{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T03:40:05Z","timestamp":1756179605708,"version":"3.44.0"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K23DA050808"],"award-info":[{"award-number":["K23DA050808"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Poor family communication can worsen early psychosis and substance use outcomes. While families find communication skills valuable, which components to offer in resource\u2010limited settings remain unclear. This study identified communication strengths\/areas of improvement, <jats:italic>conversations<\/jats:italic> families wanted to practise, and their communication happiness with their relative versus people generally.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Family members (<jats:italic>N<\/jats:italic>\u2009=\u200936) of relatives with early psychosis and substance use participated in communication coaching. Strengths\/areas of improvement and role\u2010play content were rated from session recordings and progress notes. Self\u2010report items assessed communication happiness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants aimed to improve being brief (44%), specific and clear (39%) and offering help (36%). Role\u2010plays focused on independence (44.1%), substance use (29.4%) and mental health treatment (17.6%). Participants reported greater communication happiness with others than with their relative (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Families wanted to improve communication, brevity, clarity and effectively offer help, particularly to foster independence with their relative with early psychosis and substance use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.70077","type":"journal-article","created":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T03:50:47Z","timestamp":1755575447000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Communication Targets and Applications for Family Members of People With Early Psychosis and Substance Use"],"prefix":"10.1111","volume":"19","author":[{"given":"Patrick Y.","family":"Kelly","sequence":"first","affiliation":[{"name":"Division of Psychotic Disorders McLean Hospital  Belmont Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max H.","family":"Cook","sequence":"additional","affiliation":[{"name":"Division of Psychotic Disorders McLean Hospital  Belmont Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8302-6286","authenticated-orcid":false,"given":"Julie M.","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Division of Psychotic Disorders McLean Hospital  Belmont Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/neu0000664"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.06.039"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2022.10.015"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718003768"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.00371"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.04.012"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102014\u2010006108"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1138394"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010013\u20100768\u2010x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2022.114804"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0899\u20103289(99)00003\u20106"},{"volume-title":"Clinical Guide to Alcohol Treatment: The Community Reinforcement Approach","year":"1995","author":"Meyers R. 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