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Through COVID-19 and beyond: developing a multidisciplinary telehealth family intervention in first episode psychosis

Published online by Cambridge University Press:  01 December 2021

Donal O’Keeffe Open the ORCID record for Donal O’Keeffe [Opens in a new window] ,
David Marshall ,
Andrew Wheeler ,
Eoghan Allen ,
Helena Ronan ,
Amy Buckley ,
Eimear Counihan  and
Mary Clarke
Donal O’Keeffe*
Affiliation:
DETECT Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland
David Marshall
Affiliation:
DETECT Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland Cluain Mhuire Community Mental Health Services, Blackrock, Dublin, Ireland
Andrew Wheeler
Affiliation:
Cluain Mhuire Community Mental Health Services, Blackrock, Dublin, Ireland
Eoghan Allen
Affiliation:
Cluain Mhuire Community Mental Health Services, Blackrock, Dublin, Ireland
Helena Ronan
Affiliation:
Cluain Mhuire Community Mental Health Services, Blackrock, Dublin, Ireland
Amy Buckley
Affiliation:
Cluain Mhuire Community Mental Health Services, Blackrock, Dublin, Ireland
Eimear Counihan
Affiliation:
DETECT Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland
Mary Clarke
Affiliation:
DETECT Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin, Ireland
*
Address for correspondence: Dr D. O’Keeffe, DETECT Early Intervention in Psychosis Service, Avila House, Block 5, Blackrock Business Park, Blackrock, Dublin, A94 Y030, Ireland. (Email: donal.okeeffe@sjog.ie)
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Abstract

The COVID-19 pandemic presents unique challenges to high quality, safe Early Intervention in Psychosis (EIP) service provision. Due to the necessity to ensure EIP continues despite this, we developed a multidisciplinary, blended, telehealth intervention, incorporating psychoeducation and peer support, for family members of first episode psychosis service users: PERCEPTION. This perspective article aims to: describe PERCEPTION; offer reflections on our experience of delivering it; make recommendations for future research; and synthesise key learning to assist the integration of similar interventions in other EIP services. We provide a descriptive account of PERCEPTION’s development and implementation, with reflections from the clinicians involved, on supporting families using this approach. We experienced telehealth as patient-focused, safe, and efficient and believe the intervention’s blended nature augmented families’ engagement. The approach adopted can assist service providers to attain balance between protecting public health and offering a meaningful, therapeutic intervention to support families in the current epoch.

Keywords

Psychoeducationfamilypsychotic disorderstelemedicinepeer support
Type
Perspective Piece
Information
Irish Journal of Psychological Medicine , Volume 40 , Issue 3 , September 2023 , pp. 503 - 507
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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References

Behan, C, Kennelly, B, Roche, E, Renwick, L, Masterson, S, Lyne, J, O’Donoghue, B, Waddington, J, McDonough, C, McCrone, P, Clarke, M (2020). Early intervention in psychosis: health economic evaluation using the net benefit approach in a real-world setting. British Journal of Psychiatry 217, 484–490.CrossRefGoogle ScholarPubMed
Castelein, S, Bruggeman, R, Davidson, L, Gaag, M (2015). Creating a supportive environment: peer support groups for psychotic disorders. Schizophrenia Bulletin 41, 1211–1213.CrossRefGoogle ScholarPubMed
Chan, S, Tse, S, Sit, H, Hui, C, Lee, E, Chang, W, Chen, E (2016). Web-based psychoeducation program for caregivers of first-episode of psychosis: an experience of Chinese population in Hong Kong. Frontiers in Psychology 7, 2006.CrossRefGoogle ScholarPubMed
Claxton, M, Onwumere, J, Fornells-Ambrojo, M (2017). Do family interventions improve outcomes in early psychosis? A systematic review and meta-analysis. Frontiers in Psychology 8, 371.CrossRefGoogle ScholarPubMed
Connolly, S, Miller, C, Lindsay, J, Bauer, M (2020). A systematic review of providers’ attitudes toward telemental health via videoconferencing. Clinical Psychology: Science and Practice 27, e12311.Google ScholarPubMed
Correll, C, Galling, B, Pawar, A, Krivko, A, Bonetto, C, Ruggeri, M, et al. (2018). Comparison of early intervention services vs treatment as usual for early-phase psychosis: a systematic review, meta-analysis, and meta-regression. JAMA Psychiatry 75, 555–565.CrossRefGoogle ScholarPubMed
Davidson, L, Chinman, M, Kloos, B, Weingarten, R, Stayner, D, Tebes, J (1999). Peer support among individuals with severe mental illness: a review of the evidence. Clinical Psychology: Science and Practice 6, 165–187.Google Scholar
Davidson, L, Rowe, M, Tondora, J, O’Connell, M, Lawless, M (2008). A practical guide to recovery-oriented practice: Tools for transforming mental health care. Oxford University Press: New York, NY.CrossRefGoogle Scholar
Davies, F, Shepherd, H, Beatty, L, Clark, B, Butow, P, Shaw, J (2020). Implementing web-based therapy in routine mental health care: systematic review of health professionals’ perspectives. Journal of Medical Internet Research 22, e17362.CrossRefGoogle ScholarPubMed
Donahue, A, Rodriguez, J, Shore, J (2021). Telemental health and the management of psychosis. Current Psychiatry Reports 23, 1–6.CrossRefGoogle ScholarPubMed
Farrelly, S, Lester, H, Rose, D, Birchwood, M, Marshall, M, Waheed, W, Henderson, R, Szmukler, G, Thornicroft, G (2015). Improving therapeutic relationships: joint crisis planning for individuals with psychotic disorders. Qualitative Health Research 25, 1637–1647.CrossRefGoogle ScholarPubMed
Gerber, M, Elisseou, S, Sager, Z, Keith, J (2020). Trauma-informed telehealth in the COVID-19 era and beyond. Federal Practitioner 37, 302–308.Google ScholarPubMed
Hall, J, McGraw, D (2014). For telehealth to succeed, privacy and security risks must be identified and addressed. Health Affairs 33, 216–221.CrossRefGoogle ScholarPubMed
Hinojosa-Marqués, L, Domínguez-Martínez, T, Kwapil, T, Barrantes-Vidal, N (2020). Predictors of criticism and emotional over-involvement in relatives of early psychosis patients. PLoS One 15, e0234325.CrossRefGoogle ScholarPubMed
Iyer, S, Malla, A, Taksal, A, Maraj, A, Mohan, G, Ramachandran, P, Margolese, H, Schmitz, N, Ridha, J, Rangaswamy, T (2020). Context and contact: a comparison of patient and family engagement with early intervention services for psychosis in India and Canada. Psychological Medicine 46, 1–10 DOI 10.1017/S0033291720003359.Google Scholar
Jansen, J, Gleeson, J, Cotton, S (2015). Towards a better understanding of caregiver distress in early psychosis: a systematic review of the psychological factors involved. Clinical Psychology Review 35, 56–66.CrossRefGoogle ScholarPubMed
Kennelly, B, O’Callaghan, M, Coughlan, D, Cullinan, J, Doherty, E, Glynn, L, Moloney, E, Queally, M (2020). The COVID-19 pandemic in Ireland: an overview of the health service and economic policy response. Health Policy and Technology 9, 419–429.CrossRefGoogle ScholarPubMed
Lieberman, J, Small, S, Girgis, R (2019). Early detection and preventive intervention in schizophrenia: from fantasy to reality. American Journal of Psychiatry 176, 794–810.CrossRefGoogle ScholarPubMed
Lobban, F, Appelbe, D, Appleton, V, Billsborough, J, Fisher, N, Foster, S, et al. (2020). IMPlementation of An online Relatives’ Toolkit for psychosis or bipolar (IMPART study): iterative multiple case study to identify key factors impacting on staff uptake and use. BMC Health Services Research 20, 1–13.CrossRefGoogle ScholarPubMed
Maheshwari, S, Manohar, S, Chandran, S, Rao, T (2020). Psycho-education in schizophrenia. In Schizophrenia treatment outcomes: an evidence based approach (ed. Shrivastava, A and De Sousa, A), pp 275–284. Springer: Cham.CrossRefGoogle Scholar
Mann, D, Chen, J, Chunara, R, Testa, P, Nov, O (2020). COVID-19 transforms health care through telemedicine: evidence from the field. Journal of the American Medical Informatics Association 27, 1132–1135.CrossRefGoogle ScholarPubMed
Mead, S, Hilton, D, Curtis, L (2001). Peer support: a theoretical perspective. Psychiatric Rehabilitation Journal 25, 134–141.CrossRefGoogle ScholarPubMed
Mental Health Commission (2006). Multidisciplinary team working: From theory to practice. Mental Health Commission: Dublin.Google Scholar
O’Donoghue, B, O’Connor, K, Thompson, A, McGorry, P (2020). The need for early intervention for psychosis to persist throughout the COVID-19 pandemic and beyond. Irish Journal of Psychological Medicine 38, 214–219.CrossRefGoogle ScholarPubMed
Office of the Attorney General (2001). Mental Health Act (http://www.irishstatutebook.ie/eli/2001/act/25/enacted/en/print.html). Accessed 16 July 2021.Google Scholar
Rasheed, R, Kamsin, A, Abdullah, N (2020). Challenges in the online component of blended learning: a systematic review. Computers and Education 144, 103701.CrossRefGoogle Scholar
Richardson, L, Reid, C, Dziurawiec, S (2015). ‘Going the extra mile’: satisfaction and alliance findings from an evaluation of videoconferencing telepsychology in rural Western Australia. Australian Psychologist 50, 252–258.CrossRefGoogle Scholar
Rotondi, A, Anderson, C, Haas, G, Eack, SM, Spring, MB, Ganguli, R, Newhill, C, Rosenstock, J (2010). Web-based psychoeducational intervention for persons with schizophrenia and their supporters: one-year outcomes. Psychiatric Services 61, 1099–1105.CrossRefGoogle ScholarPubMed
Rotondi, A, Haas, G, Anderson, C, Newhill, C, Spring, M, Ganguli, R, Gardner, W, Rosenstock, J (2005). A clinical trial to test the feasibility of a telehealth psychoeducational intervention for persons with schizophrenia and their families: intervention and 3-month findings. Rehabilitation Psychology 50, 325–336.CrossRefGoogle ScholarPubMed
Santesteban-Echarri, O, Piskulic, D, Nyman, R, Addington, J (2020). Telehealth interventions for schizophrenia-spectrum disorders and clinical high-risk for psychosis individuals: a scoping review. Journal of Telemedicine and Telecare 26, 14–20.CrossRefGoogle ScholarPubMed
Sin, J, Gillard, S, Spain, D, Cornelius, V, Chen, T, Henderson, C (2017). Effectiveness of psychoeducational interventions for family carers of people with psychosis: a systematic review and meta-analysis. Clinical Psychology Review 56, 13–24.CrossRefGoogle ScholarPubMed
Sin, J, Henderson, C, Norman, I (2014). Usability of online psychoeducation for siblings of people with psychosis. International Journal of Technology Assessment in Health Care 30, 374–380.CrossRefGoogle ScholarPubMed
Skegg, D, Gluckman, P, Boulton, G, Hackmann, H, Karim, S, Piot, P, Woopen, C (2021). Future scenarios for the COVID-19 pandemic. The Lancet 397, 777–778.CrossRefGoogle ScholarPubMed
Watzlaf, V, Zhou, L, DeAlmeida, D, Hartman, L (2017). A systematic review of research studies examining telehealth privacy and security practices used by healthcare providers. International Journal of Telerehabilitation 9, 39–59.CrossRefGoogle ScholarPubMed
Wood, L, Alsawy, S (2018). Recovery in psychosis from a service user perspective: a systematic review and thematic synthesis of current qualitative evidence. Community Mental Health Journal 54, 793–804.CrossRefGoogle ScholarPubMed