The Family Model: A brief intervention for clinicians in adult mental health services working with parents experiencing mental health problems

Falkov, Adrian; Hoadley, Benjamin; Donaghy, Mary; Weimand, Bente

doi:10.1177/0004867420913614

Cited by 7 publications

(8 citation statements)

References 4 publications

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“…Moreover, professionals are allowed to follow a training program which enhances their knowledge, their sensitivity for the context of the family, and their understanding of the social and economic environment. It also provides them with the space to develop skills to talk about family issues ( 13 , 57 , 58 ).…”

Section: Discussionmentioning

confidence: 99%

An integrated family approach in the practice of adult and child mental health care

Stolper,

van Doesum,

Steketee

2024

Front. Psychiatry

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This paper describes the practice of an integrated family approach to treatment in mental health care in which the focus is on the whole family and treatment is carried out by professionals of adult and child mental health services together. It is presented as an example of a best practice in finding a way to overcome barriers in implementing an integrated family approach in treatment for the benefit of families with a variety of interrelated problems. Even though there is a lot of knowledge about the importance of a family approach in mental health care with specific attention to the patients’ parental role, the children, family relationships, and the social economic context, this is worldwide rarely implemented in the practice of mental health care. Barriers to keep the whole family in mind are identified on different levels: organizational policy, interagency collaboration, professionals, and patients themselves. As a solution, a model of an integrated family approach in mental health care is presented: how it is defined; which domains in the family are targeted; which key elements it contains; what the treatment consists of; and which procedures are followed in practice. A case illustrates how this approach might work in practice.

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Section: Discussionmentioning

confidence: 99%

An integrated family approach in the practice of adult and child mental health care

Stolper,

van Doesum,

Steketee

2024

Front. Psychiatry

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“…Internationally, a “hidden population” of one in four children have a parent with mental illness (PMI) and Northern Ireland (NI) currently has the highest levels of maternal mental illness within the UK ( 14 ), experienced by 30% of children aged 0–16 years. Despite substantial evidence indicating the intergenerational transmission of mental illness ( 15 ), the complex needs of these children and families typically go un-recognised and untreated ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

“…FIGURE 1 | (A)The family model(16). (B) Qualitative themes contextualised within framework of the family model.…”

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confidence: 99%

Covid-19 and Families With Parental Mental Illness: Crisis and Opportunity

et al. 2021

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The COVID-19 emergency has affected us all, but not equally. Families where parents have mental illness (PMI) are potentially at increased risk, but little is known about how they or their support services managed under lockdown/restrictions. We harnessed our existing partnerships with adult and child mental health services in the Republic of Ireland (RoI) and Northern Ireland (NI) to investigate the qualitative experiences of service users and families in coping during the first COVID-19 lockdown (March–May 2020), and how services were supporting them. Semi-structured phone/online interviews were conducted with 22 clinicians/managers (12 from RoI; 10 from NI) who provided information from their caseloads (~155 families with PMI). Sixteen family members (10 from RoI, 6 from NI) were also interviewed. Data were analysed using standard thematic analysis. Sixty percent of families reported improved mental health, primarily due to respite from daily stresses and the “normalisation” of mental distress in the general population. Approximately 30%, typically with more severe/enduring mental illness, reported additional challenges, and mental distress including: unmanageable child behaviours; fear of relapse/hospitalisation; financial difficulties; absence of child care; and a lack of routines. Service provision varied considerably across regions. The experiences within this case study highlight unique opportunities to address the multiple stresses of pre-emergency daily living. We also highlight how mental health services and governments might become more “pandemic ready” to more effectively support vulnerable families, including addressing service overload issues, optimising the use of digital technologies, and providing in-person contact and social supports where required.

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“…Parental mental illness (PMI) may complicate parents' capacity to meet their children's needs; with resultant impact for the child's cognitive, emotional, social, physical and behavioural development (Leijdesdorff et al, 2017;Bunting et al, 2020). Alternatively, stress from assuming a parenting role may negatively impact parents' wellbeing (Hine et al, 2017;Falkov et al, 2020). If parents perceive that they are unable to cope with their parenting role it may have a profound impact on their mood, self-esteem and self-efficacy, and engender guilt and shame (Montgomery et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Family focused practice is an approach that focuses upon the family as the unit of attention, as opposed to only working with and addressing the needs of an individual service user alone, whether this is the parent with mental illness, or their child(ren) (Afzelius et al, 2018). The relationship or therapeutic alliance that professionals have with parents is thought to be integral to FFP (Pihkala et al, 2012;Falkov et al, 2020;Grant et al, 2020;Leonard et al, 2020). The therapeutic alliance is characterized by a helpful and trusting relationship (Pihkala et al, 2012) and this can provide both the foundation and process for positive change (Howe, 2010).…”

Section: Introductionmentioning

confidence: 99%

Think Family, Think Relationship: Factors Influencing Stronger Professional Relationships with Parents Diagnosed with a Mental Illness. A Qualitative Study

Devaney

Davidson

Lagdon

et al. 2021

The British Journal of Social Work

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This qualitative study explored how professionals and parents with mental illness experience their relationships with each other, what aspects of interaction promote a constructive relationship and the role of wider organisational and systemic factors. A purposive sample of 30 adult mental health and children’s services professionals, and 21 parents completed semi-structured interviews. Professionals’ transparent, non-judgemental, empathetic and positive approach and ability to form partnerships and to share power with parents were keys in building trusting relationships with them. Professionals’ capacity to use limited self-disclosure of their own personal experiences (i.e. parenting) enabled them to develop constructive relationships with parents. Equally, important was parents’ willingness to form partnerships with professionals and to accept a whole family approach to service delivery. Professionals’ limited understanding of mental illness and focus on administration hindered their relationships with parents. An understanding of what constitutes a constructive relationship between professionals and parents and how it develops may help professionals to reflect upon how they engage parents and to do it well. It may also assist organisations to develop the necessary structures and resources to create the conditions for promoting constructive engagement between professionals and parents.

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The Family Model: A brief intervention for clinicians in adult mental health services working with parents experiencing mental health problems

Cited by 7 publications

References 4 publications

An integrated family approach in the practice of adult and child mental health care

An integrated family approach in the practice of adult and child mental health care

Covid-19 and Families With Parental Mental Illness: Crisis and Opportunity

Think Family, Think Relationship: Factors Influencing Stronger Professional Relationships with Parents Diagnosed with a Mental Illness. A Qualitative Study

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