Vulnerable children in families affected by parental mental illness: The role of theory in programme development

James, Erica L.; Fraser, Caitlin; Talbot, Lynette

doi:10.1080/17450120701403144

Cited by 6 publications

(3 citation statements)

References 40 publications

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“…Even though frameworks can assist practitioners to think critically and broadly about the interventions they provide and the evaluations they apply [41], it is not unusual for mental health practitioners to find it difficult to describe the theoretical (or otherwise) basis of their work [42]. Nonetheless, a family-focused recovery framework is important as it might be used to understand mental health problems, within the context of families.…”

Section: Discussionmentioning

confidence: 99%

Family-focused practice within a recovery framework: practitioners’ qualitative perspectives

Ward

McCormick

Waller

et al. 2017

BMC Health Serv Res

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BackgroundFamily-focused practice (FFP) is an effective approach to supporting individuals with mental illness. ‘Recovery’ is also central to contemporary mental health care. However, there is a dearth of evidence about how the two concepts are related and subsequently implemented in practice. The aim of this study was to explore practitioners’ understandings and practices of FFP within a recovery framework.MethodsPurposive/snowball sampling was used to recruit and conduct qualitative interviews with 11 mental health practitioners in rural Australia. Concurrent sampling and data collection were informed by thematic analysis and continued until data saturation was reached.ResultsParticipants found it difficult to articulate their understandings of FFP within a recovery framework. Nonetheless they were able to describe practices that embodied family-focused recovery. Barriers to such practices included medical models of care, where there are often a shortage of skilled staff and high demands for care. Stigma (self and from others) and confidentiality were also identified as barriers to involving family members in recovery focused care.ConclusionsFamily-focused recovery care is a priority in many high-income countries. A family-focused recovery framework is needed to assist service planners, practitioners, family members and those with mental health needs and ensure such care is embedded within practice guidelines.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2146-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Family-focused practice within a recovery framework: practitioners’ qualitative perspectives

Ward

McCormick

Waller

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Lacking theory, evaluators may focus only on outcomes related to objectives and fail to identify potential negative impacts of the intervention (James et al, 2007). Lastly, the absence of theory may make it difficult to explain a program's results, thereby limiting the potential of formulating recommendations to stakeholders for developing the program further or applying it to another context (D'Agostino, 2001).…”

Section: Introductionmentioning

confidence: 99%

The Father Friendly Initiative within Families: Using a logic model to develop program theory for a father support program

Gervais

Montigny

Lacharité

et al. 2015

Evaluation and Program Planning

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“…According to the majority of planning scholars, the logic model program is the most appropriate program to achieve consensus and it is an important method for transparency of the way (10-13). Therefore, it seems that incorporation of supporting program based upon logic model using qualitative data to provide program content is the best type of program codification (13).…”

Section: Introductionmentioning

confidence: 99%

Validation of a Logic Model Program to Support Iranian Females During Labor: A Delphi Method

2017

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Objectives: The development of comprehensive supporting programs for mothers during labor and childbirth based on their needs could play an important role in reducing elective cesarean section. The current study aimed at evaluating the logical model program to support mothers during labor and childbirth using a 3-round Delphi technique. Methods: The current study was a 3-round Delphi using 25 experts of different specialties. The program components were taken from the findings of a qualitative approach; i e, grounded theory study. In the next stage, the process of selecting expert panel members was carried out using the snowball method. They all had clinical experience in hospital and some had the experience of working in the Iranian ministry of health and Medical education. The 3rd stage of selecting expert groups was formally asking them for their willingness to join the panel and participate in the Delphi study. At this stage, the objective of the subject and the roles of experts as well as a brief explanation of the conducted activities were emailed to them. Results:The results of 3-round Delphi illustrated 6 domains in the logic model including preparation (10 sentences), equipment and facilities (3 sentences), education (8 sentences), process and activities (10 sentences),interventions (13 sentences), and assessment (2 sentences). The panelists approved 46 sentences out of original set of over 51 statements via Delphi technique. Conclusions: The current paper provided clear principles and standards regarding how to practically do a comprehensive supportive care during labor and delivery.Keywords: Delphi Technique, Labor Pain, Supporting Labor, Normal Delivery, Logic Model BackgroundChildbirth is an event with profound psychosocial and emotional impacts on mothers and its memory always remains in the minds (1-3). When the mothers face labor pain they experience negative and positive feelings that may cause hopelessness, fear, feeling of loneliness, and stress (4). To overcome these feelings in the labor and delivery room, it is important to provide support to the mothers based on their preferences and needs (2).On the other hand, childbirth is medicalized in many countries and most of the therapeutic and care plans in such countries take a biomedical approach (5, 6). Not paying enough attention to the mothers' needs and forgetting them in some cases due to adopting non-holistic approaches to the process of childbirth can increase the mothers' fear of delivery in such a way that cesarean section may be considered as the only way to escape from it (7,8). The results of a meta-analysis in Iran showed that Iranian females similar to other females worldwide mentioned fear as the main reason to choose cesarean section versus natural childbirth (7). Development and implementation of support programs based on a holistic approach and considering females' concerns and expectations during childbirth is a definite requirement, because the new health policy of the international community puts more emphasis on em...

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Vulnerable children in families affected by parental mental illness: The role of theory in programme development

Cited by 6 publications

References 40 publications

Family-focused practice within a recovery framework: practitioners’ qualitative perspectives

Family-focused practice within a recovery framework: practitioners’ qualitative perspectives

The Father Friendly Initiative within Families: Using a logic model to develop program theory for a father support program

Validation of a Logic Model Program to Support Iranian Females During Labor: A Delphi Method

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