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. 2023 Jul;45(4):331-337.
doi: 10.1177/02537176231164647. Epub 2023 Apr 20.

Factors Associated with Family Retention or Involvement in Treatment of Persons with Severe Mental Illness: A Scoping Review

Affiliations

Factors Associated with Family Retention or Involvement in Treatment of Persons with Severe Mental Illness: A Scoping Review

Tejas Vasava et al. Indian J Psychol Med. 2023 Jul.

Abstract

Objective: A scoping review was conducted to detect the factors that affect family retention (FR) or involvement (FI) in the treatment of persons with severe mental illness (PwSMI) and to understand the gaps in this research area.

Design: We included studies that described factors associated with FR/FI in the treatment of persons with PwSMI. English language articles available in full text, published until June 2022, were included. The literature search was carried out in four major electronic databases, such as PubMed, Scopus, ProQuest, and EBSCOhost, for 6 months from January 2022 to June 2022, which yielded 5442 articles, of which six (four primary studies and two secondary studies) were considered for the final scoping review as per the inclusion criteria.

Results: Five major categories of factors were identified: (a) family level, (b) professional level, (c) mental health system level, (d) related to characteristics of the patient and illness, and (e) related to the external environment. Most studies described barriers to FI, while only a few elaborated on facilitators for FI/FR. Systemic and family-level factors were the major contributors to the barrier to FI and FR in the treatment of people with PwSMI.

Conclusion: There is a dearth of literature in the field of FR/FI in the treatment of people with schizophrenia. More research is required so that holistic interventions can be designed and provided.

Keywords: Family; engagement; involvement; people with severe mental illness; retention; schizophrenia.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.. PRISMA Flowchart of Studies Selection and Inclusion Process.
# PRISMA, Preferred Reporting for Systematic Review and Mata Analysis Extension for Scoping Reviews. # FR/FI, Family Retention/Family Involvement.

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