The implementation of family-focused practice in adult mental health services: A systematic review exploring the influence of practitioner and workplace factors.
family
mental health services
parental mental illness
parenting
parents
Journal
International journal of mental health nursing
ISSN: 1447-0349
Titre abrégé: Int J Ment Health Nurs
Pays: Australia
ID NLM: 101140527
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
03
12
2020
received:
16
06
2020
accepted:
17
12
2020
pubmed:
2
4
2021
medline:
29
7
2021
entrez:
1
4
2021
Statut:
ppublish
Résumé
There is increased recognition of the need for greater and more appropriate support to be offered to families in which a parent experiences mental illness and has dependent children. One way of meeting this need is for adult mental health services to take a more family-focused approach. However, there are recognized difficulties in facilitating family-focused practice (FFP). The current review systematically synthesized quantitative and qualitative literature of practitioner perspectives and experiences of FFP in adult mental health settings to identify modifiable factors associated with its successful implementation. Five databases were searched systematically leading to the inclusion and quality assessment of 19 papers, ten of which were quantitative and nine qualitative. Analysis was guided by a narrative synthesis approach. Factors shown to influence FFP functioned at both practitioner and workplace levels and included personal attitudes, beliefs about job role, and perceptions of workplace support. Practitioners who felt that a family-focussed approach was inappropriate or detrimental to service users or outside of their remit as mental health professionals were less likely to adopt this approach. For those who saw the potential benefits of FFP, lack of confidence in their ability to deliver such an approach and lack of training can be barriers, as can lack of support and resources within services. This review highlights the need for actions to boost the awareness of adult mental health practitioners working with parents and to increase their confidence. It also makes the case for broader organizational support if family-focussed practice is to be implemented successfully.
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Pagination
885-906Informations de copyright
© 2021 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
Références
Barrowclough, C. & Hooley, J. M. (2003). Attributions and expressed emotion: A review. Clinical Psychology Review, 23, 849-880.
Bee, P., Bower, P., Byford, S. et al. (2014). The clinical effectiveness, cost-effectiveness and acceptability of community-based interventions aimed at improving or maintaining quality of life in children of parents with serious mental illness: A systematic review. Health Technology Assessment, 18, 1-249.
Boland, A., Cherry, M. G. & Dickson, R. (2014). Doing a Systematic Literature Review: A Student’s Guide. London: SAGE Publications Ltd.
Casp-uk.net. (2018). [online] Available at: https://casp-uk.net/wp-content/uploads/2018/01/CASP-Qualitative-Checklist-2018.pdf [Accessed 21 December 2018].
Crombie, I. (2002). The Pocket Guide to Critical Appraisal. London: BMJ Publishing Group.
Foster, K., Maybery, D., Reupert, A. et al. (2016). Family-focused practice in mental health care: An integrative review. Child & Youth Services, 37, 129-155.
Foster, K., O'Brien, L., & Korhonen, T. (2012). Developing resilient children and families when parents have mental illness: A family-focused approach. International Journal of Mental Health Nursing, 21, 3-11.
Glynn, S. M., Cohen, A. N., Dixon, L. B. & Niv, N. (2006). The potential impact of the recovery movement on family interventions for schizophrenia: Opportunities and obstacles. Schizophrenia Bulletin, 32 (3), 451-463.
Goodyear, M., Maybery, D., Reupert, A. et al. (2017). Thinking families: A study of the characteristics of the workforce that delivers family-focused practice. International Journal of Mental Health Nursing, 26, 238-248.
Grant, A. & Reupert, A. (2016). The impact of organizational factors and government policy on psychiatric nurses’ family-focused practice with parents who have mental illness, their dependent children, and families in Ireland. Journal of Family Nursing, 22, 199-223.
Houlihan, D., Sharek, D. & Higgins, A. (2013). Psychiatric nurses’ attitudes towards children visiting their parents in psychiatric inpatient units. Irish Journal of Psychological Medicine, 30, 261-269.
Korhonen, T., Pietilä, A. M. & Vehviläinen-Julkunen, K. (2010a). Are the children of the clients’ visible or invisible for nurses in adult psychiatry? - A questionnaire survey. Scandinavian Journal of Caring Sciences, 24, 65-74.
Korhonen, T., Vehvilainen-Julkunen, K. & Pietila, A. (2008). Do nurses working in adult psychiatry take into consideration the support network of families affected by parental mental disorder? Journal of Psychiatric and Mental Health Nursing, 15, 767-776.
Korhonen, T., Vehviläinen-Julkunen, K. & Pietilä, A.-M. (2010b). Do nurses support the patient in his or her role as a parent in adult psychiatry? A survey of mental health nurses in Finland. Archives of Psychiatric Nursing, 24, 155-167.
Korhonen, T., Vehviläinen-Julkunen, K., Pietilä, A. & Kattainen, E. (2009). Preventive child-focused family work: Development of instrument in adult psychiatry. Journal of Psychiatric & Mental Health Nursing, 16, 804-812.
Lauritzen, C. & Reedtz, C. (2013). Support for childdren of service users in Norway. Mental Health Practice, 16, 12-18.
Lauritzen, C., Reedtz, C., Van Doesum, K. & Martinussen, M. (2015). Factors that may facilitate or hinder a family-focus in the treatment of parents with a mental illness. Journal of Child and Family Studies, 24, 864-871.
Lee, G., Barrowclough, C. & Lobban, F. (2013). Positive affect in the family environment protects against relapse in first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 49, 367-376.
Maddocks, S., Johnson, S., Wright, N. & Stickley, T. (2010). A phenomenological exploration of the lived experience of mental health nurses who care for clients with enduring mental health problems who are parents. Journal of Psychiatric and Mental Health Nursing, 17, 674-682.
Maybery, D., Goodyear, M., O’Hanlon, B., Cuff, R. & Reupert, A. (2014). Profession differences in family focused practice in the adult mental health system. Family Process, 53, 608-617.
Maybery, D., Goodyear, M. & Reupert, A. (2012). The family-focused mental health practice questionnaire. Archives of Psychiatric Nursing, 26, 135-144.
Maybery, D., Goodyear, M., Reupert, A. E. & Grant, A. (2016). Worker, workplace or families: What influences family focused practices in adult mental health? Journal of Psychiatric and Mental Health Nursing, 23, 163-171.
Maybery, D. & Reupert, A. (2009). Parental mental illness: A review of barriers and issues for working with families and children. Journal of Psychiatric and Mental Health Nursing, 16, 784-791.
Maybery, D. & Reupert, A. (2018). The number of parents who are patients attending adult psychiatric services. Current Opinion in Psychiatry, 31, 358-362.
Moher, D., Liberati, A., Tetzlaff, J. & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med, 6, e1000097.
Mulligan, C., Furlong, M. & McGilloway, S. (2019). Promoting and implementing family-focused interventions for families with parental mental illness: Scoping and installation. Advances in Mental Health. Abingdon, UK: Routledge [in press]. https://doi.org/10.1080/18387357.2019.1614466
O’Brien, L., Brady, P., Anand, M. & Gillies, D. (2011). Children of parents with a mental illness visiting psychiatric facilities: Perceptions of staff. International Journal of Mental Health Nursing, 20, 358-363.
Popay, J., Roberts, H., Sowden, A., et al. (2006). Guidance on the conduct of narrative synthesis in systematic reviews: a product of the ESRC methods programme (Version I). Lancaster, UK: University of Lancaster.
Reupert, A., Maybery, D., Nicholson, J., Gopfert, M. & Seeman, M. V. (2015). Parental Psychiatric Disorder: Distressed Parents and their Families, 3rd edn. Cambridge: Cambridge University Press.
Schrank, B., Moran, K., Borghi, C. & Priebe, S. (2015). How to support patients with severe mental illness in their parenting role with children aged over 1 year? A systematic review of interventions. Social Psychiatry and Psychiatric Epidemiology, 50, 1765-1783.
Shah-Anwar, S., Gumley, A. & Hunter, S. (2019). Mental health professionals’ perspectives of family-focused practice across child and adult mental health settings: A qualitative synthesis. Child and Youth Services, 40, 383-404.
Sjöblom, L., Pejlert, A., Asplund, K., Pejlert, A. & Sjoblom, L. M. (2005). Nurses’ view of the family in psychiatric care. Journal of Clinical Nursing, 14, 562-569.
Slack, K. & Webber, M. (2008). Do we care? Adult mental health professionals’ attitudes towards supporting service users’ children. Child & Family Social Work, 13, 72-79.
Tchernegovski, P., Hine, R., Reupert, A. E. & Maybery, D. J. (2018a). Adult mental health clinicians’ perspectives of parents with a mental illness and their children: Single and dual focus approaches. BMC Health Services Research, 18, 611.
Tchernegovski, P., Maybery, D. J. & Reupert, A. E. (2017). Legislative policy to support children of parents with a mental illness: Revolution or evolution? International Journal of Mental Health Promotion, 19, 1-13.
Tchernegovski, P., Reupert, A. E. & Maybery, D. J. (2018b). How do Australian adult mental health clinicians manage the challenges of working with parental mental illness? A phenomenological study. Child & Family Social Work, 23, 381-389.
Tungpunkom, P., Maybery, D., Reupert, A., Kowalenko, N. & Foster, K. (2017). Mental health professionals’ family-focused practice with families with dependent children: A survey study. BMC Health Services Research, 17, 1-8.
Waller, S., Reupert, A., Ward, B., McCormcik, R. N. & Kidd, S. (2018). Family-focused recovery: Perspectives from individuals with a mental illness. International Journal of Mental Health Nursing, 27, 247-255.
Ward, B., Reupert, A., McCormick, F., Waller, S. & Kidd, S. (2017). Family-focused practice within a recovery framework: practitioners’ qualitative perspectives. BMC Health Services Research, 17, 234.