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The Outcome of Training Community Psychiatric Nurses to Deliver Psychosocial Intervention

Published online by Cambridge University Press:  02 January 2018

Charles Brooker ,
Ian Falloon ,
Antony Butterworth ,
David Goldberg ,
Victor Graham-Hole  and
Valerie Hillier
Charles Brooker*
Affiliation:
University of Sheffield
Ian Falloon
Affiliation:
Department of Psychiatry and Behavioral Science, University of Auckland
Antony Butterworth
Affiliation:
Department of Nursing, University of Manchester
David Goldberg
Affiliation:
Institute of Psychiatry, London
Victor Graham-Hole
Affiliation:
Finmere, Buckingham
Valerie Hillier
Affiliation:
University of Manchester
*
Dr Charles Brooker, Director of Nursing Research, SCHARR, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DP
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Abstract

Background.

A prospective quasi-experimental design was used to evaluate the effect of training CPNs to undertake psychosocial intervention with families caring for a relative with schizophrenia.

Method.

Patients meeting predetermined criteria were allocated to either an initial waiting-list control group or a delayed intervention group. The CPNs were trained to offer family interventions to a total target group of 48. Treatment was eventually accepted by 85%, of whom 81 % (n = 34) were followed-up for 12 months. Families received a weekly mean session of 47 minutes (compared with 33 minutes in the controls). The main outcome measures are frequency and severity of symptoms (KGV), social functioning (SFS) and days in hospital. Carers' minor psychiatric morbidity (GHQ) and knowledge (KASI) are also reported.

Results.

In the patient group both the positive and negative symptoms of schizophrenia improved significantly (P ≤ 0.001 and P ≤ 0.01 respectively) to 12-month follow-up, as did a global measure of social functioning (P ≤ 0.001). Tentative evidence was also collected that family intervention reduced in-patient episodes. Benefits for relatives included a decrease in minor psychiatric morbidity (P ≤ 0.05) and an increase in knowledge about neuroleptic drugs (P ≤ 0.001).

Conclusions.

The study offers some evidence that CPNs can be taught to improve the outcome for families who care for a relative with schizophrenia.

Type
Papers
Information
The British Journal of Psychiatry , Volume 165 , Issue 2 , August 1994 , pp. 222 - 230
Copyright
Copyright © Royal College of Psychiatrists, 1994 

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