{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T03:02:50Z","timestamp":1785466970222,"version":"3.56.0"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007812","name":"University of Washington","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007812","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":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Psychosis REACH (p\u2010REACH) is a co\u2010produced, bichronous (hybrid synchronous and asynchronous) Family Intervention for psychosis that leverages a direct\u2010to\u2010family delivery model to enhance access. We aimed to assess the effect, feasibility and acceptability of the p\u2010REACH core training when combined with longitudinal, family peer\u2010delivered support in an early psychosis setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      After completing the p\u2010REACH core training, caregiver participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200920) engaged in monthly peer and clinician co\u2010led coaching groups for 6\u2009months to support skill development and met with a peer with lived experience of caring for a loved one with psychosis twice a month for the course of the intervention. We assessed depression, anxiety, expressed emotion, perceptions of carer burden and attitudes towards psychosis at baseline, immediately post\u2010intervention and at 3 and 6\u2009months post\u2010intervention, the latter of which coincided with the end of the coaching period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The intervention, combined with ongoing peer facilitated group and individual family support, had a positive impact on all carers' outcomes, except depression which was subthreshold at baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates the feasibility and acceptability of the p\u2010REACH intervention in an early psychosis clinic and demonstrates the positive impact of teaching CBTp\u2010informed skills to caregivers on both carer and service user outcomes. Further randomised controlled studies are needed to fully assess the key components and impact of this intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.70169","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T09:06:29Z","timestamp":1774688789000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Pilot Study of the Peer Supported Family Intervention, Psychosis Recovery by Enabling Adult Carers at Home (Psychosis\u2010REACH) in an Early Psychosis Clinic"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3654-9914","authenticated-orcid":false,"given":"Melanie","family":"Lean","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie C.","family":"Benitah","sequence":"additional","affiliation":[{"name":"Department of Psychology York University  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9893-372X","authenticated-orcid":false,"given":"Diane E.","family":"Wakeham","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Virtheim","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Summer","family":"Runestad","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Kopelovich","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2019-5090","authenticated-orcid":false,"given":"Kate V.","family":"Hardy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2021.03.013"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-018-0178-2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1545-5300.1995.00413.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1833-5"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020930041"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.00371"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000528513"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20959"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2025.01.006"},{"key":"e_1_2_10_11_1","volume-title":"ECDEU Assessment Manual for Psychopharmacology, Revised","author":"Guy W.","year":"1976"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-015-9848-6"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.160.5.601"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(97)00033-4"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2020.177901"},{"key":"e_1_2_10_19_1","unstructured":"Kopelovich S. J.Blank A.Vaswani\u2010Bye et\u00a0al.2025.Scaling Family Interventions for Psychosis Through Hybrid Digital Training: A Feasibility Study of Psychosis REACH. Rev."},{"key":"e_1_2_10_20_1","volume-title":"Psychosis REACH Family Ambassador Manual","author":"Kopelovich S.","year":"2020"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000515"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000740"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.146415"},{"key":"e_1_2_10_24_1","article-title":"A Qualitative Study of Family Experiences of the Peer Supported Family Intervention, Psychosis Recovery by Enabling Adult Carers at Home (Psychosis REACH), in an Early Psychosis Clinic","author":"Lean M.","year":"2025","journal-title":"Early Intervention in Psychiatry"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.12.004"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxn001"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1545-5300.1989.00153.x"},{"key":"e_1_2_10_28_1","volume-title":"Psychosis and Schizophrenia in Children and Young People: Recognition and Management Clinical Guidelines CG155","author":"National Institute for Health and Care Excellence (NICE)","year":"2013"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2018.07.003"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41537-025-00701-2"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp16X686209"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-020-00634-w"},{"key":"e_1_2_10_33_1","article-title":"Family Intervention for Schizophrenia","volume":"12","author":"Pharoah F.","year":"2010","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2010.01.017"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796020001067"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-020-00611-w"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.70003"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.01.027"},{"key":"e_1_2_10_39_1","volume-title":"The Way Forward: Federal Action for a System That Works for All People Living With SMI and SED and Their Families and Caregivers","author":"The Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC)","year":"2017"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/23311908.2018.1497749"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S432255"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2024.05.015"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12024"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"}],"container-title":["Early Intervention in Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.70169","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eip.70169","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.70169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T02:05:56Z","timestamp":1776996356000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eip.70169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,28]]},"references-count":43,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/eip.70169"],"URL":"https:\/\/doi.org\/10.1111\/eip.70169","archive":["Portico"],"relation":{},"ISSN":["1751-7885","1751-7893"],"issn-type":[{"value":"1751-7885","type":"print"},{"value":"1751-7893","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,28]]},"assertion":[{"value":"2025-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70169"}}