Support from families, friends and carers can have a strong influence on recovery, supporting a crisis and relapse prevention. Good social support has been found to reduce carers’ perceived responsibilities88 but this is not easy to deliver and many carers feel excluded and marginalised89 90 91
Carers views have rated ‘Get listened to and involved in all decisions as equal partners’ as a high priority and in a large survey of people with severe problems, carers and professionals found that each group had differing views about what information should be shared91. Confidentiality requirements do not prevent information being received by staff or general advice being given.
The concept of a ‘pyramid of care‘ involves listening to and providing advice for all carers with more formal psycho-education for many and then family work offered to those who can and wish to participate.