This study explores therapists’ specific intervention strategies and corresponding responses in the change process for Chinese American families with a family member having schizophrenia, based on individual family sessions notes in the context of family psychoeducation. Nine intake summaries and 103 family session notes (from nine patients and nineteen caregivers) were analysed through open, axial, and selective coding based on grounded theory. Interventions that promoted healthier family dynamics and effective communication, provided psychoeducation, practical help and emotional support, and improved coping skills were found to be effective and well received. These strategies can be integrated into a culturally sensitive family intervention protocol for this population and those of similar backgrounds. Clinicians can also employ them to enhance client receptivity in the treatment process.
Practitioner points
Many immigrant Chinese families with serious mental illness may become enmeshed, with caregivers exhibiting over‐involvement and criticism of sick family members
This increases stress for both parties and clinicians need to facilitate change to establish clear boundaries
Immigrant families often need help to meet their tangible needs in dealing with external systems in their daily lives
Understanding cultural characteristics among ethnic minorities and being flexible and responsive to their needs are both essential in family interventions.