The Maimonides Family Support Demonstration Project, 1986-1989: A study to evaluate a two-year course of psycho-educational multi-family treatment.
Item
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Title
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The Maimonides Family Support Demonstration Project, 1986-1989: A study to evaluate a two-year course of psycho-educational multi-family treatment.
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Identifier
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AAI9207055
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identifier
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9207055
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Creator
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Carney, John A.
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Contributor
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Adviser: Rebecca Donovan
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Date
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1991
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Language
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English
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Publisher
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City University of New York.
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Subject
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Social Work
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Abstract
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This three-year long controlled study successfully demonstrates the effectiveness of a tri-partite treatment intervention comprised of psycho-educational multi-family treatment, lowest-dose prescription of neuroleptic medications and clinical case management with individuals who have long-term schizophrenia.;The study's statistically significant findings indicate that, during a two-year course of treatment, experimental cohort patients' symptoms were ameliorated, their rates of rehospitalization reduced, their community tenure extended and their rehabilitation promoted. Further, experimental cohort family members' emotional reactivity to their ill relatives was substantially reduced, their appreciation of their ill relatives' efforts to overcome the adverse impact of their illnesses increased and their own social functioning greatly improved. These findings coincide with those of the major psycho-educational family studies carried out in this country over the last several years.;Other findings of particular interest include the following: (1) The highly individualized course of illness and recovery experienced by each patient subject, as documented in comprehensive individual case studies. (2) The failure of both the Community Mental Health Center where the study was undertaken and New York City's mental health system to foster the rehabilitation of the study's patient subjects, as documented in a thorough cost-benefit analysis of all treatments received by them. (3) The interactive and synergistic nature of the three treatments which, in combination, comprised the study's treatment intervention. (4) The cumulative impact of the three-part treatment, with its benefits more readily apparent during the second year of treatment. (5) The interactive nature of the phenomenon popularly known as "expressed emotion", with family anxiety and patient symptomatology found to be mutually exacerbative.;To facilitate understanding by readers, each treatment intervention is fully described as is the treatment context, i.e., the organizational characteristics of the community mental health center where the study was carried out.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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D.S.W.
