responses come from more than illness. • Families face multiple “risks”. • Families may oppose interventions. • Family participation is beneficial to all. • Different families respond differently.

  14. Intervention: Assumptions (Power & Dell Orto, 2004, p. 124) • Interventions = joint ventures. • Families have needs. • Family needs change. • Responses come from more than illness. • Families face multiple “risks”. • Families may oppose interventions. • Family participation is beneficial to all. • Different families respond differently.

  15. Intervention: Goals (Power & Dell Orto, 2004, p. 126) • Help families adapt. • Especially at the 3 “trigger points”… • Help families assist.

  16. Intervention: 5 Connection Skills (Power & Dell Orto, 2004, p. 126) • Make families feel welcome. • Listen, open, accept, empathize. • Solicit family expectations. • Understand differences; respect diversity. • “Verbally reinforce” in family meetings.

  17. Intervention: 6 Roles (Power & Dell Orto, 2004, p. 127) • Assessor • Informant • Teacher • Builder (of support systems) • Challenger • Advocate • Guardian (preventer)

  18. Intervention: Trigger Points (Power & Dell Otto, 2004) • Diagnosis • Hospital treatment • Outpatient and rehabilitation treatment

  19. Trigger No. 1: Diagnosis (Power & Dell Otto, 2004) • Identify needs. • A very vulnerable time • Provide crisis intervention. • Three phases: Beginning, Middle, Termination • Inform. • Understanding of medical information • Refer.

  20. Trigger No. 2: Hospital(Power & Dell Otto, 2004) • Respond to family needs. • Reframe situation, marshal resources, understand treatment and prognosis, feel competent, establish collaboration • Inform. • Identify strengths and limitations • Suggest solutions. • Support.

  21. Trigger No. 3: Outpatient((Power & Dell Otto, 2004) • Respond to family needs. • Support. • Redefine expectations. • Loved one in the “sick” role… • Balance living and caring. • And …

  22. …, 2 • Assist family to assist the loved one. • Understand the loved one… • Involve the loved one… • Help the loved one… • Understand the family members…

  23. So… • Disability: whose definition? • Tragedy  Opportunity • Adapt & Assist

  24. For example… http://www.ted.com/talks/elyn_saks_seeing_mental_illness.html

  25. Group Counseling

  26. Benefits of Groups (Power & Dell Orto, 2004, p. 154) • Model roles • Support LT needs • Create support structure • Refer to other supports • Teach coping • Channel information

  27. Benefits of Groups (Power & Dell Orto, 2004, p. 154) • Promote dialogue • Create accountability • Diffuse problems • Share burdens • Develop networks • Adapt expectations • Advocate • Model roles • Support LT needs • Create support structure • Refer to other supports • Teach coping • Channel information

  28. Critical Issues (Power & Del Orto, 2004, p. 157) • Marital matters • Sibling reactions • Substance abuse • Work deterioration • Financial pressures • Diminishing social support • Changed lifestyle prospects • LT endurance

  29. Group Leader Tasks (Power & Del Orto, 2004, p. 157) • Structure groups • Model behaviors • Listening sensitively • Create good climate • Set limits • Promote benefit

  30. Group Leader Attributes (Power & Del Orto, 2004, p. 157) • Skills • Intervention • Medical knowledge • Articulation • Discernment • Orchestration • Anticipation • Judiciousness • Characteristics • Kindness • Compassion • Resilience • Perspectives • Experience • Awareness • Understanding • Learning

  31. Family Education

  32. FE: Content (Lefley, 2009, p. 41) • Premise: diathesis-stress model • Medications • Compliance • Expectancy of change • Stress identification and control • Family issues • Loved one issues • Joint planning

  33. Family Psychoeducation Multifamily Groups

  34. FPE: Theoretical Premise (Lefley, 2009, p. 28, 40) • Diathesis-Stress • Biological deficits cause overreaction to environmental stimuli • Techniques can reduce environmental stimulation and complexity • Caregivers can learn these techniques

  35. FPE: A Behavior Management Model • Education • Communication training • Problem-solving training • Coping techniques training

  36. FPE: Common Characteristics (Lucksted et al., 2012, p. 102) • Families: Need info, assistance, support • Assumes: Behavior has effects • Elements: Info, cognitive, behavioral, problem-solving, emotional, coping, consultation • Led by: Trained pros • Part of: Clinical treatment plan • Focus: Consumer • Content: Comprehensive • Dx specific

  37. Dx Specific… • Schizophrenia • Bipolar • Eating disorders • OCD • Dual diagnoses • PTSD • TBI

  38. FPE: Program Types (Lucksted et al., 2012) • Individual family • Multifamily • Include consumer • Don’t include consumer • Length • Emphasis

  39. FPE Goals (Lucksted, 2012, p. 111) • Information • Skills • Problem-solving • Support

  40. International Research (Lucksted, 2012) • China • Six studies show: • Reduced relapse • Reduced burden • Improved functioning • Self-efficacy • Hong Kong • Australia • Italy • Pakistan • Japan • Thailand

  41. Barriers (Lucksted, 2012, p. 113) • Stigma • Lack of confidence in system • Consumer reluctance to involve families • Consumer discomfort or desire for privacy • Skepticism • Competing family responsibilities

  42. FPE: A Model for Asian Americans (Bae & Kung, 2000) • Issues • For stable loved ones in the community • Asians: not a single ethnic group • Targets 1st and 2nd generation • Different classes, different values • Validation needed

  43. FPE: A Model for Asian Americans (Bae & Kung, 2000) Five generalized stages: • Preparation • Engagement • Psychoeducation Workshop • Therapeutic Stage • Ending Stage

  44. FPE: Dissemination Issues (Lucksted et al., 2012, p. 112) • Not compatible with clinicians’ training. • More complex than standard treatments. • Not readily “trialable”. • Outcomes (LT) not readily observable.

  45. Family Consultation

  46. Family Consultation(Schmidt & Monaghan, 2012) • Collaborative process • Agenda set by family’s concerns • Acknowledge the family’s competence • Consultation and support for coping • Individual • Group • Support Group

  47. Family Consultation (Schmidt & Monaghan, 2012) New Jersey: 1st state to offer family consultation

More Related