Anderson and Adams70 and Drake et al71 have suggested
there are difficulties in employing family intervention in
everyday clinical practice, with groups of patients with
schizophrenia in receipt of community care because of
inadequate mental health care services, staff training, and
resources. Multiple-family groups may have very high
noncompliance or attrition rates resulting from the group
members’ time constraints on attending groups because of
their work and busy domestic lives, as well as the inconvenience
of transport and meeting times. In addition, they may
not be able to arrange alternative care for the patient when
attending the group, and running a family group requires a
highly skilled and experienced therapist for effective management
of patients’ psychotic symptoms and disturbing
behaviors and/or those highly distressed family carers.19,72