A qualitative evaluation of professionals’ experiences of conducting Beardslee’s family intervention in families with parental psychosis

Strand, Jennifer; Rudolfsson, Lisa

doi:10.1080/14623730.2017.1345690

Cited by 12 publications

(31 citation statements)

References 17 publications

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“…However, all domains of the model were covered during the interview by direct or indirect questions, such as those about parent-child interactions on an ordinary day. Another weakness was that the inclusion criteria may have affected the sample and consequently the results as parents included in family interventions generally tend to function better than non-participating parents (Strand and Rudolfsson 2017). Moreover, all participants had completed one of the two interventions, that both aim to open up family communication about parental mental illness and increase awareness of how children are affected by parental mental illness.…”

Section: Limitationsmentioning

confidence: 99%

Parents’ Descriptions of How Their Psychosis Affects Parenting

2019

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Objectives Parental psychosis poses a risk factor for a child's well-being. Few studies have focused on the parents' views of how their psychosis affects their parenting, and results for parenting ability in this group are contradictory. The present study aimed to explore how parents with psychosis experience the effect(s) of their illness on parenting. Methods In-depth and semi-structured interviews were conducted with 15 parents who attended outpatient clinics specializing in psychosis. The transcripts were analyzed using thematic analysis. Data related to the research aim were analyzed deductively according to the protection, reciprocity, control, guided learning, and group participation model of parenting. Data in each domain were subsequently coded inductively to form subthemes. Results Results show that all domains of parenting appear to be affected by psychosis. The parents specifically mentioned that depression, fatigue, and difficulty focusing because of hearing voices had negative impacts on their abilities to provide protection, reciprocity, and control. The parents also expressed difficulties in maintaining routines in the child's everyday life. Furthermore, the theme "Unpredictable absences" crosses all domains and highlights the parents' recurrent mental and physical absences from their children during psychotic episodes. Conclusions The present study provides some insight into how different aspects of parenting may be affected by psychosis. We suggest that these effects on parenting need to be further explored and confirmed by research focusing on the child's perspective and on observations of parent-child interaction. Keywords Parental psychosis • Parenting • Psychiatric services • Schizophrenia • Qualitative study Nearly 6% of children in Sweden grow up with a parent with mental illness (Hjern and Manhica 2013), but international figures point to as many as one in five children (Reupert et al. 2012). International as well as studies from Scandinavia estimate that a substantial minority of patients in adult psychiatric care have children under 18 years old (Lauritzen 2014; Maybery and Reupert 2018; Ruud et al. 2019). The increased risk of developing mental health problems is well established in children growing up with a parent with mental illness (LeFrancois 2012; Leijdesdorff et al. 2017; Ramchandani and Psychogiou 2009).

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Section: Limitationsmentioning

confidence: 99%

Parents’ Descriptions of How Their Psychosis Affects Parenting

2019

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“…High consensus to talk with parents about their general experience of parenting can be seen to further support this stance, and is something that has proven successful in previous studies of parents with children being seen in an AMH setting (Isobel et al , ). Of note is that there was 91.3 per cent level of agreement that the service user should be encouraged to talk to the child themselves about the nature of their difficulties, although Strand and Rudolfsson () found that their small sample of practitioners observed that some parents were unable to judge what would be appropriate to share, so some support to parents in this process might be necessary.…”

Section: Discussionmentioning

confidence: 99%

“…Key features of the intervention include promoting open communication about the nature of the mental health issues, positive interactions and a strengthened caretaker role for the parents (Pihkala et al , ). Although this approach was developed primarily in the context of affective disorders, Strand and Rudolfsson () recently carried out a qualitative study to see how the approach might translate in the context of psychosis. Their clinician participants reported benefits for both parents and children but also complexities in engaging certain families in the work.…”

Section: Introductionmentioning

confidence: 99%

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A Delphi survey to explore best practice for practitioners offering family intervention for psychosis to families with children

Thompson

Griffiths

Allen

et al. 2019

Journal of Family Therapy

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Parents experiencing psychosis can face challenges in addition to those usually associated with being a parent, with their children at increased risk of negative outcomes. Although a strong evidence base has shown that family interventions for psychosis (FIp) can mitigate distress for adult relatives, techniques described in the systemic and parenting literature to facilitate the inclusion of children in family therapy are largely absent from the FIp literature and training. This study used a three-round Delphi survey to investigate what experienced FIp clinicians consider to be best practice regarding the inclusion of children in parental FIp. Findings demonstrated support for including children, with high levels of consensus regarding methods of facilitating their involvement, as well as organisational factors that would support this. The results have important clinical implications given that many FIp practitioners work with families, following brief psychosis specific training, without exposure to the broader literature.

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“…FI is originally designed to prevent depressive symptoms and to promote resilience in the children of affectively ill parents (Beardslee & Podorefsky, 1988). For detailed information about the structure of FI, see Strand and Rudolfsson (2017).…”

Section: Introductionmentioning

confidence: 99%

Parents with psychosis and their children: experiences of Beardslee’s intervention

Strand

Meyersson

2020

Int J Mental Health Nurs

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To meet children's needs for information and support when a parent has a mental illness, Beardslee's family intervention was implemented in Swedish psychosis care. The present study aimed to gain understanding of how parents' with psychosis and their children experienced having taken part in Beardslee's family intervention. The study followed COREQ guidelines. Semi-structured interviews were conducted with 15 participants (8 parents with psychosis and 7 children) who had participated in the family intervention. Data were analysed with content analysis. Results showed that the parents perceived that the intervention had contributed to improved illness knowledge, communication, and understanding in the family. They also appreciated receiving support in finding an age-adapted way of explaining their illness, but asked for structured follow-ups in order to maintain communication. However, comparing parents' and children's interviews led to discrepancies in perceptions of the overall benefits of the intervention. In conclusion, parents with psychosis need continual support in talking to their children about their illness. Furthermore, discrepancies between parents' and children's interviews show the importance of multi-perspective data collection when studying intervention effects.

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A qualitative evaluation of professionals’ experiences of conducting Beardslee’s family intervention in families with parental psychosis

Cited by 12 publications

References 17 publications

Parents’ Descriptions of How Their Psychosis Affects Parenting

Parents’ Descriptions of How Their Psychosis Affects Parenting

A Delphi survey to explore best practice for practitioners offering family intervention for psychosis to families with children

Parents with psychosis and their children: experiences of Beardslee’s intervention

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