Where is the family in global mental health?

Griffith, James L.; Keane, Jessica A

doi:10.1037/fsh0000361

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Family‐centred care (FCC) emphasizes a therapeutic alliance with affected families to acknowledge their pivotal roles in patient care by means of recognizing their values and strengthening their functioning as a family (Griffith & Keane, ). Foster et al () asserted that healthcare providers and policymakers should address the needs of individuals with mental health problems and the concerns of the family as a whole across mental health practices.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

Hsiao

Tsai

2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Families act not only as the primary support for people with a diagnosis of schizophrenia but also as partners in the healthcare system. Families who have members with mental disorders, particularly schizophrenia, experience challenges in family functioning. Research on families in relation to schizophrenia primarily focuses on the determinants that affect family functioning from primary family caregivers' perspectives. What does the paper add to existing knowledge? This report provides evidence that there is a concordance between family functioning and inpatient psychiatric rehabilitation facilities for the patient–caregiver dyad; both care‐receivers and primary family caregivers considered family functioning as poor. Care‐receivers with lower education levels, increased number of previous hospitalizations and poor quality of family‐centred care experienced unhealthy family functioning. Primary family caregivers and care‐receivers with higher education levels, lower suicidality and greater quality of family‐centred care experienced healthier family functioning. What are the implications for practice? Understanding the degree of family functioning, particularly its concordance and correlates as perceived by patients and primary family caregivers, may serve as a platform for inculcating assessment of family functioning to achieve holistic patient care. Open dialogue in family‐focused care planning is essential to facilitate collaborative partnerships and improve family functioning among people with a diagnosis of schizophrenia and their primary family caregivers. Further research on culturally relevant, evidence‐based family interventions to enhance the functioning of affected families is warranted, especially for families with members in inpatient psychiatric rehabilitation facilities. Abstract IntroductionFamilies provide frontline caregiving support for people with a diagnosis of schizophrenia. However, research primarily addresses correlates of family functioning from primary family caregivers' perspectives. AimTo examine perceived family functioning, particularly its concordance within patient–caregiver dyads and associated factors in families of people living with schizophrenia. MethodsA cross‐sectional, descriptive correlational design was used. A total of 133 dyads of patients and primary family caregivers from inpatient psychiatric rehabilitation services participated. Descriptive statistics, independent‐sample t test, one‐way ANOVA, Pearson's correlation coefficients, intraclass correlation coefficient and stepwise multiple linear regression analyses were applied. ResultsFamily functioning was perceived as impaired by patient–caregiver dyads, and there existed a concordance in this regard. Patients' and family caregivers' education levels, patients' suicidality, number of previous hospitalizations and quality of family‐centred care correlated with patients' and primary family caregivers' family functioning. DiscussionFindings highlight the impo...

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Section: Introductionmentioning

confidence: 99%

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

Hsiao

Tsai

2020

Psychiatric Ment Health Nurs

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“…In many LMICs, families are the only providers of care for mentally ill members, and the families are often poorly equipped to provide healing care. Griffith and Keane (2018) provide further perspective on the family in global mental health.…”

Section: A Role For Fsh In the Global Mental Health Movementmentioning

confidence: 92%

An introduction to global mental health.

Patterson¹,

Edwards²

2018

Families, Systems, & Health

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In general, readers of (FSH) practice in high income countries and in settings that have adequate resources. Providers can usually count on being able to offer the material resources and skills that patients need to heal. This bounty of resources is in contrast to many clinics in low- and middle-income countries (LMICs). The need for mental health services in LMICs is significant and growing because of upheaval caused by war and other disasters. The topics in this issue talk about the obstacles to obtaining mental health services, trends in global mental health, and FSH in the global mental health movement. (PsycINFO Database Record

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“…Second, culturally-influenced norms related to family structure and the importance of family for one's identity can affect family interactions and their impact on individuals. Broadly speaking, average family size is larger in many LMICs, with extended families and multiple generations sometimes living in closer proximity and sharing responsibilities (Bornstein et al, 2016 ; Griffith and Keane, 2018 ). Underlying these norms is the influence of collectivism in which identity can be strongly influenced by group membership.…”

Section: Introductionmentioning

confidence: 99%

“…Underlying these norms is the influence of collectivism in which identity can be strongly influenced by group membership. And having an identity strongly grounded in family can be a source of support or stress (Griffith and Keane, 2018 ). For assessment, measures should be amenable to multiple reporters and flexible enough to capture challenges arising from complex, multi-generational, dynamics.…”

Section: Introductionmentioning

confidence: 99%

Development of the Family Togetherness Scale: A Mixed-Methods Validation Study in Kenya

et al. 2021

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Family functioning is an important target of clinical intervention and research given its close ties with mental health outcomes of both children and adults. However, we lack family functioning measures validated for use in many low- and middle-income country (LMIC) settings. In this mixed-methods prospective diagnostic accuracy study, we first used formative qualitative data to develop an extensive battery of screening items to measure family functioning in Kenya. We then recruited 30 Kenyan families (N = 44 adults; 30 youth aged 8–17 years) to complete the questionnaires and participate in clinical interviews conducted by local interviewers. Quantitative and qualitative analyses were then conducted to select a subset of screening items that balanced conceptual understanding of family distress with diagnostic efficiency and accuracy to yield a brief but valid scale. The final index test consisting of 30 items correctly identified distressed families in 89% of cases according to adult-report and 76% of cases according to child-report. The optimal cutoffs are associated with estimates of sensitivity/specificity of 0.88/0.90 and 0.75/0.77 for adult-report and child-report measures, respectively. The final measure—the Family Togetherness Scale (FTS)—assesses global family functioning, including items related to family organization, emotional closeness, and communication/problem-solving. In addition to general items, the scale also includes items explicitly assessing family responses to stressors common in LMIC settings. Results establish a strong rationale for larger-scale validation studies.

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Where is the family in global mental health?

Cited by 5 publications

References 17 publications

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

Factors associated with family functioning among people with a diagnosis of schizophrenia and primary family caregivers

An introduction to global mental health.

Development of the Family Togetherness Scale: A Mixed-Methods Validation Study in Kenya

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