ArticleGlobal mental health (Cambridge, England)2026
Cultural adaptation and preliminary evaluation of the psychosis REACH family intervention in Pakistan.
Article in Global mental health (Cambridge, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Most individuals with mental disorders reside in low- and middle-income countries (LMICs), where care is often provided by family members. However, Family Interventions for psychosis (FIp) are rarely adapted for LMIC contexts. Using a validated cultural adaptation framework, we adapted Psychosis Recovery by Enabling Adult Carers at Home (Psychosis REACH) - an intervention designed for delivery outside of clinical settings - and evaluated the adapted version (Ca-REACH) among families affiliated with a mental health rehabilitation clubhouse in Lahore, Pakistan. A Fountain House clinician delivered Ca-REACH to 40 caregivers of individuals with psychosis through eight in-person group sessions. Feasibility was demonstrated across multiple process indicators: all 40 caregiver-resident dyads consented (100% recruitment), caregiver retention was high, session attendance averaged 96.5% and assessments were completed at baseline, post-intervention and 4-month follow-up. Data completeness among residents was 85%. Perceived feasibility, acceptability and appropriateness (FIM, AIM, IAM) all exceeded the benchmark score of 4.0 (
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