Resources for Enhancing Alzheimer's Caregiver Health (REACH) Miami Site


The interventions are aimed at reducing burden and depression in caregivers by enhancing family support

SMother and daughtertrategy

The approach uses Structural Ecosystems Therapy (a family systems therapy) and a teleconferencing-computer integrated phone to enhance the family support for dementia caregivers

Target Population

Cuban-American and Anglo-American dementia caregivers

Research Outcomes

The combined family therapy and technology intervention significantly reduced depression in caregivers, with particular benefits for Cuban-American husband and daughter caregivers over the long term (18 months).

Outcome Research References

Eisdorfer, C., Czaja, S., Loewenstein, D., Rubert, M., Argüelles, S., Mitrani, V., et al. (2003). The effect of a family therapy and technology-based intervention on caregiver depression. The Gerontologist, 43(4), 521-531.

Gitlin, L. N., Belle, S. H., Burgio, L. D., Czaja, S. J., Mahoney, D., Gallagher- Thompson, D., et al. (2003). Effect of multicomponent interventions on caregiver burden and depression: The REACH multisite initiative at 6- month follow-up. Psychology and Aging, 18, 361-374.

Clinical Approach References

Mitrani, V. B., & Czaja, S. J. (2000). Family-based therapy for dementia caregivers: Clinical observations. Aging & Mental Health, 4, 200–209.

Mittleman, M.,Szapocznik, J., Santisteban, D., Hervis, O., Spencer, F., & Kurtines, W. (1982). Life enhancement counseling and the treatment of depressed Cuban American elders. Hispanic Journal of Behavioral Sciences, 4, 487–502.

Szapocznik, J., Scopetta, M. A., Ceballos, A., & Santisteban, D. A. (1994). Understanding supporting and empowering families: From microanalysis to macrointervention [Special section]. Family Psychologist, 10, 23–27.