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Probe Questions

For program coordinator and clinicians Do you help identify prodromal symptoms for families? If yes. can you describe the process you use to help identify them? What would be specific examples? Use a client chart for a family member seen by each clinician and ask the clinician to explain the specifics, including where in the chart this is documented.

For family members Do you discuss the signs that your family member may be becoming symptomatic? What sorts of things are suggested in your sessions for how to recognize the early symptoms of the mental illness? What would be specific examples? Are these suggestions reviewed in later sessions?

8. Coping Strategies

Definition

In single-family joining sessions, the clinician(s) help to identify, describe, clarify and teach coping strategies that are used by families.

Rationale

Exploration of coping strategies that have and have not worked is another crucial step to developing individualized relapse prevention and illness management strategies. Insight into patterns of ineffective interactions and behaviors is likely to motivate the family towards desired change.

Sources of Information

Chart review and interviews with coordinator, clinicians, and families.

Item Response Coding

The primary data source for this item is a standardized checklist or progress note in the clients chart. If documented on standardized checklist for 80% or more of involved families, corroborated by coordinator, supervisor, clinicians, and families, the item would be coded as a 5.

Probe Questions

For program coordinator and clinicians Do you help identify coping strategies for families? If yes. can you describe the process you use to help identify and implement them? Use a client chart for a family member seen by each clinician and ask the clinician to explain the specifics, including where in the chart this is documented.

For family members Do you discuss how to cope with your family member’s illness in the sessions? What sorts of things do you talk about? Do you discuss other possible ways of coping or responding? Are these strategies reviewed in later sessions?

Family Psychoeducation Toolkit

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