Next of kin involvement in mental health care services – a systematic participatory overview of evidence syntheses
By
Peggy Prien
Sebastian Bayer
Susanne Kappesser
Nora Dietrich
Sven Speerforck
Johanna Kummetat
Sarah Schernau
Silvia Bahl
Franziska Vosseberg
Kolja Heumann
Sebastian von Peter
June 30, 2026
Clinical Scorecard: Involvement of Family Members in Mental Health Care Services: A Comprehensive Review of Evidence-Based Insights
At a Glance
Category Detail
Condition Mental Health Care Services
Key Mechanisms Participation of next of kin (NOK) in treatment improves outcomes for persons in treatment (PIT).
Target Population Individuals undergoing psychiatric treatment and their next of kin.
Care Setting Psychiatric and psychosocial treatment settings.
Key Highlights
NOK participation is linked to improved recovery outcomes and reduced re-hospitalization rates. NOK often face economic, physical, and psychosocial burdens. There is a significant gap in the implementation of NOK interventions in clinical practice. NOK feel undervalued and dissatisfied with their involvement in treatment decisions. Guidelines emphasize the need for better integration of NOK in mental health care.
Guideline-Based Recommendations
Diagnosis
NOK involvement should be considered in the diagnosis of mental disorders.
Management
Health professionals must be trained to include NOK in treatment processes.
Monitoring & Follow-up
Regular assessment of NOK satisfaction and involvement in treatment decisions.
Risks
NOK may experience courtesy stigma and emotional distress due to their role.
Patient & Prescribing Data
Persons in treatment (PIT) for mental health disorders.
Involving NOK can enhance treatment adherence and patient satisfaction.
Clinical Best Practices
Implement systematic NOK involvement in treatment planning. Provide resources and support for NOK to mitigate their burdens. Encourage open communication between NOK and mental health professionals.
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