NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.

Cover of Family Involved Psychosocial Treatments for Adult Mental Health Conditions: A Review of the Evidence

Family Involved Psychosocial Treatments for Adult Mental Health Conditions: A Review of the Evidence

Evidence-based Synthesis Program

Investigators: , PhD, , PhD, , PhD, , BS, , MPH, , MS, and , BS. Minneapolis VA Medical Center ESP Director: , MD, MPH.

Washington (DC): Department of Veterans Affairs; .

Excerpt

Since 2008, the President has signed two new laws expanding VA authority to provide family services for Veterans’ mental health care and creating a need to identify efficacious and promising family involved interventions for improving Veterans’ mental health outcomes. With one exception, prior reviews have traditionally focused on one condition at a time, limiting comparisons across conditions and preventing a synthesis of the evidence for all mental health conditions, including those with few randomized controlled trials (RCTs; e.g., Posttraumatic Stress Disorder or PTSD). Finally, prior reviews are potentially less relevant to VA populations due to their focus on studies conducted in non-Veteran populations.

Consistent with prior work defining empirically supported psychological treatments, we conducted a systematic review of the published evidence evaluating if (and which) family involved treatments improve patient outcomes (i.e., efficacy) and if (and which) family involved treatments are superior to alternative interventions (i.e., specificity or comparative effectiveness, especially those therapies that include solely the patient, not family members). This topic was nominated by Sonja Batten, PhD, Office of Mental Health Services, and is primarily intended to help refine clinical guidelines by providing information as to whether family treatments improve the outcomes for Veterans receiving care for mental health conditions and if they provide incremental benefits beyond treatment solely involving Veterans. To evaluate findings of greatest validity and relevance to the United States (and especially Veteran) populations, we included studies if they were RCTs conducted in the United States, and we focused on patient outcomes (i.e., final outcomes), including symptoms of mental health conditions and family/couple functioning. Intermediate outcomes of interest included treatment adherence, treatment attendance, patient satisfaction, and social support for patients.

Contents

Prepared for: Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Medical Center, Minneapolis, MN, Timothy J. Wilt, MD, MPH, Director.

Suggested citation:

Meis L, Griffin J, Greer N, Jensen A, Carlyle M, MacDonald R, Rutks I, Wilt T. Family Involved Psychosocial Treatments for Adult Mental Health Conditions: A Review of the Evidence. VA-ESP Project #09-009; 2012

This report is based on research conducted by the Evidence-based Synthesis Program (ESP) Center located at Minneapolis VA Medical Center, Minneapolis, MN funded by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Quality Enhancement Research Initiative. The findings and conclusions in this document are those of the author(s) who are responsible for its contents; the findings and conclusions do not necessarily represent the views of the Department of Veterans Affairs or the United States government. Therefore, no statement in this article should be construed as an official position of the Department of Veterans Affairs. No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in the report.

Bookshelf ID: NBK117205PMID: 23390672
PubReader format: click here to try

Views

Other titles in this collection

Related information

Related citations in PubMed

See reviews...See all...

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...