Couple and family involvement in adult mental health treatment: a systematic review
Abstract
We reviewed randomized controlled trials conducted in the United States from January, 1996 through December, 2011 that examined family interventions for adult mental health conditions. We identified 51 articles (39 trials) evaluating 21 different family interventions. Findings for behavioral couple or family therapy (BCT/BFT) and community reinforcement and training (CRAFT) for substance use disorders were each pooled separately for examination in meta-analyses. Findings suggest BCT/BFT reduced substance use (small-to-moderate effects) and improved relationship adjustment (large effects) compared to individually-oriented treatments. CRAFT increased treatment initiation three-fold but did not improve substance use or family functioning over alternative family interventions. Family focused therapy for bipolar disorder improved symptoms over less intensive treatments with mixed findings when compared to equally intensive treatments. For both bipolar disorder and schizophrenia spectrum disorders, the few trials meeting our search criteria and heterogeneity among trials precluded generating broader conclusions regarding which family interventions are most effective for US populations. Overall, trials were limited in their methodological quality, and many interventions were evaluated in one trial. Future research is needed to replicate findings for these single trials, examine relationship distress as a moderator of outcome, and examine BCT/BFT among dual substance using couples and outside the research group frequently represented.
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Research on support programmes aimed at CSOs of people suffering from addiction has shown promising results in getting the treatment-refusing individual into treatment.
“Research on support programmes aimed at CSOs of people suffering from addiction has shown promising results in getting the treatment-refusing individual into treatment.”
The approach with the strongest empirical support is the community reinforcement and family training (CRAFT).
“The approach with the strongest empirical support is the community reinforcement and family training (CRAFT).26–28”
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- Authors
- Meis, L. A., Griffin, J. M., Greer, N., Jensen, A. C., MacDonald, R., Carlyle, M., Rutks, I., & Wilt, T. J.
- Affiliations
- University of Minnesota (US)
- Minneapolis VA Health Care System (US)
- Corresponding author
- Meis, Laura A.
- ORCID
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 33
- Issue
- 2
- Pages
- 275-286
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2072038878
- Cited by
- 92
- References
- 84
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 9 · 2023: 9 · 2022: 7 · 2021: 8 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 4 · 2016: 8 · 2015: 6 · 2014: 5 · 2013: 1
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- family intervention, couple therapy, adult mental health, behavioral couples therapy, behavioral family therapy, substance use disorders, family-focused therapy, bipolar disorder, schizophrenia spectrum disorders, relationship adjustment, treatment initiation, dual substance use
- MeSH terms
- Adult, Mental Disorders, Bipolar Disorder, Family Therapy, Humans, Marital Therapy, Schizophrenia, Substance-Related Disorders
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