scholarly journals A conceptual review of family involvement in acute mental health treatment: Methodology and personal reflections

2018 ◽  
Vol 2 (2) ◽  
pp. 257-266 ◽  
Author(s):  
Aysegul Dirik ◽  
Katherine Barrett ◽  
Gerry Bennison ◽  
Sue Collinson ◽  
Sima Sandhu
2018 ◽  
Vol 2 (2) ◽  
pp. 257-266 ◽  
Author(s):  
Aysegul Dirik ◽  
Katherine Shea Barrett ◽  
Gerry Bennison ◽  
Sue Collinson ◽  
Sima Sandhu

This paper describes a process developed in order to work collaboratively on a conceptual review of some of the family involvement models that are used in acute mental health treatment. The members of the review team consisted of clinicians, academics and people with lived experience of mental illness and mental health services. This combination of backgrounds had the potential to present many challenges to the dynamics of the group. There were varying levels of research knowledge and experience within the group, as well as a lack of literature describing how to actualize their potential to best effect. Financial resources were minimal, which meant that the number of meetings had to be limited. Most importantly, however, there was the strong potential for a power imbalance within the group during the review process. Senior academics and clinicians were being expected to help to create a research environment in which the patient voice carried as much weight as theirs. In this paper, we discuss how we overcame these challenges and ended up with a process that was coherent, equable and enjoyable.


2012 ◽  
Author(s):  
John Robst ◽  
Mary Armstrong ◽  
Norin Dollard ◽  
Patty Sharrock ◽  
Catherine Batche ◽  
...  

2013 ◽  
Vol 42 (3) ◽  
pp. 225-238 ◽  
Author(s):  
John Robst ◽  
Lodi Rohrer ◽  
Mary Armstrong ◽  
Norín Dollard ◽  
Patty Sharrock ◽  
...  

2013 ◽  
Vol 35 (1) ◽  
pp. 40-46 ◽  
Author(s):  
John Robst ◽  
Mary Armstrong ◽  
Norín Dollard ◽  
Lodi Rohrer ◽  
Patty Sharrock ◽  
...  

2012 ◽  
Author(s):  
John Robst ◽  
Mary Armstrong ◽  
Norin Dollard ◽  
Lodi Rohrer ◽  
Catherine Batche ◽  
...  

Author(s):  
M. Carolina Zerrate ◽  
Sara B. VanBronkhorst ◽  
Jaimie Klotz ◽  
Angel A. Caraballo ◽  
Glorisa Canino ◽  
...  

Abstract Background Barriers to mental health care access among Latinx children contribute to mental health disparities. It is unclear whether traditional spiritual guides in Latinx communities may function more as gateway providers or in some instances as deterrents to mental health treatment. This study assesses whether family involvement in Espiritismo and/or Santeria, two forefront non-Christian spiritual traditions among Latinx families, is associated with mental health care utilization among Puerto Rican children in two contexts. Methods Data are from Waves 1–3 (2000–2004) of the Boricua Youth Study, a population-based longitudinal cohort study of Puerto Rican children from San Juan and Caguas, Puerto Rico (PR), and the South Bronx, New York (SBx), 5 to 17 years of age (N = 2491). Results At baseline, 5.02% (n = 58) of the families reported involvement with Espiritismo and/or Santeria in the SBx and 3.64% (n = 52) in PR. Logistic regression models predicting mental health service use found, after adjusting for multiple risk and protective factors, that families involved with Espiritismo and/or Santeria were 2.41 times more likely (p = 0.0034) to use mental health services over the course of 3 years than children with no family involvement in these practices in the SBx. The same association was not found in PR. Conclusions The findings among PR families in the SBx lend support to the gateway provider model in which spiritual guides open doors to mental health treatment. Forming community connections between mental health providers and traditional spiritual groups may be a culturally considerate, fruitful approach to reducing barriers to mental health treatment among Latinx families.


2013 ◽  
Vol 33 (2) ◽  
pp. 275-286 ◽  
Author(s):  
Laura A. Meis ◽  
Joan M. Griffin ◽  
Nancy Greer ◽  
Agnes C. Jensen ◽  
Roderick MacDonald ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017680 ◽  
Author(s):  
Aysegul Dirik ◽  
Sima Sandhu ◽  
Domenico Giacco ◽  
Katherine Barrett ◽  
Gerry Bennison ◽  
...  

ObjectivesFamily involvement is strongly recommended in clinical guidelines but suffers from poor implementation. To explore this topic at a conceptual level, a multidisciplinary review team including academics, clinicians and individuals with lived experience undertook a review to explore the theoretical background of family involvement models in acute mental health treatment and how this relates to their delivery.DesignA conceptual review was undertaken, including a systematic search and narrative synthesis. Included family models were mapped onto the most commonly referenced underlying theories: the diathesis–stress model, systems theories and postmodern theories of mental health. Common components of the models were summarised and compared. Lastly, a thematic analysis was undertaken to explore the role of patients and families in the delivery of the approaches.SettingGeneral adult acute mental health treatment.ResultsSix distinct family involvement models were identified: Calgary Family Assessment and Intervention Models, ERIC (Equipe Rapide d’Intervention de Crise), Family Psychoeducation Models, Family Systems Approach, Open Dialogue and the Somerset Model. Findings indicated that despite wide variation in the theoretical models underlying family involvement models, there were many commonalities in their components, such as a focus on communication, language use and joint decision-making. Thematic analysis of the role of patients and families identified several issues for implementation. This included potential harms that could emerge during delivery of the models, such as imposing linear ‘patient–carer’ relationships and the risk of perceived coercion.ConclusionsWe conclude that future staff training may benefit from discussing the chosen family involvement model within the context of other theories of mental health. This may help to clarify the underlying purpose of family involvement and address the diverse needs and world views of patients, families and professionals in acute settings.


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