Family interventions in psychosis

Approximately 40 per cent of people who present with psychosis also misuse substances at some stage of their life (NICE, 2011). Substance misuse in families is associated with additional stresses and burdens, including increased conflicts and abuse; disrupted routines and communication; financial pressures; criminal justice involvement; isolation and emotional problems (Orford et al., 2010). As a service-user explained, ‘a normal lifestyle isn’t possible, it’s a constant battle. People end up not eating, staying up all night, borrowing or stealing money or even sex working to fund use.’

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