Welcome to the
Consumer Centered Family Consultation
“Beyond the 1st CCFC” Webinar
PART 2
Hosted by:
The Family Institute for
Education, Practice & Research
For any technical difficulties, please contact:
Sherri Ladd at 585-279-7902
Agenda
• Hello and Welcome
• CCFC - Meetings 2, 3, 4 and 5
• Problem Solving
• Referring
• Teaching
• Training
• Other
• Wrap-up
Beyond the 1st CCFC Meeting
To what extent are additional meetings
planned to address each consumer’s
recovery goals?
Examples of tasks and activities to
do during the 2nd, 3rd, 4th, and 5th
CCFC meetings
Problem-Solving
Use a structured problem-solving method to
help everyone attain their wants, needs & goals.
This is also ideal for addressing obstacles,
conflicts and/or misunderstandings… or
generally when “people are not on the same
page”
Overview: Problem Solving Process
 6-step process borrowed from the business community
 Helps to organize potentially emotionally laden material into a step-
by-step, sequential process
 Allows the consumer, family, and others to talk about and explore
details in the decision making process
 Assist all the parties involved with devising a plan of action to address
a problem or challenging situation
 Solve problems in a systematic way can lead to better outcomes
How to Introduce the Problem
Solving Process
•
Tell everyone about the process
•
•
•
Most people want to know “what can we
do?” or “what should we do?” – here’s a
way to help that’s proven to work
Evidence based – lots of research
Some of the most challenging problems can
be broken down into pieces and addressed
•
Suggest that the problem solving process
can help everyone in the family/system.
•
Ask if people want to set aside a CCFC
meeting for problem solving.
Referring
Explain services that will help everyone attain
their goals and offer to help plan the most
efficient means of accessing other services.
Part of the CCFC can involve a follow-up
meeting to see how the connection with other
services is going, whether a successful
“linkage” has occurred, etc.
NAMI Family-to-Family Education
NAMI can be an important partner and resource for
families.
NAMI education classes are designed to educate and
inform people about serious mental illness.
There is now evidence that NAMI’s Family-to-Family
Education Program helps people in many different ways.
Teaching
Present information about serious mental illness
targeted to the consumer’s expressed wants and
goals in a concise, understandable format.
This involves setting aside at least one additional
CCFC meeting to conduct a brief didactic session
about mental illness, coping skills, relapse prevention
literature, etc.
[Note: often teaching is conducted with the goal of
leading to problem solving or assisting with changes
in family interactions, family support strategies, etc.]
Some Goals of Teaching Families
• Provide information about the illness
• Provide a rationale for treatment
• Reduce guilt and blame of all involved
• Foster realistic expectations and hope
• Discuss role(s) that families/supports can have in promoting
recovery
• Improve access to services
• Other?
Skills Training
Offer skills training that will help satisfy their
needs, wants and goals using evidencesupported behavioral management methods
The following situation is quite rare (in our opinion): a
family/supports is familiar with the research about mental
illness, and knows exactly what to do, and when to do it,
to assist their loved one in the exact way that will be
helpful given the consumer’s stage of recovery and be
“in line with” what the consumer wants and/or is willing to
accept.
Take Home Message: Skills training is often needed.
Background: Family attitudes/skills that are
associated with positive psychosis outcomes
• Accepting the person as having psychosis
• Attribute symptoms to the condition
• Set realistic, attainable goals
• Include the person in the family
• Provide support from a loving distance
• Maintain a calm family atmosphere
• Give frequent praise and encouragement
• Give specific constructive criticism and/or suggestions to
promote growth
Source: Amenson, C. S. Schizophrenia – Family Education Methods (copyright Pacific Clinics Institute)
These family factors are
teachable skills
The Family Guidelines
Family Guidelines – Sources: Carol Anderson, Schizophrenia and the Family (Guilford Press, 1986); Dr.
William McFarlane, Multi-Family Groups in the Treatment of Severe Psychiatric Disorders (Guilford Press,
September 2004).
Family Guidelines: Background
• Carol Anderson (1986) & William McFarlane (2004)
• Roots: Biology of schizophrenia
• Integrated into formal family psychoeducation since
mid- to late-1980s
• Evidence based: Combine Family Guidelines with a
problem-solving process
• Most helpful: Introduce Guidelines to family/consumer,
then help family implement them (ideal)
Family Guidelines – Sources: Carol Anderson, Schizophrenia and the Family (Guilford Press, 1986); Dr.
William McFarlane, Multi-Family Groups in the Treatment of Severe Psychiatric Disorders (Guilford Press,
September 2004).
Please let us know if you’re interested
in future archived training modules
(such as this one) with more detail
about how to:
- Provide family education during meetings
- Use the problem solving process
- Use the Family Guidelines
- Make effective referrals to NAMI
Thank you for viewing this webinar
• Please consider joining the follow-up event planned
for the purposes of discussing these issues further
with the Family Institute team