Group Formats Copy

Psychoeducation groups

In early psychosis, Falloon’s work in the late 1980’s established a connection between improved recovery outcomes and the extent of family knowledge of psychosis and coping strategies. His work has been replicated to warrant support for the development of psychoeducation for all family and social group members in an EPI program.

There is limited research on sibling groups; however, anecdotal reports from groups run in the Fraser EPI Program have found a range of needs experienced by siblings. They are concerned about their role in their brother/sister’s illness, impact on their parents and their frustration with the pace of recovery. (Note: Canadian Mental Health Association have developed a sibling guide for early psychosis)

Providing the client with information about the illness, management techniques, importance of compliance to medication and relapse prevention are all important components of psychoeducation.

Cognitive behavior therapy groups

Cognitive behavior therapy is a useful technique in early psychosis intervention. CBT is an evidence-based strategy for treating issues with mood, anxiety, and a number of other comorbid conditions seen in early psychosis. A more advanced form of CBT that requires even more specialized training is using CBT to help with any persistent psychotic symptoms.

Multi-family groups

Multi-family groups have been shown to be effective in providing psychoeducation and support to families as well as in preventing relapse and improving outcomes for clients. The group is composed of multiple families and is brought together to focus on their role as partners in treatment and rehabilitation of the early psychosis client. Topics such as managing symptoms, medications, problem solving, and recovery and stress management are explored over the course of recovery.

Activity Three

Find out what types of groups are already being offered in your community – at the mental health centre as well as through other community agencies. Think about whether any of these groups might be appropriate for any of your early psychosis clients and/or families. Alternatively, perhaps there are opportunities to work with other group facilitators to form a new group that is needed in your community.