Multifamily therapy in the community mental health network: A pragmatic randomized and controlled study

J Marital Fam Ther. 2023 Jan;49(1):205-221. doi: 10.1111/jmft.12617. Epub 2022 Oct 23.

Abstract

Multifamily therapy (MFT) is a psychotherapeutic group intervention for patients with severe mental disorders (SMDs) and their families. The present study is a multicenter, randomized, and controlled trial that analyzes the benefit of MFT during outpatient treatment. The recruited patients were randomly assigned to the experimental group (n = 26), which received 24 MFT sessions in addition to their treatment as usual (TAU), or to the control group (n = 29), which received only TAU (individual and family sessions). Six months after the inclusion in the MFT, the experimental group showed a significant decrease in number of visits to the psychiatric emergency services, number of psychiatric admissions, and the days of admission. The need for hospital care 6 months after recruitment was also lower in the experimental group compared to the control group. These results suggest that the implementation of MFT during outpatient treatment facilitates community management of people diagnosed with mental health problems.

Keywords: community outpatient treatment; mental health services; multifamily therapy; severe mental disorder.

Publication types

  • Randomized Controlled Trial
  • Multicenter Study

MeSH terms

  • Humans
  • Mental Disorders* / psychology
  • Mental Disorders* / therapy
  • Mental Health*