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Training Group Leaders for Psychoeducational Multi Family Work. Anne Fjell, MSW Ullevaal University Hospital. Oslo, Norway. Psychoeducational Multi Family Groups in the TIPS Project; Norway and Denmark. ED: Stavanger & Haugesund(N). NED: Oslo(N) & Roskilde(D).

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training group leaders for psychoeducational multi family work

Training Group Leaders for Psychoeducational Multi Family Work

Anne Fjell, MSW

Ullevaal University Hospital.

Oslo, Norway

Stratford upon Avon, 2007

slide2

Psychoeducational Multi Family Groups in the

TIPS Project; Norway and Denmark

ED:

Stavanger &

Haugesund(N)

NED:

Oslo(N) &

Roskilde(D)

Stratford upon Avon, 2007

what will families of persons with schizophrenia need
What will families of persons with schizophrenia need

Patients who have an on-going contact with their families should be offered a family psychosocial intervention which spans at least nine months and which provides combinations of ;

  • Educations about the illness
  • Family support
  • Crises intervention
  • Problem solving skills training

Lehman et al, PORT treatment recommendations, 2003

Stratford upon Avon, 2007

what is family psychoeducation
What is Family Psychoeducation?
  • An approach designed to;
    • Help families and consumers better understand mental illness while working together towards recovery
    • Recognize the family`s important role in recovery
    • Help clinicians see markedly better outcome for consumers and families

Stratford upon Avon, 2007

central assumptions of the psychoeducational model
Central assumptions of the psychoeducational model
  • Success in promoting change in behaviour and attitude requires:
    • The establishment of a cooperative, collegial, non-judgemental relationship among all parties
    • Education supplemented with continued support and guidance
    • Breaking down problems into their components and solving them in a stepwise fashion
    • Support from a network of well-informed and like-thinking people

Stratford upon Avon, 2007

requirements for successful implementation
Targeted training

Ongoing supervision

Organisational support

Persistent championship of the innovation by one agency staff

Adaptability of the innovation

Credible evidence of success for innovative programme

(Fadden et al, 1997)

Requirements for successful implementation

Stratford upon Avon, 2007

group leader pre training qualifications
Group Leader pre-training qualifications
  • Professional health training (min 3 years)
  • Two years experience in the treatment of psychosis
  • Experience in meeting with the patients families
  • Recommended to training by administration

Stratford upon Avon, 2007

manual for pe multi family groups
Manual for PE Multi Family Groups
  • Joining sessions
    • Crises intervention
    • Motivation for group attendance
  • Survival Skills shop
    • 1.year; separate educational workshops
    • 2.year; group members: patients and relatives
  • Multifamily group meetings
  • 2 years, biweekly; 90 min.
    • 5 patients; each bring max 3 relatives, 2 group leaders
    • Problem solving and communication training

Stratford upon Avon, 2007

structure of sessions
Structure of sessions
  • Initial socializing 15 min
  • Go-round 20 min
  • Selecting a problem

to solve 5 min

  • Solving the problem 45min
  • Final socializing 5 min

Stratford upon Avon, 2007

pe mfg leader training
PE MFG leader training
  • Training program:
  • 60 hours
  • 10 Days
      • Theory and role-play
      • Evaluation instruments
    • Two years monthly group supervision

Stratford upon Avon, 2007

core targets of training
Review the concepts of the illness

The manual of PE MFG treatment

Role-play of the elements of PE MFG manual

Highlight the communication rules used in group

Acknowledge the competence and engagement of families.

Bringing patients and families together

Support family members in a problemsolving process based on the patients experiences in their everyday life.

Core Targets of training

Stratford upon Avon, 2007

the role of the group leader support patient and family members
Making group norms:

Soften confrontations

Reformulating critical comments

Validating recourses

Validating positive interactions

Support problem-solving

Patient's perspective

Positive reframing of families engagement

Phase orientation and structure

The Role of the Group Leader; support patient and family members

Stratford upon Avon, 2007

training challenges
Manual fidelity;

Time

Patient's choice for level of problem solving

Active listening vs interpretation

Combining leader and therapy qualities

Integrating communication skills, understanding of illness and problem solving techniques

Personal style

Training challenges

Stratford upon Avon, 2007

trainee s satisfaction
Trainee's satisfaction:
  • The MFG brings forward the family's competence
  • The method illustrates the needs of patients and families
  • The training supported the understanding of the need for and the benefits of a structured method
  • I have never earlier learned how to meet patients and families together
  • Competence in effective communication with patients and families
  • “It is never too late; but I wish I had learned this 20 years earlier.”

Stratford upon Avon, 2007

pe mfg expansion
TIPS (1997-2000)

N-Oslo/Ullevaal hospital 8

N-Stavanger 17

N-Haugesund 5

D-Roskilde, 5

Denmark

OPUS 25

Norway; 2001-

West/South: 40

East: 59

North: 16

Denmark: 2001-

OPUS:

Aarhus:

Copenhagen:

Roskilde:

PE MFG expansion

Stratford upon Avon, 2007

the opportunities in pe mfg
The opportunities in PE MFG
  • ……an opportunity for practitioners, consumers and families to better understand and overcome the symptoms of mental illness, while maintaining hope(McFarlane, 2004)

Stratford upon Avon, 2007