Seizing
an opportunity to take advantage of an Office of Mental Health
(OMH) funding focus on "best practices" for the upcoming
year, NAMI-NYC Metro advocates are stressing psychoeducation as
one to go for and urging NAMI to take a stronger stance in this
area.
Properly
run family education programs reduce patient relapses by more
than 50%, reported a 1995 National Institute of Mental Health
(NIMH)-sponsored study called PORT (for Patient Outcomes Research
Team). It was an exhaustive compilation of research on effective
treatments for schizophrenia and is considered one of the most
authoritative benchmarks in mental health. Although most of its
recommendations dealt with medication, family psychoeducation
was cited as one of two non-medication approaches most likely
to succeed (along with Assertive Community Treatment - ACT).
Since
psychoeducation is rated as one of the best, if not THE best,
practice, NAMI members must unite in supporting this program and
in advocating for its implementation throughout the state, urges
Jim Reiser, who chairs the Media and Advocacy Committee. Besides
NAMI's voluntary Family-to-Family program, NAMI should also advocate
that every hospital with a psychiatric department should provide
a family education unit available for families in crisis.
Despite
the strong argument that family education is the best evidenced-based
practice, most state and local mental health systems have neglected
this practice, Reiser points out.
Several
states that have implemented family psychoeducation have reported
changed attitudinal mindsets of clinicians and social workers.
Rather than looking at families as a "pathological"
influence or hindrance, trained and enlightened clinicians see
families as collaborators and equal participants in the recovery
and renewal system, ensuing reports point out. This program holds
profound implications for the family movement, Reiser and his
committee believe.
Family
Psychoeducation in PORT includes these features:
Research
has shown that to be really effective these programs must run
at least nine months and groups meet every other week. NAMI's
Family-to-Family program is different in that generally consumers
are not included, nor do professionals create the groups.
Note:
Family-to-Family was not included in the PORT study since it was
new and had not been researched.
The
goal for these advocates is to make this "best practice"
from the PORT study standard practice.