Community Mental Health Journal

, Volume 41, Issue 2, pp 115–127

Applying the Readiness to Change Model to Implementation of Family Intervention for Serious Mental Illness

  • Michelle D. Sherman
  • Richard A. Carothers
Article

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 

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References

  1. Biegel, D. F., Song, L., Milligan, S. E. 1995A comparative analysis of family caregivers’ relationships with mental health professionalsPsychiatric Services46477482PubMedGoogle Scholar
  2. Bogart, T., Solomon, P. 1999Procedures to share treatment information among mental health providers, consumers and familiesPsychiatric Services5013211325PubMedGoogle Scholar
  3. Burland, J. 1998Family-to-family: A trauma and recovery model of family educationNew Directions in Mental Health Services773344Google Scholar
  4. Bush, G. (2002, April). President’s New Freedom Commission on Mental Health. Retrieved March 19, 2004 from http://www.mentalhealthcommission.gov.
  5. Constaneda, D., Sommer, R. 1989Mental health professionals’ attitudes toward the family’s role in care of the mentally illHospital and Community Psychiatry4011951197PubMedGoogle Scholar
  6. CuijpersP. Stam, H. 2000Burnout among relatives of psychiatric patients attending psychoeducational groupsPsychiatric Services51375379CrossRefPubMedGoogle Scholar
  7. Dixon, L., Lucksted, A., Stewart, B., Burland, J., Brown, C. H., Postrado, L., McGuire, C., Hoffman, M. 2004Outcomes of the peer-taught 12-week family-to-family education program for severe mental illnessActa Psychiatrica Scandinavica10919CrossRefGoogle Scholar
  8. Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M., Falloon, I., Mueser, K., Miklowitz, D., Solomon, P., Sondheimer, D. 2001Evidence-based practices for services to families of people with psychiatric disabilitiesPsychiatric Services52903910CrossRefPubMedGoogle Scholar
  9. Fadden, G. 1998Research update: Psychoeducational family interventionsJournal of Family Therapy20293309CrossRefGoogle Scholar
  10. 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.PraegerWestport, CT323
    Google Scholar
  11. Frances, A., Docherty J., P., Kahn, D. A. 1996Expert consensus guideline series: Treatment of schizophreniaJournal of Clinical Psychiatry5750PubMedGoogle Scholar
  12. 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.Google Scholar
  13. Marsh, D. T. 1992Families and mental health: New directions for professional practicePraegerNew YorkGoogle Scholar
  14. 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 SystemsMinneapolisMNGoogle Scholar
  15. Miller, W. R., Rollnick, C. 2002Motivational interviewing2GuilfordNew YorkGoogle Scholar
  16. Prochaska, J. O., DiClemente, C. C. 1983Stages and processes of self-change of smoking: Toward an integrative model of changeJournal of Consulting and Clinical Psychology51390395CrossRefPubMedGoogle Scholar
  17. Prochaska, J. O., DiClemente, C. C., Norcross, J. C. 1992In search of how people change: Applications to addictive behaviorsAmerican Psychologist4711021114CrossRefPubMedGoogle Scholar
  18. Prochaska, J. O., Norcross, J. C., DiClemente, C. C. 1995Changing for good. MorrowWilliam & CoNew YorkGoogle Scholar
  19. 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.Google Scholar
  20. Sherman M. D. (2003). Best Practices in Family Intervention for Serious Mental Illness. Retrieved November 14, 2003, from http://w3.ouhsc.edu/bpfamily.

Copyright information

© Springer 2005

Authors and Affiliations

  • Michelle D. Sherman
    • 1
  • Richard A. Carothers
    • 1
  1. 1.Oklahoma City VA Medical CenterOklahoma City

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