Parental Mental Illness: Cross-Sectional Analysis Of Family Focused Practice within the Early Childhood Sector

Laletas, Stella; Goodyear, Melinda

doi:10.1007/s10826-017-0992-1

Cited by 10 publications

(13 citation statements)

References 62 publications

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“…Since the development of the original scale, there have been several attempts to adapt the FFMHPQ. Some studies have adapted the FFMHPQ without attempting to validate their changes [ 37 , 39 ], while those that tested internal reliabilities revealed many of these to be unacceptable [ 35 , 42 ]. To our knowledge this is the only study since the development of the original FFMHPQ that has attempted to explore the factorial structure of the FMFHPQ.…”

Section: Discussionmentioning

confidence: 99%

“…The remainder measure organisational factors that can impact these activities such as, workplace support, and workload. Since the development of the FFMHPQ, it has been adapted in a number of studies within Australia [ 33 – 35 ], Ireland [ 36 ], Thailand [ 37 ], Norway [ 38 , 39 ] and, Northern Ireland [ 40 ]. The majority of the studies to date were conducted with a sample of mental health professionals.…”

Section: Introductionmentioning

confidence: 99%

“…Grant [ 36 ], administered the FFMHPQ to 343 psychiatric nurses, where poor reliabilities resulted in six of the subscales being excluded from analysis [ 36 ]. An adapted version of the FFMHPQ was also used with a sample of preschool teachers and childcare professionals in Australia [ 35 ]. Eight of the original sixteen factors were removed based on the research team’s decision that they were not appropriate for teachers.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric evaluation of the Family Focused Mental Health Practice Questionnaire in measuring home visitors’ family focused practice

Leonard

Linden

2018

PLoS ONE

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BackgroundWorldwide maternal mental illness poses a major public health issue. Supporting maternal mental health and family health is a core aspect of home visiting. Increasingly the benefits of family focused treatments to maternal mental illness are being recognised. However, there are few reliable and valid measures that attempt to assess this type of practice.ObjectivesTo explore the psychometric properties of the Family Focused Mental Health Practice Questionnaire in a population of home visitors.MethodsHome visitors (n = 230) from across a single region of the United Kingdom completed the Family Focused Mental Health Practice Questionnaire. Participants were all females, had a mean age of 44 years, and had an average of 11 years’ experience of home visiting. Exploratory factor analysis was used to explore the factor structure of the questionnaire in this population while Cronbach’s alpha was used to assess the internal consistency of questionnaire subscales.ResultsExploratory factor analysis revealed a 3-factor solution where each factor contained at least three questionnaire items and had eigenvalues ≥ 1.0. Checks for internal consistency revealed that one factor was unsatisfactory (α < 0.6), which was subsequently discarded. A further exploratory factor analysis supported a 2 factor solution. The factors were named: professional influences on family focused practice and organisational influences on family focused practice. Cronbach’s alpha for the new scale was 0.949.ConclusionAs home visitors play a key role in supporting parents who have mental illness and their families, it is important to assess their practice using a reliable measure. Our psychometric evaluation has created a more valid, reliable and concise measure that can be used to examine home visitors’ family focused practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychometric evaluation of the Family Focused Mental Health Practice Questionnaire in measuring home visitors’ family focused practice

Leonard

Linden

2018

PLoS ONE

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“…While Maybery et al () established the content and construct validity of the FFMHPQ in Australia, subsequent studies have found varying degrees of reliability in the scale inferring inconsistencies when used across disciplines, services and countries (Grant et al, , ; Laletas, Goodyear, & Reupert, ; Lauritzen & Reedtz, ; Tungpunkom et al, ). Consequently, an exploratory factor analysis (EFA) was conducted to determine scale validity in the current population of health visitors (Leonard, Linden, & Grant, ).…”

Section: The Studymentioning

confidence: 99%

Predictors of family focused practice among health visitors: A mixed methods study

Leonard

Linden

2020

Journal of Advanced Nursing

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Aims To determine what predicts health visitors’ family‐focused practice with mothers who have mental illness. To explore health visitors’ experiences of family‐focused practice and what factors, if any, enable and/or hinder it. Design A sequential mixed‐methods design was employed. Methods In Phase 1, a total of 230 health visitors, in five Health and Social Care Trusts in the UK were recruited using convenience sampling and completed the Family Focused Mental Health Practice Questionnaire. Three multiple regression models were developed to test whether workload (Model I), professional knowledge (Model II) and health visitors’ professional and personal experience (Model III) predicted their family‐focused practice. In Phase 2, 10 health visitors, who completed the questionnaire, participated in semi‐structured interviews to describe their experiences of family‐focused practice. The data collection of the two phases was conducted from September 2017 ‐ September 2018. Results Model III was significant. While personal experience of parenting was positively associated with family‐focused practice, length registered as a health visitor and personal experience of mental illness was negatively associated. Qualitative findings suggested that increasing years of professional experience and personal experience of mental illness enabled health visitors to support mothers and their children, but not other adult family members, including partners. Limited skills and knowledge to support mothers with severe mental illness (i.e. schizophrenia) hindered family‐focused practice. Conclusion This study advances understanding of how health visitors’ professional and personal experiences can influence their family‐focused practice and highlights the importance of organizations promoting their capacity to support mothers with severe mental illness and to include mothers’ partners. Impact A clear understanding of factors affecting health visitors’ capacity to engage in family‐focused practice will help to inform policy, education and practice in health visiting; with potential to improve outcomes for the whole family.

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“…The measure employed in this study was adapted from the Family Focused Mental Health Questionnaire [51]. The questionnaire has been used regarding family focused practice in relation to parental mental health problems in Australia [31, 52, 53], Ireland [27] and Thailand [54]. The 49-item measure with 17 subscales employs a seven-point Likert Scale.…”

Section: Methodsmentioning

confidence: 99%

Differences in implementation of family focused practice in hospitals: a cross-sectional study

Skogøy

Maybery

Ruud

et al. 2018

Int J Ment Health Syst

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BackgroundChanges in Norwegian law and health policy require all health professionals to help safeguard the provision of information and follow-up for the children of parents with mental or physical illness, or substance abuse problems, to decrease their risk of psychosocial problems. There is a lack of knowledge on how the national changes have been received by hospital-based health professionals, and if they have led to an increase in family focused practice.MethodsThis cross-sectional study examined the adherence of health professionals’ (N = 280) in five hospitals to new guidelines for family focused practice, using a translated and generic version of Family Focused Mental Health Practice Questionnaire.ResultsOverall, health professionals scored high on knowledge and skills, and were confident in working with families and children, but reported moderate levels of family support and referrals. Comparison of the five hospitals showed significant differences in terms of workplace support, knowledge and skills and family support. The smallest hospital had less workplace support and less knowledge and skills but scored medium on family support. The two largest hospitals scored highest on family support, but with significant differences on parents refusing to have conversations with children.ConclusionsDifferences in implementation of family focused practice highlight the need to tailor improvement strategies to specific barriers at the different hospitals. The use of implementation theories and improvement strategies could promote full implementation, where all families and children in need were identified and had access to family support.Trial registration The study is approved by the Regional Committee on Medical and Health Research Ethics South-East Q5 37 (reg. no. 2012/1176) and by the Privacy Ombudsman.

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Parental Mental Illness: Cross-Sectional Analysis Of Family Focused Practice within the Early Childhood Sector

Cited by 10 publications

References 62 publications

Psychometric evaluation of the Family Focused Mental Health Practice Questionnaire in measuring home visitors’ family focused practice

Psychometric evaluation of the Family Focused Mental Health Practice Questionnaire in measuring home visitors’ family focused practice

Predictors of family focused practice among health visitors: A mixed methods study

Differences in implementation of family focused practice in hospitals: a cross-sectional study

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