Family intervention needs of carers of persons with depressive disorders

Abstract

Psychoeducational interventions for families of persons with mental health problems have been empirically proven as effective in reducing relapse rates and improving family functioning. The aim of this study was to describe the lived experiences of families participating in psychoeducation and identify benefits as perceived by family and whether there is evidence that family behaviours change as a result of this type of intervention. In order to reach these objectives, an extensive review of the literature on this topic was carried out and then, a qualitative approach was adopted to delve into the deeper meanings of individual experiences. Collection of data was carried out through observation of the interactions within the psychoeducational group and semi-structured interviews with a number of participants of the same group. Thematic analysis of the data collected enabled the researcher to identify, analyse and report patterns in participants' narratives. Emerging themes were then analysed. Results indicated that the overall experience of interviewed family members in the observed psychoeducational group was a positive one. Benefits related to the changes in attitudes and family relationships prevailed after participation in psychoeducation. This study suggests that prior to attending the group, feelings of helplessness, fear, confusion and frustration prevailed mainly due to lack of information, which also led to stressed relationships with the ill relative. Increased understanding and empowerment of family members led to improved family functioning and also influenced their self efficacy in their caregiving role. Emerging patterns from the data indicated that the major benefits gained by the caregivers from these sessions can be summed up into the following themes: education and knowledge, support, changes in attitudes and family relationships, psychological well-being and empowerment. These results implicate that these type of interventions are effective in addressing carers' needs. Therefore it is imperative that such interventions become an integrative part of care programs for families of persons with mental health problems. Social workers and other professionals in the mental health field, may use psychoeducation as a tool in empowering families to cope. However, although psychoeducation provides substantial support to family members, their needs are spread on a much broader scale and require more resources and interventions. Coordination and collaboration between service providers are essential in providing more efficient and effective services. It is crucial to keep in focus the fact that the needs of the family and the ill relative are interrelated and interdependent and the family's general well-being is essential for the ill relative's progress.