P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February19,2009 20:1 Printer:Yettocome A Casebook of Family Interventions for Psychosis i P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February19,2009 20:1 Printer:Yettocome ii P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February19,2009 20:1 Printer:Yettocome A Casebook of Family Interventions for Psychosis Editors Fiona Lobban and Christine Barrowclough A John Wiley & Sons, Ltd, Publication iii P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February19,2009 20:1 Printer:Yettocome Thiseditionfirstpublished2009 (cid:1)c 2009JohnWiley&SonsLtd. Wiley-BlackwellisanimprintofJohnWiley&Sons,formedbythemergerofWiley’sglobal Scientific,Technical,andMedicalbusinesswithBlackwellPublishing. RegisteredOffice JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK EditorialOffices TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 9600GarsingtonRoad,Oxford,OX42DQ,UK 350MainStreet,Malden,MA02148-5020,USA Fordetailsofourglobaleditorialoffices,forcustomerservices,andforinformationabouthowto applyforpermissiontoreusethecopyrightmaterialinthisbookpleaseseeourwebsiteat www.wiley.com/wiley-blackwell. Therightoftheeditorstobeidentifiedastheauthorsoftheeditorialmaterialinthisworkhas beenassertedinaccordancewiththeCopyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,or transmitted,inanyformorbyanymeans,electronic,mechanical,photocopying,recordingor otherwise,exceptaspermittedbytheUKCopyright,DesignsandPatentsAct1988,withoutthe priorpermissionofthepublisher. Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsin printmaynotbeavailableinelectronicbooks. Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks. Allbrandnamesandproductnamesusedinthisbookaretradenames,servicemarks,trademarks orregisteredtrademarksoftheirrespectiveowners.Thepublisherisnotassociatedwithany productorvendormentionedinthisbook.Thispublicationisdesignedtoprovideaccurateand authoritativeinformationinregardtothesubjectmattercovered.Itissoldontheunderstanding thatthepublisherisnotengagedinrenderingprofessionalservices.Ifprofessionaladviceor otherexpertassistanceisrequired,theservicesofacompetentprofessionalshouldbesought. LibraryofCongressCataloging-in-PublicationData Acasebookoffamilyinterventionsforpsychosis/editedbyFionaLobbanand ChristineBarrowclough. p. ; cm. Includesbibliographicalreferencesandindex. ISBN978-0-470-02707-3–ISBN978-0-470-02708-0 1.Psychoses. 2.Psychoses–Patients–Familyrelationships. 3.Familypsychotherapy. I.Lobban,Fiona. II.Barrowclough,Christine. [DNLM: 1.PsychoticDisorders–therapy. 2.FamilyTherapy–methods. WM200C33732009] RC512.C368 2009 616.89(cid:1)156–dc22 2008052788 AcataloguerecordforthisbookisavailablefromtheBritishLibrary. Setin10.5/13ptMinionbyAptaraInc.,NewDelhi,India PrintedintheUnitedKingdombyTJInternationalLtd,Padstow,Cornwall 1 2009 iv P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February11,2009 6:51 Printer:Yettocome Contents AbouttheEditors ix Contributors xi Preface xv I INTRODUCTION 1 1 WhyAreFamilyInterventionsImportant?AFamily MemberPerspective 3 MartinGregory II FIRSTEPISODEPSYCHOSIS 21 2 FamilyWorkinEarlyPsychosis 23 Gra´inneFaddenandJoSmith 3 AModelofFamilyWorkinFirst-EpisodePsychosis: ManagingSelf-Harm 47 JeanAddington,AprilCollins,AmandaMcCleeryandSabrina Baker 4 WorkingwithFamiliestoPreventRelapsein First-EpisodePsychosis 67 KingsleyCrispandJohnGleeson III INTERVENTIONSFOCUSINGONDRUGUSE 91 5 FamilyInterventionforComplexCases:Substance UseandPsychosis 93 IanLowens,SamanthaE.BoweandChristineBarrowclough v P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February11,2009 6:51 Printer:Yettocome vi Contents 6 FamilyMotivationalInterventioninEarlyPsychosisand CannabisMisuse 117 MaartenSmeerdijk,DonLinszen,TomKuipersandRen´eKeet IV VARIETYOFISSUESARISINGINWORKING WITHRELATIVES 139 7 ACaseofFamilyInterventionwitha‘HighEE’Family 141 JulianaOnwumere,BenSmithandElizabethKuipers 8 ComingtoTermswithMentalIllnessinthe Family–WorkingConstructivelythroughItsGrief 167 VirginiaLafond 9 InterventionswithSiblings 185 JoSmith,Gra´inneFaddenandMichelleO’Shea 10 FamilyInterventionwithEthnicallyandCulturally DiverseGroups 211 JulianaOnwumere,BenSmithandElizabethKuipers V WORKINGINDIFFERENTCONTEXTS 233 11 MultipleFamilyGroupsinEarlyPsychosis:ABrief PsychoeducationalandTherapeuticIntervention 235 DavidGlentworth 12 MeetingtheNeedsofFamiliesonInpatientUnits 259 ChrisMansellandGra´inneFadden VI SERVICERELATEDISSUES 285 13 SettingUpaFamilyInterventions(FI)Service–AUK CaseStudy 287 FrankBurbachandRogerStanbridge 14 OvercomingBarrierstoStaffOfferingFamilyInterventions intheNHS 309 Gra´inneFadden P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February11,2009 6:51 Printer:Yettocome Contents vii VII RELATIVES’SUPPORTINGEACHOTHER 337 15 TheCOOLApproach 339 ClaudiaBenzies,GwenButcherandTomLinton VIII CONCLUSION 355 16 SummaryandConclusions–WhereAreWeuptoandWhere AreWeGoing? 357 FionaLobbanandChristineBarrowclough Index 369 P1:SFK/XXX P2:SFK/XXX QC:SFK/XXX T1:SFK fm JWBK294-Lobban February11,2009 6:51 Printer:Yettocome viii