Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, UK.
Br J Clin Psychol. 2021 Jun;60(2):270-289. doi: 10.1111/bjc.12273. Epub 2021 Mar 2.
In the UK, people of African-Caribbean background have the highest rates of psychosis and greatest inequity in mental health services of all ethnicities. National policies have highlighted the lack of evidence-based psychological interventions for this group. The aim of this study was to examine the acceptability of a novel Culturally adapted Family Intervention (CaFI) for African-Caribbean individuals diagnosed with non-affective psychosis and their relatives.
A qualitative design.
Semi-structured interviews conducted with 22 service users and 12 family members following participation in CaFI. The interview topic guide included perceptions of the needs and benefits of CaFI; usefulness, cultural specificity and accessibility of CaFI therapy and supporting materials; content and delivering of CaFI sessions; views and experiences of working with CaFI therapists; and perceived barriers and facilitators to implementation.
Deductive framework analysis identified three main themes for service users: perceived benefits, barriers and limitations, and delivery of the therapy. Four themes were identified for family members: perceived benefits, perceptions of therapists, delivery of therapy, and accessibility of therapy content, supporting materials, and cultural appropriateness.
CaFI was found to be an acceptable intervention for African-Caribbean service users with psychosis and their relatives. Family interventions considering the needs of ethnic and cultural groups have the potential to improve the mental health care and experiences of service users and their families.
The Culturally adapted Family Intervention (CaFI) was viewed as acceptable to African-Caribbean service users with psychosis and their families. Through adapting interventions to be more culturally sensitive, it is possible to enhance the care of those who typically have poor engagement with mental health services. In-keeping with their ethos of individualized care delivery, mental health services should place more emphasis on being able to offer appropriate, culturally adapted interventions to their service users.
在英国，非裔加勒比背景的人患精神病的比率最高，在所有族裔中，精神卫生服务的不平等程度最大。国家政策强调缺乏针对这一群体的循证心理干预措施。本研究旨在调查一种新的文化适应家庭干预（CaFI）对被诊断为非情感性精神病的非裔加勒比个体及其亲属的可接受性。
定性设计。
在参与 CaFI 后，对 22 名服务使用者和 12 名家属进行半结构式访谈。访谈主题指南包括对 CaFI 的需求和益处的看法；CaFI 疗法和支持材料的有用性、文化特异性和可及性；CaFI 治疗的内容和提供；对与 CaFI 治疗师合作的看法和经验；以及实施的障碍和促进因素。
演绎框架分析确定了服务使用者的三个主要主题：感知的益处、障碍和局限性，以及治疗的提供。为家属确定了四个主题：感知的益处、对治疗师的看法、治疗的提供，以及治疗内容、支持材料和文化适宜性的可及性。
CaFI 被认为是一种对非裔加勒比精神病患者及其家属可接受的干预措施。考虑到族裔和文化群体需求的家庭干预措施有可能改善服务使用者及其家属的精神卫生保健和体验。
文化适应家庭干预（CaFI）被认为是可以被非裔加勒比精神病患者及其家属接受的。通过使干预措施更加文化敏感，可以提高那些通常与精神卫生服务接触不良的人的护理水平。为了保持个性化护理的精神，精神卫生服务应该更加重视能够为其服务使用者提供适当的、文化适应的干预措施。
