Applying the Readiness to Change Model to Implementation of Family Intervention for Serious Mental Illness
10.1007/s10597-005-2647-8 Cite this article as: Sherman, M.D. & Carothers, R.A. Community Ment Health J (2005) 41: 115. doi:10.1007/s10597-005-2647-8 Abstract
Family intervention for serious mental illness is known to be highly efficacious in reducing patient relapse, improving social functioning, enhancing caregivers’ knowledge of mental illness, and ultimately reducing overall costs of care. However, very few families receive services. The reasons for this gap between empirical findings and program implementation are complex and not yet fully understood. Prochaska and DiClemente’s Readiness to Change Model provides a helpful structure for understanding key issues for the four relevant stakeholders (patients, family members, clinicians and administrators). Staging each stakeholder group and applying corresponding “interventions” (processes of change) are useful in a site’s implementation of family services.
Keywords family education family psychoeducation serious mental illness readiness to change Transtheoretical Model References Biegel, D. F., Song, L., Milligan, S. E. 1995 A comparative analysis of family caregivers’ relationships with mental health professionals Psychiatric Services 46 477 482 PubMed Bogart, T., Solomon, P. 1999 Procedures to share treatment information among mental health providers, consumers and families Psychiatric Services 50 1321 1325 PubMed Burland, J. 1998 Family-to-family: A trauma and recovery model of family education New Directions in Mental Health Services 77 33 44
Bush, G. (2002, April). President’s New Freedom Commission on Mental Health. Retrieved March 19, 2004 from
Constaneda, D., Sommer, R. 1989 Mental health professionals’ attitudes toward the family’s role in care of the mentally ill Hospital and Community Psychiatry 40 1195 1197 PubMed CuijpersP. Stam, H. 2000 Burnout among relatives of psychiatric patients attending psychoeducational groups Psychiatric Services 51 375 379 CrossRef PubMed Dixon, L., Lucksted, A., Stewart, B., Burland, J., Brown, C. H., Postrado, L., McGuire, C., Hoffman, M. 2004 Outcomes of the peer-taught 12-week family-to-family education program for severe mental illness Acta Psychiatrica Scandinavica 109 1 9 CrossRef Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M., Falloon, I., Mueser, K., Miklowitz, D., Solomon, P., Sondheimer, D. 2001 Evidence-based practices for services to families of people with psychiatric disabilities Psychiatric Services 52 903 910 CrossRef PubMed Fadden, G. 1998 Research update: Psychoeducational family interventions Journal of Family Therapy 20 293 309 CrossRef Falloon, I. R. H., Roncone, R., Held, T., Coverdale, J. H., Laidlaw, T. M. 2002 An international overview of family interventions Lefley, H. P. Johnson, D. L. eds. Family interventions in mental illness International perspectives. Praeger Westport, CT 3 23 Frances, A., Docherty J., P., Kahn, D. A. 1996 Expert consensus guideline series: Treatment of schizophrenia Journal of Clinical Psychiatry 57 50 PubMed
Lehman, A. F., Steinwachs, D. M., Survey Co-Investigators of the PORT Project. (1998). Patterns of usual care for schizophrenia: Initial results from the Schizophrenia Patient Outcomes Research Team (PORT) client survey. Schizophrenia Bulletin, 24(1), 11–20.
Marsh, D. T. 1992Families and mental health: New directions for professional practice Praeger New York McCutcheon, S. 2003 JuneMental Health QUERI and Family Psychoeducation: The Beginning of a Translation Journey. Poster session presented at the meeting of the VA Midwest Health Care Network 23 Mental Health Service Line: Best Practices in Network Mental Healthcare Systems Minneapolis MN Miller, W. R., Rollnick, C. 2002Motivational interviewing2 Guilford New York Prochaska, J. O., DiClemente, C. C. 1983 Stages and processes of self-change of smoking: Toward an integrative model of change Journal of Consulting and Clinical Psychology 51 390 395 CrossRef PubMed Prochaska, J. O., DiClemente, C. C., Norcross, J. C. 1992 In search of how people change: Applications to addictive behaviors American Psychologist 47 1102 1114 CrossRef PubMed Prochaska, J. O., Norcross, J. C., DiClemente, C. C. 1995Changing for good. Morrow William & Co New York
Sautter F., Lyons J., Mangino-Mire G., Perry D., Myers L., Sherman M., Sullivan G. (submitted for publication).
Predictors of partner engagement in the treatment of post-traumatic stress disorder.
Sherman M. D. (2003).
Best Practices in Family Intervention for Serious Mental Illness
. Retrieved November 14, 2003, from