P01-227-Implementing family psychoeducational intervention in bipolar i disorder: a randomized controlled trial

2011 ◽  
Vol 26 (S2) ◽  
pp. 228-228
Author(s):  
M. Luciano ◽  
V. Del Vecchio ◽  
C. Malangone ◽  
D. Giacco ◽  
C. De Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Health Workers ◽  
Controlled Trial ◽  
Family Intervention ◽  
Mental Health Workers ◽  
Control Group ◽  
Bipolar I Disorder ◽  
Social Burden ◽  
Short Period

IntroductionBipolar disorder is associated with high personal and social burden, impaired social functioning and high levels of disability. The psychoeducational family intervention, found to be effective in the treatment of schizophrenia, may be particularly useful for patients with bipolar disorder and their relatives.Aims & methodsThis study, funded by the Italian Ministry of Health, coordinated by the Department of Psychiatry of the University of Naples SUN and carried out in 11 randomly selected mental health centres, included the following phases1) development of informative materials;2) training of 2 mental health workers per center;3) random selection of 16 families of patients with bipolar disorder for each center: 8 being randomly allocated to the experimental group and 8 to the control group.Results62 families have been recruited. Mental health workers reported several advantages in conducting the intervention, in particular in the relationship with patients and families. Significant improvements have been reported in professional skills and relationships with colleagues. The advantages tend to increase over time. The main reported difficulties are lack of time to run the intervention, identification of appropriate families, excessive workload and the need to integrate this intervention with other work commitments.ConclusionsIt is possible to provide psychoeducational family intervention for patients with bipolar I disorder and their families, after a relatively short period of training. In order to facilitate the dissemination of this intervention in routine conditions, a better planning of the activities of the mental health centers may be useful.

Relationship Enhancement® as an Intervention to Facilitate Rehabilitation of Persons with Severe Mental Illness

1997 ◽  
Vol 28 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Michael P. Accordino ◽  
James T. Herbert
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Workers ◽  
Family Intervention ◽  
Mental Health Workers ◽  
Rehabilitation Counselors ◽  
Family Interactions ◽  
Relationship Enhancement ◽  
Behavioral Family Intervention ◽  
Skill Building

Relationship Enhancement® (RE) is an effective approach to improve family interactions. RE is a behavioral family intervention with a psychoeducational approach that emphasizes skill building rather than symptom reduction. This article describes RE and how it may be particularly useful in facilitating rehabilitation efforts for families who have a member with serious mental illness (SMI). Mental health workers and rehabilitation counselors who intervene on a family systems level may find this approach particularly helpful.

Effectiveness of Psychoeducational Family Intervention on Coping Strategies of Relatives of Patients with Bipolar I Disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. S78-S78
Author(s):  
M. Savorani ◽  
G. Borriello ◽  
V. Del Vecchio ◽  
G. Sampogna ◽  
C. De Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Coping Strategies ◽  
Family Intervention ◽  
Health Centers ◽  
Control Group ◽  
Long Term Outcome ◽  
Bipolar I Disorder ◽  
Mental Health Centers ◽  
The Impact ◽  
Experimental Group

BackgroundRelatives’ coping strategies – an essential element for the recovery of patients with severe mental disorders – are grouped in problem-oriented and emotion-focused. The former include practical strategies to deal with the stressful situation and are associated with a better long-term outcome of patients and relatives; the latter are psychologically driven and are associated with a worse outcome. It has been reported that psychoeducational family intervention (PFI) can improve problem-oriented coping strategies, while few data are available on relatives of patients with bipolar disorder.ObjectivesTo assess the impact of the PFI on promotion of problem-oriented coping strategies adopted by relatives of patients with bipolar I disorder.MethodsThis study was conducted in 11 Italian mental health centers. Patients and their relatives were allocated to the experimental group receiving PFI or to the control group (waiting list). Before starting the intervention and at the end of the PFI, coping strategies were assessed using the family coping questionnaire.ResultsOf the 139 recruited families, 72 families were allocated to the experimental group and 67 to the control group. Relatives from the experimental group reported a significant improvement in problem-oriented coping strategies, such as positive communication (P < .01) and searching for information (P < .05). On the other hand, a reduction in collusion (P < .0001), avoidance (P < .01) and resignation (P < .001) were found at the end of the intervention.ConclusionsPFI is effective in promoting the coping strategies in relatives of patients with bipolar I disorder and it should be given routinely in mental health centers.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Reducing Burnout Among Mental Health Workers

1999 ◽  
Author(s):  
S. Geurts ◽  
W. Schaufeli ◽  
J De Jonge
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Mental Health Workers

Fostering Resilience in Response to Terrorism Among Mental Health Workers

2004 ◽  
Author(s):  
Karen W. Saakvitne ◽  
◽  
B. Hudnall Stamm ◽  
Laura Barbanel
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Mental Health Workers

scholarly journals Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic

2021 ◽  
Vol 18 (9) ◽  
pp. 4457
Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Organizational Support ◽  
Sleep Problems ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Mental Health Workers ◽  
Sectional Study ◽  
Cross Sectional

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

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