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Training Group Leaders for Psychoeducational Multi Family Work

Training Group Leaders for Psychoeducational Multi Family Work. Anne Fjell, MSW Ullevaal University Hospital. Oslo, Norway. Psychoeducational Multi Family Groups in the TIPS Project; Norway and Denmark. ED: Stavanger & Haugesund(N). NED: Oslo(N) & Roskilde(D).

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Training Group Leaders for Psychoeducational Multi Family Work

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  1. Training Group Leaders for Psychoeducational Multi Family Work Anne Fjell, MSW Ullevaal University Hospital. Oslo, Norway Stratford upon Avon, 2007

  2. Psychoeducational Multi Family Groups in the TIPS Project; Norway and Denmark ED: Stavanger & Haugesund(N) NED: Oslo(N) & Roskilde(D) Stratford upon Avon, 2007

  3. What will families of persons with schizophrenia need Patients who have an on-going contact with their families should be offered a family psychosocial intervention which spans at least nine months and which provides combinations of ; • Educations about the illness • Family support • Crises intervention • Problem solving skills training Lehman et al, PORT treatment recommendations, 2003 Stratford upon Avon, 2007

  4. What is Family Psychoeducation? • An approach designed to; • Help families and consumers better understand mental illness while working together towards recovery • Recognize the family`s important role in recovery • Help clinicians see markedly better outcome for consumers and families Stratford upon Avon, 2007

  5. Central assumptions of the psychoeducational model • Success in promoting change in behaviour and attitude requires: • The establishment of a cooperative, collegial, non-judgemental relationship among all parties • Education supplemented with continued support and guidance • Breaking down problems into their components and solving them in a stepwise fashion • Support from a network of well-informed and like-thinking people Stratford upon Avon, 2007

  6. Targeted training Ongoing supervision Organisational support Persistent championship of the innovation by one agency staff Adaptability of the innovation Credible evidence of success for innovative programme (Fadden et al, 1997) Requirements for successful implementation Stratford upon Avon, 2007

  7. Group Leader pre-training qualifications • Professional health training (min 3 years) • Two years experience in the treatment of psychosis • Experience in meeting with the patients families • Recommended to training by administration Stratford upon Avon, 2007

  8. Manual for PE Multi Family Groups • Joining sessions • Crises intervention • Motivation for group attendance • Survival Skills shop • 1.year; separate educational workshops • 2.year; group members: patients and relatives • Multifamily group meetings • 2 years, biweekly; 90 min. • 5 patients; each bring max 3 relatives, 2 group leaders • Problem solving and communication training Stratford upon Avon, 2007

  9. Structure of sessions • Initial socializing 15 min • Go-round 20 min • Selecting a problem to solve 5 min • Solving the problem 45min • Final socializing 5 min Stratford upon Avon, 2007

  10. PE MFG leader training • Training program: • 60 hours • 10 Days • Theory and role-play • Evaluation instruments • Two years monthly group supervision Stratford upon Avon, 2007

  11. Review the concepts of the illness The manual of PE MFG treatment Role-play of the elements of PE MFG manual Highlight the communication rules used in group Acknowledge the competence and engagement of families. Bringing patients and families together Support family members in a problemsolving process based on the patients experiences in their everyday life. Core Targets of training Stratford upon Avon, 2007

  12. Making group norms: Soften confrontations Reformulating critical comments Validating recourses Validating positive interactions Support problem-solving Patient's perspective Positive reframing of families engagement Phase orientation and structure The Role of the Group Leader; support patient and family members Stratford upon Avon, 2007

  13. Manual fidelity; Time Patient's choice for level of problem solving Active listening vs interpretation Combining leader and therapy qualities Integrating communication skills, understanding of illness and problem solving techniques Personal style Training challenges Stratford upon Avon, 2007

  14. Trainee's satisfaction: • The MFG brings forward the family's competence • The method illustrates the needs of patients and families • The training supported the understanding of the need for and the benefits of a structured method • I have never earlier learned how to meet patients and families together • Competence in effective communication with patients and families • “It is never too late; but I wish I had learned this 20 years earlier.” Stratford upon Avon, 2007

  15. TIPS (1997-2000) N-Oslo/Ullevaal hospital 8 N-Stavanger 17 N-Haugesund 5 D-Roskilde, 5 Denmark OPUS 25 Norway; 2001- West/South: 40 East: 59 North: 16 Denmark: 2001- OPUS: Aarhus: Copenhagen: Roskilde: PE MFG expansion Stratford upon Avon, 2007

  16. The opportunities in PE MFG • ……an opportunity for practitioners, consumers and families to better understand and overcome the symptoms of mental illness, while maintaining hope(McFarlane, 2004) Stratford upon Avon, 2007

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