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Family Psychoeducation for Serious Mental Illness$
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Harriet P. Lefley

Print publication date: 2009

Print ISBN-13: 9780195340495

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195340495.001.0001

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Early Interventions

Early Interventions


Family Psychoeducation for Serious Mental Illness

Harriet P. Lefley

Oxford University Press

This chapter focuses on family psychoeducation (FPE) for prodromal interventions and for children and adolescents with a diagnosis of severe emotional disturbance (SED). In the Portland Identification and Early Referral (PIER) program in Maine, teachers and health care workers in seventeen school districts collaborate to identify prodromal signs of potential schizophrenia with referral for treatment. The integration of McFarlane's multi-family FPE with other treatments were used in PIER and for first-episode psychosis in various sites, including the Treatment and Intervention in Psychosis (TIPS) project in Norway and Denmark, and other European projects. First episode-psychosis interventions include the Prevention and Recovery of First Episode Psychosis (PREP) program in Illinois, and HOMES (Home-Oriented Management of Early Psychosis) in Australia. Family interventions for bipolar disorder of children and adolescents include RAINBOW, Ohio State University's Program for Childhood Mood Disorders, a Canadian program, and others. Positive findings include symptom alleviation and improved relationships with peers and families.

Keywords:   early psychosis, prodromal interventions, first-episode psychosis, PIER, TIPS, PREP, HOMES, multi-family psychoeducation, severe emotional disturbance, childhood bipolar disorder

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