Family-Inclusive Approaches to Reablement in Mental Health: Models, Mechanisms and Outcomes

Tew, Jerry; Nicholls, Vicky; Plumridge, Gill; Clarke, Harriet

doi:10.1093/bjsw/bcw106

Cited by 8 publications

(6 citation statements)

References 7 publications

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“…• One study examined family-inclusive approaches to reablement in mental health, and defined reablem to maximising users' independence, choice, and quality of life (Tew et al, 2017).…”

mentioning

confidence: 99%

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Clotworthy

Kusumastuti

Westendorp

2020

Preprint

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Background: While the field of rehabilitation has determined a common definition of professional practice, legislators and healthcare professionals in various Western countries have been struggling to reach consensus about how the newer offer of ‘reablement’ should be organised, operationalised, and understood as a health service for older adults. International research indicates that a great deal of confusion, ambiguity, and disagreement has arisen regarding the terminology and the structure of these programmes, and they may not be adequately supporting older people. Could a clarification of the concept help reablement become more effective in theory and in practice?Methods: We conducted a qualitative and quantitative scoping review to determine how reablement has developed through time and space. Eligible articles (n=86) had to focus on any of the defined features of current reablement programmes; there were no restrictions on study designs or publication dates. In articles published from 1947–2019, we identified themes and patterns, commonalities, and differences in how various countries described and defined reablement. We also performed an analysis using computer software to construct and visualise term maps based on significant words extracted from the article abstracts.Results: The fundamental principles of reablement have a long history. However, these programmes have undergone a widespread expansion since the early 2000s with an intention to reduce costs related to providing long-term care services and in-home assistance to growing older populations. As reablement programmes have developed internationally, they have begun to overemphasise training older people to (re)gain their skills and confidence in maintaining or improving functional ability related to activities of daily living (ADLs). Conclusions: Reablement programmes are fundamentally intended to be person-centred and should support older people in attaining their self-defined goals to be both more physically independent at home and socially involved in their communities. However, the rapid implemention of these programmes without clear evidence for the full scope of their potential effects and impact means that they may not adequately consider older people’s own goals. A continued lack of agreement about what reablement is (and what it should achieve) may lead to ineffective programmes and unclear guidance on which outcomes to measure.

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“…• One study examined family-inclusive approaches to reablement in mental health, and defined reablem to maximising users' independence, choice, and quality of life (Tew et al, 2017).…”

mentioning

confidence: 99%

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Clotworthy

Kusumastuti

Westendorp

2020

Preprint

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“…The impact of trauma emerged as a sub-theme within a wider national study of wholefamily approaches in mental health, the main findings of which are reported elsewhere (Tew et al, 2017). Ethical approval for the study was obtained from the NRES Committee North-West Cheshire (Ref 12/NW/0102) with research governance approval from local agencies.…”

Section: Methodsmentioning

confidence: 99%

The imprint of trauma on family relationships: an enquiry into what may trouble a ‘troubled family’ and its implications for whole-family services

Tew

2019

Families, Relationships and Societies

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For some families facing complex difficulties, an underlying issue can be the impact of traumatic experiences, such as child abuse or domestic violence. While the impact of trauma on individuals is relatively well understood, its impact on the functioning of family or relational systems is less well theorised. This article takes forward the development of an original theoretical framework by which to understand both the impact of trauma at a collective level and the resources that people may need in order for them to overcome its legacy ‐ building principally building on concepts of family schema and recovery capital. This discussion is grounded in the practice context of whole-family support and decision-making services, and is explored through an analysis of narrative data obtained as part of a wider national study into whole-family approaches.

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“…Tew et al (61)(62)(63) researched the impact and effectiveness of four types of family interventions, including FGC, with adults experiencing mental ill health in terms of reablement through improved use of personal agency and social interaction. Reablement has been defined as aiming to maximise users' independence, choice and quality of life [(64), p. 4].…”

Section: Fgc Effectiveness In Reablement In Comparison To Three Other Types Of Family Interventionsmentioning

confidence: 99%

Family Group Conferences as a Shared Decision-Making Strategy in Adults Mental Health Work

Ramon

2021

Front. Psychiatry

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Family Group conferences (FGC) provide a system by which a client and their family reach jointly key intervention decisions, from a number of options proposed by professionals. The system originated in child protection social work.Conceptually FGC is based on the assumption that the family is potentially a supportive social system for an individual with a variety of difficulties, including mental ill health. Reaching a family network agreement can lead to long term positive outcomes in self-confidence and social relationships. This strategy of shared decision making (SDM) can re-unite the family around the client's needs and wishes. It fits well the strengths based and the recovery-oriented approaches to mental ill health.Methodologically, this article provides a narrative review of existing empirical research about FGC in the context of adult mental health. In addition, two community case studies consisting of videos of a mother experiencing mental ill health and a daughter are analysed in terms of their subjective experience of the FGCs they were involved in, and looks at both the process and the outcomes of FGCs.The key findings demonstrate a high level of satisfaction from participating in the FGC meeting, while the evidence pertaining to the outcomes is inconclusive. Only very few systematic review studies, or comparative studies of different approaches to family decision making, exist, and there are no studies which offer cost effectiveness analysis.Discussion: The observed gap between the satisfaction from the process of FGC by the participants vs. the inconclusive outcomes relates to the implementation phase, in which the decisions made by the family are tested. Evaluating FGC processes and outcomes is complex. A systematic and comprehensive research of the implementation process is missing at this stage.In conclusion, FGC is a promising strategy of SDM in adult mental health. The research evidence indicates the need for further exploration of its implementation process, evaluative methodology and methods.

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Family-Inclusive Approaches to Reablement in Mental Health: Models, Mechanisms and Outcomes

Cited by 8 publications

References 7 publications

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

The imprint of trauma on family relationships: an enquiry into what may trouble a ‘troubled family’ and its implications for whole-family services

Family Group Conferences as a Shared Decision-Making Strategy in Adults Mental Health Work

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