{"title":"Communication Targets and Applications for Family Members of People With Early Psychosis and Substance Use","authors":"Patrick Y. Kelly, Max H. Cook, Julie M. McCarthy","doi":"10.1111/eip.70077","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Poor family communication can worsen early psychosis and substance use outcomes. While families find communication skills valuable, which components to offer in resource-limited settings remain unclear. This study identified communication strengths/areas of improvement, <i>conversations</i> families wanted to practise, and their communication happiness with their relative versus people generally.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Family members (<i>N</i> = 36) of relatives with early psychosis and substance use participated in communication coaching. Strengths/areas of improvement and role-play content were rated from session recordings and progress notes. Self-report items assessed communication happiness.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Participants aimed to improve being brief (44%), specific and clear (39%) and offering help (36%). Role-plays focused on independence (44.1%), substance use (29.4%) and mental health treatment (17.6%). Participants reported greater communication happiness with others than with their relative (<i>p</i> < 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Families wanted to improve communication, brevity, clarity and effectively offer help, particularly to foster independence with their relative with early psychosis and substance use.</p>\n </section>\n </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70077","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early Intervention in Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/eip.70077","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Aim
Poor family communication can worsen early psychosis and substance use outcomes. While families find communication skills valuable, which components to offer in resource-limited settings remain unclear. This study identified communication strengths/areas of improvement, conversations families wanted to practise, and their communication happiness with their relative versus people generally.
Method
Family members (N = 36) of relatives with early psychosis and substance use participated in communication coaching. Strengths/areas of improvement and role-play content were rated from session recordings and progress notes. Self-report items assessed communication happiness.
Results
Participants aimed to improve being brief (44%), specific and clear (39%) and offering help (36%). Role-plays focused on independence (44.1%), substance use (29.4%) and mental health treatment (17.6%). Participants reported greater communication happiness with others than with their relative (p < 0.05).
Conclusion
Families wanted to improve communication, brevity, clarity and effectively offer help, particularly to foster independence with their relative with early psychosis and substance use.
期刊介绍:
Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.