Implementation of Early Psychosis Intervention Program ... - EENet

60Table 20: Client and family psycho-education: Implementation by program typeSurvey Question Response AllSitesLarge Small Hospital Community% sites implementing 84 90 76 90 76‘most of the time’Q98: How often able toimplement this element forclientsQ99: How often able to % sites implementingimplement this element for ‘most of the time’familiesLarge: catchment area population > 100,000 population (31 program sites)Small: catchment area population < 100,000 population (21 program sites)Hospital: hospital is parent organization (30 program sites)Community: community agency is parent organization (22 program sites).71 77 62 70 71Main challenges to delivering psycho-education noted by programs:o Over a third of programs reported no challenges.o The main challenges reported were staff time (1/3 of sites), and difficulty accessingappropriate materials (15%). This latter challenge was mainly noted more by the larger andhospital sponsored (23% versus 5% and 20% versus 9%).o Other challenges included: client/family willingness to participate (due to circumstances orstage of the illness); client not consenting to family involvement; availability of family;travel, distance and hours of operation as barriers to participation; and staffing and resourceneeds.Table 21: Main challenges to implementing Standards related to delivering psycho-educationQ101: Main Challenges All Large Small Hospital CommunitySitesNone to report 37 32 43 33 41EPI program staff time 37 36 38 32 40Accessing appropriate materials 15 23 5 20 9Strategies suggested by programs for delivering client and family psycho-education:o Providing resource materials to clients and families.o Having a designated staff/family educator. (Note: In a later question, about half of sitesreported having a designated family support worker).o Use of OTN for family support and/or education groups.o Offering group psycho-education for clients, with benefits of peer support and fun activities.o Individual session that take into account the client or family’s abilities for understanding andretaining materials; monitoring need and progress over time.What would help programs to provide client and family psycho-education:o Developing web resources and social media opportunities for clients and families to access toview information and share materialso Developing/upgrading/identifying educational materials specific to EPI (e.g., more youthfriendlymaterials in multiple languages).o Explore community partnerships for family support groups.