Manual for a Psychoeducational Intervention Program (PIP) for Bipolar Patients and Caregivers
| Manual Title |
Manual for a Psychoeducational Intervention Program (PIP) for Bipolar Patients and Caregivers (unpublished) |
| Creator |
John Clarkin, Ph.D. Reference: Clarkin, J. F., Carpenter, D., & Sirey,
J. (12-25-95). Manual for a psychoeducational intervention program
(PIP) for bipolar patients and caregivers. Unpublished manual/draft. |
| Reference |
Moltz, D.A., & Newmark, M. (2002). Multifamily groups
for bipolar illness (pp. 220-243). In W. R. McFarlane (Ed.)'s Multifamily
groups in the treatment of severe psychiatric disorders. New
York: Guilford. |
| Price |
n/a |
| Contact Information: |
John F. Clarkin, Ph.D.
New York - Presbyterian Hospital
New York Weill Cornell Medical Center
Westchester Division
21 Bloomingdale Road White Plains, NW 10605
Phone: (914) 997-5774
Email: jclarkin@med.cornell.edu
|
Program Overview:
Theoretical Orientation:
This is a variant of BFT (combination of psychoeducational, cognitive-behavioral & problem-solving training).
Duration:
25 group sessions (for both patients and caregivers) over 10 months (declining frequency)
Structure of Sessions:
- Social contact and alliance building
- Review of homework
- Presentation of session content
- Assignment of homework
- Review of any special problems
Treatment Goals:
- Increase knowledge of bipolar disorder (cause, prognosis, course, treatment)
- Increase patient compliance with medication
- Increase caregiver support for patient medication compliance
- Accurate monitoring of symptoms daily by patient & caregiver
- Recognition by patient and caregiver of early signs of relapse
- Upon detection of early signs of relapse, patient and caregiver take proper steps
- Maintain regular routine with consistent sleep/wake cycles
- Manage unusual stressors with coping strategies (communication skills, problem solving)
- Keep household stress to a minimum
Weekly Sessions:
- Evaluation & introduction of PIP; give information about bipolar disorder
- Communication / problem-solving skills
- Compliance with medication
- Early signs / relapse management
- Distinguishing illness behaviors from others
- Coping with depression / suicidal ideation
- Expectations of role performance
- Issues of daily living
- Alcohol and substance use/abuse
- Review and termination
Research:
Clarkin et al (1998) - on marital therapy with each couple separately (not a group treatment)
- Method: Randomly assigned 42 patients to
- Medication management AND marital therapy or
- Medication management only
Marital therapy included 25 sessions of manualized psychoeducational
treatment (weekly for 10 sessions, then bimonthly for 15 sessions)
- Results: Marital therapy group had improved global functioning & medication
compliance (in contrast to patients with medications only) - but
no improvement in patient's symptoms.
Research is currently underway on the group psychoeducational program
(personal communication, J. Clarkin, Ph.D., 9-23-02)
|
