Abstract Title: MULTI-FAMILY PSYCHOEDUCATION GROUPS (MCFARLANE’S MODEL) IN THE TREATMENT OF SCHIZOPHRENIA– DEVELOPMENT AND PILOT TEST OF THE PORTUGUESE VERSION
Abstract Text:
Objectives: To develop and pilot-test a Portuguese version of the Multi-Family Psychoeducation Groups (McFarlane’s model); to explore its efficacy in the treatment of schizophrenia in a Portuguese context.
Background and aims: Family interventions are considered an important component of the integrated treatment of schizophrenia, and McFarlane’s Multi-Family Psychoeducation Groups have shown particularly good results. Aims: to provide an evidence-based and culturally tested intervention; to contribute for its implementation in Portugal. 
 
Materials and methods: Schizophrenia patients attending a Portuguese public service were randomly assigned to multi-family group (6 patients/ 12 caregivers) and control group (8 patients/ 9 caregivers). Information workshops and ‘Guidelines for families’ were prepared, following translation and cultural adaptation of McFarlane’s original materials. The intervention (38 group sessions over 3 years) was delivered as an adjunct to standard services (regular appointments with a doctor). Quantitative outcomes were measured after 2 years, including: re-hospitalizations, symptoms, functioning, patients and family members’ perceived quality of life and ability to manage illness. Participants’ written opinions about each session were content analyzed.  
Results: The small sample size precluded statistical differences between groups. However, patients and their caregivers reported their satisfaction with the intervention: increased knowledge about the illness; sharing experiences and feelings with other people; patients’ improved therapeutic compliance; better communication within the family; increased vocational attempts and outcomes.
Conclusions: Multi-Family Psychoeducation Groups are definitely useful in meeting the needs for information and support of schizophrenia patients and their families.  Research should focus on how to implement them as standard care in Portugal.