Assessing the Family Functioning of Inner-City African-American Families Living With Schizophrenia With the McMaster Family Assessment Device

Published on Apr 13, 2010in Social Work in Mental Health
· DOI :10.1080/15332980903217982
Joseph Guada6
Estimated H-index: 6
(OSU: Ohio State University),
John S. Brekke36
Estimated H-index: 36
(SC: University of Southern California)
+ 1 AuthorsJack Barbour4
Estimated H-index: 4
Historically, the mental health literature focused on the deficits of families, particularly for those families with a family member with schizophrenia. The purpose of the present study is to assess the family functioning of a group of inner-city African-American families who have a family member living with schizophrenia. This study analyzes potential clinical problems for these families using a commonly used family functioning device—the McMaster Family Assessment Device (MFAD). The families showed no clinical problems on five of the seven sub-scales. The study provides preliminary quantitative evidence that social work research and practice models should avoid a deficit-oriented model when assessing and intervening with similar families.
  • References (53)
  • Citations (4)
📖 Papers frequently viewed together
6 Citations
8 Citations
18 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1R. AskeyH-Index: 1
#2Catherine GambleH-Index: 3
Last. Robert T. Gray ('KCL': King's College London)H-Index: 98
view all 3 authors...
Family intervention may be helpful for people with psychosis. We reviewed the literature for family intervention for people with a first-onset psychosis. There is limited and conflicting evidence of the efficacy of family intervention for this population. Definitive randomized controlled trials are required to establish the efficacy. At this time, evidence suggests that in High Expressed Emotion (EE) families, family intervention is a possible effective intervention. We suggest caution in famili...
44 CitationsSource
#1Josef Bäuml (TUM: Technische Universität München)H-Index: 19
#2T. Froböse (TUM: Technische Universität München)H-Index: 5
Last. Gabriele Pitschel-Walz (TUM: Technische Universität München)H-Index: 13
view all 5 authors...
Psychoeducation was originally conceived as a composite of numerous therapeutic elements within a complex family therapy intervention. Patients and their relatives were, by means of preliminary briefing concerning the illness, supposed to develop a fundamental understanding of the therapy and further be convinced to commit to more long-term involvement. Since the mid 1980s, psychoeducation in German-speaking countries has evolved into an independent therapeutic program with a focus on the didact...
143 CitationsSource
#1Gilbert J. Greene (OSU: Ohio State University)H-Index: 8
#2David C. Kondrat (OSU: Ohio State University)H-Index: 8
Last. Shelly R. PinnellH-Index: 2
view all 7 authors...
Community mental health systems have been increasingly emphasizing providing services and using interventions that support mental health consumers recovering from severe mental disability. It has been noted in the literature that the strengths approach to case management is supportive of mental health consumers experiencing recovery. Although strengths-based case management has been operationalzed by six principles and five functions, it has not been very well operationalized at the micro level ...
12 CitationsSource
#1Gilbert J. Greene (OSU: Ohio State University)H-Index: 8
#2Mo Yee Lee (OSU: Ohio State University)H-Index: 16
Last. Susan Hoffpauir (UALR: University of Arkansas at Little Rock)H-Index: 1
view all 3 authors...
Enhancing client empowerment is a major concern of clinical social workers. Empowerment is a process and an outcome. There are numerous interventions that enhance client empowerment, and among them is focusing on client strengths. Both the strengths-based and empowerment-based approaches emphasize the importance of skillfully using language in dialoguing with clients; however, there is little specificity in either of these 2 approaches on how to operationalize this process. This article discusse...
40 CitationsSource
#1Shahe S. Kazarian (AUB: American University of Beirut)H-Index: 12
The author examined the relationship between perceived family functioning, the cultural orientations of horizontal and vertical individualism and collectivism, and psychological well-being in a group of 182 university students in Lebanon. Factor analysis of the present data from the 12-item General Functioning Scale of the Family Assessment Device (GF-FAD) resulted in the extraction of one general factor, accounting for 43% of the variance. On the basis of North American cutoff values, the autho...
42 CitationsSource
#1Alean Al-Krenawi (BGU: Ben-Gurion University of the Negev)H-Index: 32
#2John R. Graham (U of C: University of Calgary)H-Index: 29
Abstract Background: The tendency to experience and communicate distress in a somatic rather than a psychological mode is widespread in Western and other societies. This article is focused on the Bedouin-Arab women in the Negev. Methods: A convenience snowball sampling of 217 Bedouin-Arab women from the Negev, Israel, completed the Rosenberg self-esteem scale, the Derogatis Symptom Checklist-Revised (SCL-90-R), the McMaster Family Assessment Device (FAD), and the Satisfaction with Life Scale (SW...
22 CitationsSource
#1Christine Kennedy (UCSF: University of California, San Francisco)H-Index: 20
#2Susan Kools (UCSF: University of California, San Francisco)H-Index: 19
Last. Thomas K. S. Wong (PolyU: Hong Kong Polytechnic University)H-Index: 26
view all 6 authors...
PURPOSE: This study examined behavioural and emotional problems, social competence and family functioning of hospitalized Chinese children in Hong Kong and the Chinese Mainland. METHOD: A sample of 210 hospitalized children (ages 2-11 years) and their families participated in the study. The families were from a cross-section of geographical areas in Hong Kong (two hospitals) and the Chinese Mainland (five hospitals). Parents completed an age-appropriate Chinese version of the Child Behaviour Che...
23 CitationsSource
#1Irwin S. Rosenfarb (Alliant International University)H-Index: 16
#2Alan S. Bellack (UMD: University of Maryland, College Park)H-Index: 8
Last. Steven L. Sayers (UPenn: University of Pennsylvania)H-Index: 24
view all 5 authors...
This study examined family interactions associated with a failure to stabilize in schizophrenia. Fifty-eight patient and parent dyads completed a problem-solving task soon after an acute episode. Stabilization was assessed over the following 6 months. African American patients' self-initiated discussions of substance use and increased anxiety during the interaction were associated with a failure to stabilize. Nonstabilization in White patients was associated with high levels of both the patients...
31 CitationsSource
#1Süheyla ÜnalH-Index: 12
#2Burhanettin KayaH-Index: 8
Last. Kaya MH-Index: 1
view all 6 authors...
12 Citations
#1Christine Barrowclough (University of Manchester)H-Index: 52
#2Jill M. Hooley (Harvard University)H-Index: 38
Abstract This review examines the contribution of an attribution-based framework to our understanding of both expressed emotion (EE) and the process of patient relapse. It considers all published studies that have assessed the attributions of high- and low-EE relatives and carers. Across these studies, a great deal of consistency is apparent. Critical relatives are more likely to hold patients responsible for their difficulties. On the other hand, attributions made by emotionally overinvolved re...
233 CitationsSource
Cited By4
#1Sahar Al-Makhamreh (Al-Balqa` Applied University)H-Index: 6
The purpose of this article is to generate meaningful understanding of the mental health informal carers’ experience and to identify a possible approach to social work intervention. A mixed method ...
1 CitationsSource
#1Anastasia Tsamparli (University of the Aegean)H-Index: 3
#2Ioanna Petmeza (UoA: National and Kapodistrian University of Athens)H-Index: 1
Last. Dimitrios Adamis (CMHS: Mental Health Services)H-Index: 22
view all 4 authors...
2 CitationsSource
#1Abigail K. Mansfield (Rhode Island Hospital)H-Index: 11
#2Gabor I. Keitner (Rhode Island Hospital)H-Index: 48
Last. Jennifer Dealy (UConn: University of Connecticut)H-Index: 4
view all 3 authors...
The current study set out to describe family functioning scores of a contemporary community sample, using the Family Assessment Device (FAD), and to compare this to a currently help-seeking sample. The community sample consisted of 151 families who completed the FAD. The help-seeking sample consisted of 46 families who completed the FAD at their first family therapy appointment as part of their standard care at an outpatient family therapy clinic at an urban hospital. Findings suggest that FAD m...
31 CitationsSource
#1Joseph Guada (OSU: Ohio State University)H-Index: 6
#2Maanse Hoe (KMU: Keimyung University)H-Index: 9
Last. John S. Brekke (SC: University of Southern California)H-Index: 36
view all 5 authors...
There is a critical need to test how family contextual factors impact outpatient consumer functioning in schizophrenia. This is the first study of two companion studies reported here that tests family factors’ influence on consumer functioning. Ninety-three low income inner-city African American consumer-family dyads were tested to see the possible impact of family factors, based on the EE and family caregiver burden literatures, on consumer psychosocial functioning (work, social, and independen...
11 CitationsSource