Abstract
Objective
Because family oriented patient care improves patient outcome and reduces family burden, clinical family skills of communication assessment alliance and support are part of core competencies required of all residents. Teaching residents to “think family” as part of core competencies and to reach out to families requires change in the teaching environment.
Methods
This article advocates teaching residents family skills throughout the training years as an integrated part of routine patient care rather than in isolated family clinics or a course in “family therapy.” It reviews family skills required of residents in all treatment settings and family skills that are specific to inpatient, emergency room, outpatient, and consultation-liaison services.
Results
Families can be seen in multiple treatment settings throughout resident training using recent research to support appropriate interventions for patients and caregivers.
Conclusion
The process of establishing change in the training environment requires a commitment on the part of the training faculty to include families, but is possible within the current training framework.
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References
Hero A: Family psychiatry: from research to practice. Am. J Psychiatry 2006; 163: 962–968
American Psychiatric Association: Practice Guidelines for the Treatment of Patients with Schizophrenia, 2nd ed. Am J Psychiatry 2004; 161(Feb Suppl)
American Psychiatric Association Work Group on Depressive Disorder (revision) Am J Psychiatry 2000: 157(Apr Suppl)
American Psychiatric Association: Practice Guidelines for the Treatment of Patients with Bipolar Disorder, revised ed. Am J Psychiatry 2002; 159(Apr Suppl)
Residency Review Committee for Psychiatry. Available at http://www.acgme.org. Accessed July, 2006.
Slovik LS, Griffith JL, Forsythe L, et al: Redefining the role of family therapy in psychiatric residency education. Acad Psychiatry 1997; 21: 35–41
Guttman H, Feldman RB, Engelsmann F, et al: The relationship between psychiatrists’ couple and family therapy training experience and their subsequent practice profile. J Marital and Family Therapy 1999; 25: 31–41
Marshall TB, Solomon P: Releasing information to families of persons with severe mental illness: a survey of NAMI members. Psychiatr Serv 2000; 51: 1006–1011
Rose LE, Mallinson RK, Walton-Moss B: Barriers to family care in psychiatric settings. J Nurs Scholarsh 2004; 36: 39–47
Levine C, Zuckerman C: The trouble with families: toward an ethic of accommodation. Ann Intern Med 1999; 130: 148–152
Seaburn D, McDaniel S, Kim S, et al: The role of the family in resolving bioethical dilemmas: clinical insights from a family systems perspective. J Clin Ethics 2004; 15: 123–134
Berman EM, Heru AM, Grunebaum H, et al, Group for the Advancement of Psychiatry Committee on the Family: Family skills for general psychiatry residents: meeting ACGME core competency requirements. Acad Psychiatry 2006; 30: 69–78
Dixon L, Luckstead A, Stewart B, et al: Outcomes of the peertaught 12-week family-to-family education program for severe mental illness. Acta Psychiatrica Scandinavica 2004; 109: 207–215
Solomon P, Draine J, Mannion E, et al: Effectiveness of two models of brief family education: retention of gains by family members of adults with serious mental illness. Am J Orthopsychiatry 1997; 67: 177–186
Doherty WJ: Boundaries between patient and family education and family therapy. Family Relations 1995; 44: 353–358
DeMaria R, Weeks G, Hof L: Focused Genograms. Philadelphia, Brunner/Mazel, 1999
Heru AM: Basic family skills for an inpatient psychiatrist: meeting ACGME core competency requirements. Fam Syst Health 2004; 22: 216–227
Heru AM, Drury L: Working with Families of Psychiatric Inpatients. Baltimore, Johns Hopkins University Press, 2007
Karpel M: Evaluating Couples. New York, WW Norton & Co., 1994, pp 79–113
Rolland JS: Families, Illness and Disability: An Integrative Treatment Model. New York, Basic Books, 2004
Heru AM, Drury L: Overcoming barriers in working with families. Acad Psychiatry 2006; 30: 379–384
Hudak, J, Krestan JA, Bepko C. Alcohol problems and the family life cycle, in The Expanded Family Life Cycle, 3rd ed. Edited by Carter B, McGoldrick M. New York, Allyn & Bacon, 1999
O’Farrell T, Murphy CM, Stephan SH, et al: Partner violence before and after couples based alcoholism treatment for male alcoholic patients: the role of treatment involvement and abstinence. J Consult Clin Psychol 2004; 72: 202–217
Walsh F, McGoldrick M: Living Beyond Loss. New York, WW Norton & Co., 1991
Carter B, McGoldrick M (eds): The Expanded Family Life Cycle, 3rd ed. New York, Allyn & Bacon, 1999
Sörensen S, Pinquart M, Habil D, et al: How effective are interventions with caregivers? An updated meta-analysis. Gerontologist 2002; 42: 356–372
McFarlane WR, Dixon L, Lukens E, et al: Family psychoeducation and schizophrenia: a review of the literature. J Marital Fam Ther 2003; 29: 223–245
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Berman, E.M., Heru, A., Grunebaum, H. et al. Family-Oriented Patient Care through the Residency Training Cycle. Acad Psychiatry 32, 111–118 (2008). https://doi.org/10.1176/appi.ap.32.2.111
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DOI: https://doi.org/10.1176/appi.ap.32.2.111