Engaging with Families Is a Challenge: Beliefs among Healthcare Professionals in Forensic Psychiatric Care

Hörberg, Ulrica; Benzein, Eva; Erlingsson, Christen; Syrén, Susanne

doi:10.1155/2015/843717

Cited by 12 publications

(12 citation statements)

References 32 publications

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“…Furthermore, teams are often under pressure, and this can lead to a parallel process where chronically stressed services act out a repetitive cycle of re-enactment in a harmful interactive dynamic with traumatised service users (Bloom, 2011). Hörberg et al (2015) suggested that professionals sometimes regard the relatives of forensic patients as broken or difficult to trust, which can impede opportunities for family work, but our experience was that teams often made referrals for FI in exasperation hoping that the families could be “fixed” by the family work or at the least taken away for a while. Our observation was that when the professional/family system had become stuck in a trauma-organised pattern of relating, the family work allowed the opportunity for different types of conversation and relating to begin, not only within the family but also between family members and professionals.…”

Section: Discussionmentioning

confidence: 98%

Finding words for the unspoken: family intervention in forensic settings

Cook

Payne

2022

JFP

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Purpose The purpose of this paper is to describe family intervention (FI) with four families in which the service user is under the care of forensic mental health services. There is a focus on identifying how systemic practice is used or adapted in working with families who have a family member who has presented risk and caused harm. Design/methodology/approach Four case studies are used to provide a basis for the exploration of commonalities in practice between the cases and the utility of FI within forensic services, which have the dual purpose of promoting mental health recovery and reducing offending/risk behaviour. Findings Family work can be a key healing tool in the recovery journey of forensic service users and their families. An integrated systemic and psycho-educational FI approach was found to be appropriate in the cases described. Issues particular to forensic services are identified; these include the role of safety planning; the function of talking about the history of trauma in the family including the impact of offending behaviour; mediating difficult relationships between family members and professionals; and overcoming barriers to having difficult and emotive conversations. Research limitations/implications The absence of outcome assessments limits the findings to observational data and self-reported experiences from the authors. Practical implications FI can be safely and effectively used within forensic settings, facilitated by practitioners competent in working with trauma and complexity, as an integrated component of the therapeutic treatment. Originality/value There are recognised barriers to the provision of FI within forensic settings, with limited research regarding the application of such therapies with forensic patients and their families. This paper adds to the small pool of knowledge regarding useful applications of FI in such settings.

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Section: Discussionmentioning

confidence: 98%

Finding words for the unspoken: family intervention in forensic settings

Cook

Payne

2022

JFP

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“…Furthermore, family members and friends of patients in secure settings reported they felt more informed of their loved one's mental health and treatment, further reducing the "them and us" schema (McCann, 1993). Horberg, Benzein, Erlingsson, and Syren (2015) highlighted from a health care professional's perspective the importance of family as a resource for patient recovery. Specifically, according to health care professionals, the experience of family belongingness is crucial in the patient's recovery, as the family can provide the patient with moral support and motivation (Horberg et al, 2015).…”

Section: Family Therapy In Incarcerated Settingsmentioning

confidence: 99%

“…Horberg, Benzein, Erlingsson, and Syren (2015) highlighted from a health care professional's perspective the importance of family as a resource for patient recovery. Specifically, according to health care professionals, the experience of family belongingness is crucial in the patient's recovery, as the family can provide the patient with moral support and motivation (Horberg et al, 2015).…”

Section: Family Therapy In Incarcerated Settingsmentioning

confidence: 99%

Incorporating Multicultural Couple and Family Therapy Into Incarcerated Settings

Tadros

Fye

McCrone

et al. 2019

Int J Offender Ther Comp Criminol

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Incarceration rates have increased significantly since the 1990s, with more than two million adults in federal, state, and local facilities. More than half of the offenders report a history of mental health issues, highlighting the importance of offenders having access to effective therapeutic approaches, including individual, couples, and family counseling. Traditionally, the focus of mental health services has been individual treatment; however, family members are also significantly impacted by the offender’s absence during incarceration. Incorporating family members into treatment can serve to improve relationships, leading to better outcomes at reentry and reductions in recidivism rates. Given the preponderance of persons of color in the incarcerated population, diversity issues in counseling must also be addressed. The purpose of the underlined article is to explore the implications of incorporating multicultural family therapy into incarcerated settings.

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“…Families of PLWSUFC face a double peril. Hörberg et al (2015) explained that they have a mental illness and a criminal act to contend with often without preceding awareness. This brings distress to any family given the chronic nature of schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

“…This has resulted to myths and misconstructions being framed about this mental condition rendering the schizophrenia patients mysterious to their family members and the public eye. Where people living with schizophrenia engaged in violent acts, Hörberg, et al (2015) submitted that important legal and health consequences followed. The persons end up being referred for treatment under the forensic Psychiatric care instead of being taken to prison.…”

Section: Introductionmentioning

confidence: 99%

An Exploratory Study on the Psychological Experiences of Families of People Living with Schizophrenia under Forensic Care at Mathari Hospital, Nairobi County, Kenya

Anyango¹,

Pinto²,

Nzangi³

2021

theijhss

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Family members of People living with schizophrenia under forensic care (PLWSUFC) find themselves in a multifaceted situation. Families are considered important in increasing the patients' chances of living a well-functioning life after discharge from psychiatric facilities. In Kenya, scanty evidence exists on exploration of the psychological experiences of such families facing a paradox. The aim of this study was to explore the psychological experiences of families with a relative under forensic care in Mathari Hospital having committed a crime under the influence of schizophrenia. The study was guided by the Rational Emotive Behavioral Therapy. This qualitative study used phenomenology research design and recruited a sample size of 14 participants an open-ended question was asked during the semi-structured indepth interviews and recorded. The audio recorded interviews were transcribed verbatim and data analyzed thematically. The findings from the study revealed that families of PLWSUFC at Mathari Hospital, suffered negative emotions which were: rejection, unresolved anger, ambivalence, denial, despair fear and unrequited love, The study recommends that counseling psychologists develop appropriate psycho education programs for families in this situation. Such programs are envisioned to improve families' psychological well-being, better management of the patients and reduce recidivism.

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Engaging with Families Is a Challenge: Beliefs among Healthcare Professionals in Forensic Psychiatric Care

Cited by 12 publications

References 32 publications

Finding words for the unspoken: family intervention in forensic settings

Finding words for the unspoken: family intervention in forensic settings

Incorporating Multicultural Couple and Family Therapy Into Incarcerated Settings

An Exploratory Study on the Psychological Experiences of Families of People Living with Schizophrenia under Forensic Care at Mathari Hospital, Nairobi County, Kenya

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