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Top 30 Quality Measures

Family Interventions for Schizophrenia Overall Rank: 8 Best in Domain
Family interventions should be offered to families of individuals with schizophrenia who have experienced a recent relapse or have persisting symptoms, and are living with or in close contact with their family.  Key intervention elements include duration of at least 9 months, illness education, crisis intervention, emotional support, and training in how to cope with illness symptoms and related problems.
Domain : Patients with Psychosis
Psychosis refers to a serious mental disorder (such as schizophrenia) characterized by defective or lost contact with reality, often with hallucinations or delusions.
Additional Domain(s) : Accessibility, Family Involvement
Rationale
Psychological treatments should be an indispensable part of the treatment options available for service users and their families in the effort to promote recovery. Those with the best evidence of effectiveness are cognitive behavioural therapy and family interventions. These should be used to prevent relapse, to reduce symptoms, increase insight and promote adherence to medication.
Primary Reference
National Collaborating Centre for Mental Health. (2002). Schizophrenia: Core interventions in the treatment and management of schizophrenia in primary and secondary care. London, UK: National Institute for Clinical Excellence. Retrieved on Aug 3, 2006 from: http://www.nice.org.uk/page.aspx? o=CG001NICEguideline
Level of Evidence
I: Consistently higher quality studies specifically focused on primary mental health care.

Summarized CommentsAdd Comment
  • This is good, but must respect the patient’s privacy and wishes.
  • Actionability in PHC depends on availability of community supports (e.g. local chapter of schizophrenia society)
  • 80% of those with schizophrenia are residing with family or a caregiver. Many families/caregivers are exhausted and/or burnt out and suffer terribly. Very little consideration is given to family trauma, turmoil and the life-long greiving that occurs.
Variation in Results
Ratings-based Rank
Relevance 13
Actionability 14
Overall Importance 9
 
Stakeholder Rank
Academics 5
Clinicians 12
Consumers 26
Decision Makers 9
 
Special Group Rank
First Nations 14
Rural Areas 13
Federal Stakeholders 6
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
6 14 17 27 26 22 29 25 78 2 108 56 65
 
Overall Rank

      

8


SA11a (H837)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0 0.54 0.36 0.43 0.9 2.79 10.05 27.98 56.95
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0 2.24 1.52 1.22 1.26 6.07 19.38 30.58 37.73
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
1.26 9.62 89.12
3 2 1

3 = can live without
2 = nice to have
1 = indispensable

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The views expressed herein do not necessarily represent the official policies of Health Canada