The Pyramid of Family Care: A framework for family involvement with adult mental health services

Mottaghipour, Yasaman; Bickerton, Annemaree

doi:10.5172/jamh.4.3.210

Cited by 60 publications

(73 citation statements)

References 15 publications

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“…In addition, an evaluation should be undertaken of the family's strengths and limitations in supporting service users, in order to understand the manner in which health professionals can best help the family (Dixon et al, 2001). Such evaluations will enable health professionals to tailor interventions to meet each family's particular needs, which at the basic level might only involve providing general information about mental healthcare services (Mottaghipour & Bickerton, 2005). For families with more complex needs, specialised services can be offered such as psychoeducation (Mottaghipour & Bickerton, 2005).…”

Section: Implications For Family-oriented Mental Health Servicesmentioning

confidence: 99%

“…Such evaluations will enable health professionals to tailor interventions to meet each family's particular needs, which at the basic level might only involve providing general information about mental healthcare services (Mottaghipour & Bickerton, 2005). For families with more complex needs, specialised services can be offered such as psychoeducation (Mottaghipour & Bickerton, 2005).…”

Section: Implications For Family-oriented Mental Health Servicesmentioning

confidence: 99%

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Experiences of Family Carers for Persons Using Antipsychotic Medication

Morrison

Stomski

2017

ANZ J of Family Therapy

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Given the emphasis on the use of antipsychotic medication for severe mental illness, it is important to understand family carers’ perspectives on these medications and their effects on consumers’ lives. Such information may enable providers of family interventions to better understand families’ circumstances and more effectively support them in caring for mental health service users. Snowball sampling was used to recruit 29 family carers. Family carers acknowledged the calming effect of antipsychotic medication on service users, but also noted that there were few other therapeutic benefits. Moreover, the positive influence of antipsychotic medication was in most cases largely offset by the detrimental impact of antipsychotic medication on service users’ quality of life. The family carers in rationalising the trade‐off between beneficial and adverse antipsychotic medication effects typically experienced resignation, which was often accompanied by a sense of frustration that resulted from the reliance on medication.

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Section: Implications For Family-oriented Mental Health Servicesmentioning

confidence: 99%

Section: Implications For Family-oriented Mental Health Servicesmentioning

confidence: 99%

Experiences of Family Carers for Persons Using Antipsychotic Medication

Morrison

Stomski

2017

ANZ J of Family Therapy

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“…Research consistently shows that parents and carers of people with mental illness want to be actively involved in treatment and recognized for their expertise as a valuable resource (Geraghty et al 2011;Johansson et al 2014). When family members are involved in treatment and recovery, young people are more likely to comply with treatment, the incidence of relapse reduces and their quality of life improves (Leggatt 2007;Mottaghipout and Bickerton 2005;Pitschel-Walz and et al 2001). Furthermore, actively engaging parents and carers in care impacts positively on the entire family (Leggatt 2007;Yeun and Toumbourou 2008).…”

Section: Family-inclusive Practicementioning

confidence: 99%

Client and parent feedback on a Youth Mental Health Service: The importance of family inclusive practice and working with client preferences

Coates

2016

Int J Mental Health Nurs

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In mental health settings, feedback from clients and carers is central to service evaluation, development and delivery. Increasingly, client and carer feedback is considered an integral part of service planning, and recognized as a critical element of the provision of recovery oriented service. This paper outlines the findings of a qualitative evaluation of a Youth Mental Health (YMH) service from the perspective of discharged clients and their parents. The service researcher conducted telephone interviews with 39 parents of discharged clients, and 17 young people themselves. Participants reported positive or mixed experiences with the service. In addition to more generic positive statements about the service, analysis identified two key themes: the importance of 'family inclusive practice' and the importance of 'working with client preferences'. Young people and their parents want to be actively engaged in treatment and have their treatment preferences considered in treatment planning. Participants expressed the importance of "a good fit" between the client and the worker in terms of the clinician's gender, personality and treatment style/modality. While for some participants these themes were raised in the context of service strengths, others identified them as limitations or opportunities for service improvement. The extent to which clients and their parents felt engaged and heard by their allocated clinician is critical to their satisfaction or dissatisfaction with the service, depending on their unique experience. As an outcome of this evaluation, a range of service improvement strategies have been recommended.

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“…Drawing on policy and evidence, a number of approaches to carer involvement have been developed. These include the Triangle of Care (Worthington et al 2013), the recovery agenda for informal carers (Machin & Repper 2013), and the Pyramid of Family Care (Mottaghipour & Bickerton 2005). Within secure mental health services in the United Kingdom, surveys have identified ways in which support to carers can be provided and have made recommendations for minimum standards in such settings (Canning et al 2009).…”

Section: Introductionmentioning

confidence: 99%

Taking parents seriously: The experiences of parents with a son or daughter in adult medium secure forensic mental health care

Finlay-Carruthers

Davies

Ferguson³

et al. 2018

Int J Mental Health Nurs

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Adult forensic mental health services provide care and treatment to individuals with complex offending and mental health histories. However, little attention has been paid to the parents of those receiving care within them. This research explored the experiences of parents with an adult son or daughter with mental illness in a medium secure mental health unit. Transcripts from semi-structured interviews were analysed using interpretative phenomenological analysis. This led to the identification of three superordinate themes: 'Something's not right'-onset of mental distress; 'It's a terrible battle'-relating with professionals; and 'A very sad fact of life'-caring with no end in sight were identified which together contained nine subordinate themes. The onset of the mental distress was narrated as overwhelming, frightening, and confusing with experiences of violence. Services were seen as invalidating, and interactions with them characterized as a battle. Poor information and involvement were a common experience. Whilst diagnosis was a relief to some, the ongoing sense of loss and burden were clear. Staying connected and hopes for the future were also described. It is clear from this study that mental health services need to do more to engage and foster trust with parents from the outset and to offer support for this group. If secure services were to view parents as 'forensic carers', this may help improve respect and engagement between services and carers. Services and policymakers should strive to foster high-quality family involvement as part of developing social inclusion.

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The Pyramid of Family Care: A framework for family involvement with adult mental health services

Cited by 60 publications

References 15 publications

Experiences of Family Carers for Persons Using Antipsychotic Medication

Experiences of Family Carers for Persons Using Antipsychotic Medication

Client and parent feedback on a Youth Mental Health Service: The importance of family inclusive practice and working with client preferences

Taking parents seriously: The experiences of parents with a son or daughter in adult medium secure forensic mental health care

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