P1252428426uhbSB

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• Paula Mills
• Clinical Specialist
• The Meriden Family Work Programme
• paula.mills_at_bsmht.nhs.uk

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I believe strongly that Family Work should be
included in pre-registration curricula because

• It seems common sense!
• Moral/ethical argument
• Research evidence regarding efficacy
• Policy
• Current workforce

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Why?

• Health care professionals WILL be working with
  families and Carers.
• Biopsychosocial model, holistic practice.
• Group work skills.

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Moral/Ethical argument

• Carers need to have a voice and be recognised and
  involved within services/ in training.
• Carers need to have an understanding of the
  issues they face/services they have contact with.
• Carers need to have the skills to effectively
  support those they care for, and to maintain
  their own well being.

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Effects of Mental Health Problems on Families
Concrete

• Financial difficulties
• Constraints on social activities
• Effects on work/employment
• Effects on children
• Effects on health
• Disruption of household activities

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Effects of Mental Health Problems on Families
Emotional

• Stress
• Sense of loss
• Effects on own mental health
• Family relationships strained
• Emotional reactions anxiety about the future,
  fear etc.

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The Evidence Base

• There is an evidence base that shows Family Work
  to be effective.

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Family Intervention StudiesRelapse Rates at
6-12 months
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Recent reviews and meta-analyses

• Pitschel-Walz et al (2001) Psycho-educational
• interventions are essential to schizophrenia
  treatment.
• Bustillo et al (2001) Psycho-educational family
  intervention should be available to the majority
  of persons suffering from schizophrenia.
• Pilling et al (2002) Family intervention should
  be offered to people with schizophrenia who are
  in contact with carers.

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Policy

• There are numerous Government policies which
  support carer involvement and the implementation
  of Family Work.

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Government Policy Endorsing Family Work

• National Service Frameworks (1999)
• NHS Plan P.I.G (2000)
• Developing services for carers and families of
  people with mental illness (November 2002)
• NICE guidelines for Schizophrenia (December 2002)
• Delivering Race Equality (2005)

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NSF 6 The Carers Standard

• All individuals who provide regular and
  substantial care for a person on CPA should
• - have an assessment of their caring, physical
  and mental health needs repeated on at least an
  annual basis
• - have their own written care plan which is
  given to them and implemented in discussion with
  them

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NICE Guidelines on Schizophrenia
Standard Family interventions to be offered to
100 of families of individuals with
schizophrenia who have experienced a recent
relapse, are considered to be at risk of
relapsing, or who have persisting symptoms, and
are living with or in close contact with their
family. All individuals who receive family
interventions should be offered more than 10
sessions, the course of treatment lasting for
more than 6 months.
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The Current Workforce

• There are a significant number of workers already
  trained in family work across a variety of
  different clinical settings.

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MERIDEN - current numbers

• Current number of therapists trained - over 2000
  across the West Midlands.
• Current number of trainers 123 across 13 Trusts.

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Trainer Profile - Profession(n 123) June 2005
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Professional Breakdown of TraineesJuly 2005
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Pre-Registration Training

• 5 day training currently running with
  Wolverhampton University (Nurse Training).
• Positive feedback received.
• Further details contact Mr Robert Peumalu
  (Lecturer Practitioner)
• robert.peumalu_at_smhsct.nhs.uk

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Pre-Registration Training

• Potential Benefits
• Increased likelihood of Family Work being seen as
  core business?
• Students more open-minded to new ways of
  working?
• Increased implementation rates?

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Contact Details

• www.meridenfamilyprogramme.com
• Telephone [phone]