The Association for Family Therapy 1994. Published by Blackwell Publishers,
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Main Street, Cambridge, MA, USA.
Forty-one of forty-four referrals to a multidisciplinary team providingbrief therapy in adultpsychiatry were followed upafteroneyear.
Questionnaires were sent to attenders and their general practitioners.
good outcome was reported in
while four cases (10%)were worse. Good outcome was linked with more therapy sessions andhaving specific goals for treatment. Lower social class did not predict
outcome, unlike other forms of psychotherapy. Benefit was notlinked to age, sex, place of residence, duration of problem, source ofreferral, those attending, inpatient status
lapse from treatment.Long-standing problems did lightly less well. The ‘worse’ group were youngerand all
were female. Training of the team took place during therapyat little extra cost without any detriment to outcome. These findingshave mplications for he eam’s approachand for heprovision ofpsychotherapy services in general.
Family therapy of all types is recognized as an effective treatment inchild andadolescentpsychiatryand in social work. Onlyasmall
number of reports exist of its use in adult psychiatric settingssee, forexample, Bloch
1991). In this era of community care, the eed toassess and modify family interactions is an ncreasingpart of allpsychiatric services. Wilkinson and van Boxel
1992) have drawnattention to the mportance of training in family work in generalpsychiatry for all professions involved with patients of all ages. Inaddition, financial and stafing limitations mean thatall therapies arerequired to be cost-effective andshort-termasfar as this canbe
achieved. The study reported here describes our attempts to addresssome of these issues.
Crichton Royal Hospital, DumfriesDGl 4TG,