Maone Antonio, D'Avanzo Barbara, Russo Federico, Esposito Rita Maria, Goldos Bozena Lucyna, Antonucci Alessandro, Ducci Giuseppe, Narracci Andrea
Dipartimento di Salute Mentale, Azienda Sanitaria Locale Roma 1, Rome, Italy.
Istituto di Ricerche Farmacologiche "Mario Negri" IRCCS, Milan, Italy.
Front Psychiatry. 2021 Apr 7;12:646925. doi: 10.3389/fpsyt.2021.646925. eCollection 2021.
Among Family-Based Services for the treatment of severe mental illnesses, multi-family models gained particular attention, given the potential usefulness of mutual feed-back, motivation and encouragement among families. The Psychodynamic Multi-Family Group Model has been proposed since 1997 in some Community Mental Health Services in Rome. Since 2011 multifamily groups are held weekly in all the six Districts of the Department of Mental Health that serves a population of more than one million people, and data have been collected since 2015 in three Districts. A total of 794 individuals attended the meetings in the period 2015-2019. Eighty-six percent of those who started, attended more than one meeting. The mean of occurrences of participation among patients was 18.6, among mothers 25.6 and among fathers 21.6. The 794 participants belonged to 439 family units, among which 180 comprised only the patient, 76 only parent(s) or other close person(s), and 183 comprised parent(s) or close person(s) with the patient. Patients participating alone were older than those of families who participated as a whole. Families including the patient showed the longest duration of attendance and the highest prevalence of a diagnosis of schizophrenia in the index patient. Families who had been attending the multifamily groups since a long time maintained a high rate of attendance. Multifamily groups represent a setting where patients can meet with other people and professionals in a free still structured way, and with not strictly therapeutic objectives. The high number of patients who attended alone suggests that such participation corresponds to a self-perceived need of open and free setting facilitating sharing of problems and solutions. The good tenure of the interventions, the high participation, and the feasibility in the long-term suggest that multifamily groups can be implemented in the mental health services of a large city, are sustainable over many years, and can represent a valuable resource for many patients and families.
在用于治疗严重精神疾病的家庭式服务中，多家庭模式受到了特别关注，因为家庭之间的相互反馈、激励和鼓励可能会有帮助。自1997年以来，罗马的一些社区精神卫生服务机构提出了心理动力学多家庭小组模式。自2011年起，为超过100万人口提供服务的精神卫生部门的所有六个区每周都会举办多家庭小组活动，自2015年起在三个区收集了相关数据。在2015年至2019年期间，共有794人参加了这些会议。开始参加的人中，86%参加了不止一次会议。患者参与次数的平均值为18.6次，母亲为25.6次，父亲为21.6次。这794名参与者属于439个家庭单位，其中180个仅由患者组成，76个仅由父母一方或其他亲密人士组成，183个由父母一方或亲密人士与患者组成。独自参加的患者比整个家庭参加的患者年龄更大。包括患者在内的家庭出席时间最长，索引患者中精神分裂症诊断的患病率最高。长期参加多家庭小组的家庭保持了较高的出席率。多家庭小组为患者提供了一个场所，使他们能够以自由但有组织的方式与其他人和专业人员见面，且并非严格以治疗为目的。大量患者独自参加表明，这种参与符合他们自我感知的对开放和自由环境的需求，有助于分享问题和解决方案。干预措施的良好持续性、高参与度以及长期可行性表明，多家庭小组可以在大城市的精神卫生服务中实施，能够持续多年，并且可以为许多患者和家庭提供宝贵资源。
