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Evidence Based Social Work Intervention for Caregiver Burden in Schizophrenia: A Case Analysis and Discussion

Author Affiliations

  • 1Department of Psychiatry, St. Johns Medical College Hospital, John Nagar, Bangalore 560 034, INDIA

Int. Res. J. Social Sci., Volume 4, Issue (4), Pages 105-108, April,14 (2015)


In presentscenario, psychiatric institutions are replaced by families to provide care for the family members with mental illness. It implies not only the relevance of emotions and affection in care but also induce higher amount of burden on family members. Evidence suggests that burden on family members of persons with schizophrenia has been associated with significant reduction in family members’ quality of life, causing damage in caregivers’ health and mental health conditions. The paper illustrates a case of chronic schizophrenia person and discusses various features of caregiver burden in comparison with other relevant literature. It describes evidence based clinical social work intervention to manage caregiver burden and evaluates its effectiveness in the background of this case. Using a case study approach, the present study evaluates the effectiveness of evidence based clinical social work intervention for caregiver burden experienced by family members. The clinical social work intervention was found effective in improving the caregiver’s knowledge and understanding about the illness, problem solving skills and subjective wellbeing.


  1. Dillehay R. C. and Sandys M.R., Caregivers for Alzheimer's patients: what we are learning from research, Int J Aging Hum Dev, 30(4), 263-85 (1990)
  2. Rabins P. V., Mace N. L. and Lucas M., The impact of dementia on the family. JAMA, 248(3), 333-5 (1982)
  3. Fadden G., Bebbington P. and Kuipers L., The burden of care: the impact of functional psychiatric illness on the patient's family. The British journal of psychiatry, 150(3), 285-92 (1987)
  4. Randolph E. T., Eth S. and Glynn S.M., et al., Behavioural family management in schizophrenia. Outcome of a clinic-based intervention. The British Journal of Psychiatry, 164(4), 501-6 (1994)
  5. Pitschel-Walz G., Leucht S., Bauml J., Kissling W. and Engel R.R., The effect of family interventions on relapse and rehospitalization in schizophrenia--a meta-analysis, Schizophr Bull 27(1), 73-92 (2001)
  6. Ochoa S., Vilaplana M. and Haro J. M., et al., Do needs, symptoms or disability of outpatients with schizophrenia influence family burden? Social psychiatry and psychiatric epidemiology, 43(8), 612-8 (2008)
  7. Roick C., Heider D. and Bebbington P. E., et al. Burden on caregivers of people with schizophrenia: comparison between Germany and Britain, Br J Psychiatry, 190, 333- (2007)
  8. Grandón P., Jenaro C. and Lemos S., Primary caregivers of schizophrenia outpatients: Burden and predictor variables, Psychiatry Research, 158(3), 335-43 (2008)
  9. Gutiérrez-Maldonado J., Caqueo-Urízar A. and Kavanagh D. J., Burden of care and general health in families of patients with schizophrenia, Social Psychiatry and Psychiatric Epidemiology, 40(11), 899-904 (2005)
  10. Chien W. T., Chan S. W. and Morrissey J., The perceived burden among Chinese family caregivers of people with schizophrenia. Journal of Clinical Nursing, 16(6), 1151-61 (2007)
  11. Pai S. and Kapur R., The burden on the family of a psychiatric patient: development of an interview schedule. The British Journal of Psychiatry, 138(4), 332- (1981)
  12. Magliano L., Fiorillo A., Rosa C. and Maj M., Family burden and social network in schizophrenia vs. physical diseases: preliminary results from an Italian national study, Acta Psychiatrica Scandinavica, 113(s429), 60-3(2006)
  13. Gautam S. and Nijhawan M., Burden on families of schizophernic and chronic lung disease patients, Indian journal of psychiatry, 26(2), 156 (1984)
  14. Noh S. and Avison W. R., Spouses of discharged psychiatric patients: Factors associated with their experience of burden, Journal of Marriage and the Family, 377-89 (1988)
  15. Grover S., Avasthi A., Chakrabarti S., Bhansali A. and Kulhara P., Cost of care of schizophrenia: a study of Indian out-patient attenders, Acta Psychiatr Scand, 112(1), 54-63 (2005)
  16. Penn D. L. and Mueser K. T., Research update on the psychosocial treatment of schizophrenia, The American journal of psychiatry,(1996)
  17. Solomon P., Interventions for Families of Individuals with Schizophrenia, Disease Management and Health Outcomes 8(4), 211-21 (2000)
  18. Abramowitz I. A. and Coursey R. D., Impact of an educational support group on family participants who take care of their schizophrenic relatives. Journal of consulting and clinical psychology, 57(2), 232-6 (1989)
  19. Falloon I. R., Family management of schizophrenia: A study of clinical, social, family, and economic benefits: Johns Hopkins University Press Baltimore, (1985)
  20. Lefley H. P., Family caregiving in mental illness: Sage Publications, Inc, (1996)
  21. Heller T., Roccoforte J. A., Hsieh K., Cook J. A., Pickett S. A., Benefits of support groups for families of adults with severe mental illness, American Journal of Orthopsychiatry, (1997)