Nursing Science, Mental Illness, and the Family: A Conceptual Framework to Break the Cycle of Suffering

2020 ◽  
Vol 34 (1) ◽  
pp. 59-66
Author(s):  
Susan M. Hunter Revell ◽  
Mary K. McCurry
Keyword(s):  
Mental Illness ◽  
Conceptual Framework ◽  
Family Health ◽  
The United States ◽  
System Level ◽  
Community Resources ◽  
Nursing Science ◽  
The Family ◽  
Integral Role ◽  
Integrated Programs

Mental illness is an epidemic in the United States, and there is a gap in care due to minimal integrated programs and transitional community resources. This paper reports the development of a conceptual framework to identify challenges facing families living with mental illness and the integral role nursing plays to positively impact health. An inductive, bottom-up approach was used to develop the Nursing Science, Mental Illness and Family model. Concepts clustered around family health, cycle of suffering, improving outcomes, healthcare policy, and nursing science. Successful, goal-directed interprofessional collaborations are essential for individual-, family-, and system-level interventions to be effective.

scholarly journals Empowering Families That Have Mental Disorders Members of Life at UPTD Sukorejo City Blitar

2016 ◽  
Vol 3 (3) ◽  
pp. 322-327
Author(s):  
Suprajitno Suprajitno ◽  
Yuni Tanzilla April Liani
Keyword(s):  
Mental Illness ◽  
Elementary Education ◽  
Mental Disorders ◽  
Maternal Age ◽  
Research Method ◽  
Health Workers ◽  
Family Health ◽  
Sampling Technique ◽  
Family Empowerment ◽  
The Family

Mental illness in Indonesia has a prevalence of 6% for ages 15 and over, or about 14 millionpeople. In order to prevent the continued development of health problems related to mental disorders,family members need to be empowered and increased the ability which includes 5 basic tasks in the fieldof family health. The purpose of this research was to describe the empowerment of families who had amental disorder member in UPTD Health Sukorejo. The research method used descriptive design. Thepopulation in this study was families who had mental disorder member in the District Sukorejo as manyas 33 families, the sample was 30 families. The sampling technique used purposive sampling and theinstrument used FES (Family Empowerment Scale) from Koren, et. all. Family empowerment said to beoptimal if the average of 56.66. The results showed an average of 36.25 ± 6.110 family empowermentmeans empowerment of the family had not been optimal. This was possible because most of the care forpeople with mental disorders was maternal age> 50 years, elementary education and did not work andcare for people with mental disorders for> 10 years. The study was expected health workers couldprovide health services in cooperation with various related parties, socializing and management ofmental disorders in the community could be optimized.

scholarly journals THE OPINION OF FAMILY MEMBERS IN THE FAMILY HEALTH STRATEGY ABOUT THE MENTAL ILLNESS, THEPATIENT AND THE FAMILY

2012 ◽  
Vol 4 (4) ◽  
pp. 2901-2908
Author(s):  
Francisco Arnoldo Nunes de Miranda ◽  
Samia Valério Ozório Dutra ◽  
João Mário Pessoa Júnior ◽  
Clara Tavares Rangel ◽  
Marta Batista da Silva
Keyword(s):  
Mental Illness ◽  
Family Members ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objetivo: Analisar a opinião dos familiares na Estratégia Saúde da Família sobre o doente, a doença mental e a família. Método: Pesquisa operacional ou Investigação em Sistemas de Saúde, descritiva e quantitativa, realizada com 154 familiares. Resultados: 68% dos familiares discordam totalmente de que alcoolismo é doença mental; 50% discordam pouco como diferenciar um doente mental de uma pessoa normal; 30 % dos familiares concordam pouco de ser agressivo; 32% concordam totalmente como lugar do louco no hospício; 75% discordam totalmente que internar uma pessoa em hospital psiquiátrico significa rejeição da família; e 82% concordam totalmente em dar suporte à família para cuidar. Conclusão: Reflete uma aparente novidade nos modos de cuidar e perplexidade ao assumir este protagonismo, embora, sejam cuidadores habituais dos portadores

scholarly journals Validation of the family health scale among heterosexual couples: a dyadic analysis

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
AliceAnn Crandall ◽  
Melissa Barlow
Keyword(s):  
Factor Structure ◽  
Short Form ◽  
Family Health ◽  
The United States ◽  
Second Order ◽  
Individual Member ◽  
Dyadic Analysis ◽  
Heterosexual Couples ◽  
Childhood Experiences ◽  
The Family

Abstract Background The Family Health Scale (FHS) is a recently validated comprehensive measure of family health for use in survey research with the potential to also be used as a clinical measure. However, previous research has only validated the FHS among one member of the family rather than multiple family members. The objective of the study was to examine the psychometric properties of the FHS long- and short-form among married and cohabitating partners (dyads). Method The sample for this study was comprised of 482 married or cohabitating heterosexual couples (dyads) who were parents of a child between the ages of 3–13, heterosexual, and living in the United States. Each member of the dyad completed a survey about his or her perception of family health, personal health, childhood experiences, and demographic characteristics. Confirmatory factor analyses (CFA) were conducted to examine the factor structure. Unidimensional, correlational, and second-order factor structures were examined using responses from both partners. The relationships between family health with individual health and demographic covariates were also examined. Results Women and men reported their family health similarly. The unidimensional factor structure had the best fit for the FHS short-form while either the unidimensional model or the second-order model would be appropriate for the FHS long-form. Household income, individual member mental health, and childhood experiences were associated with family health in the expected direction. Conclusion The results demonstrate that the FHS is a valid and reliable family measure when examining family health among dyads including married and cohabitating heterosexual couples who have children.

A Family Belief Systems Theory for Transcultural Family Health Care Nursing

2019 ◽  
Vol 30 (5) ◽  
pp. 434-443
Author(s):  
Naohiro Hohashi
Keyword(s):  
Health Care ◽  
Systems Theory ◽  
Belief Systems ◽  
Family Members ◽  
Family Health ◽  
The United States ◽  
The Philippines ◽  
The Family ◽  
Family Beliefs ◽  
Care Nursing

To enable culturally congruent family health care nursing, the family belief systems theory proposed by Hohashi can be utilized. The family belief systems theory, developed through family ethnographic studies and questionnaire surveys conducted in the United States, Japan, China, Indonesia, and the Philippines, explains (a) structurization of a system, based on the family member’s beliefs as cognition criteria, in which family member’s emotions, decisions/acts, and physical responses (including health problems) occur; and (b) the process in which family beliefs are formed from family members’ beliefs, by which intentional decisions/acts by the family (family decision making, family self-management, etc.) are performed. By identifying the mechanism of family belief systems, the nursing professional, through support for family/family members’ beliefs, can completely change the intentional decisions/acts by the family.

Treating Mental Illness and Relational Concerns in Incarcerated Settings

2021 ◽  
pp. 106648072110000
Author(s):  
Eman Tadros
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Family System ◽  
The United States ◽  
Relational Therapy ◽  
Future Directions ◽  
The Family ◽  
High Prevalence ◽  
Relational Concerns ◽  
Racial And Ethnic Disparity

Rates of incarceration in the United States have grown dramatically over the past 50 years. These high rates of incarceration call for mental health and relational therapy to incarcerated individuals and their families. In conducting a literature review on incarceration, several topics emerged: mental illness, racial and ethnic disparity, and recidivism. When studying incarceration, mental illness is a necessary topic of inclusion due to high prevalence of mentally ill incarcerated individuals. When exploring issues related to incarceration, it is important to discuss diverse disparities to be able to put the individuals into context of their social location as well as address how contextual factors impact incarceration. The purpose of this article is to highlight the systemic, relational issues within incarcerated settings and then to display how treating mental illness and relational concerns allows for a healthier integration back into the family system. Clinical implications and future directions are also provided.

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
American Psychological Association ◽  
The United States ◽  
Psychotropic Medications ◽  
American Psychological ◽  
Training Requirements ◽  
Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

Refining Evidence-Based Treatments for Late-Life Depression

GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Brain Plasticity ◽  
Late Life ◽  
Aging Population ◽  
The United States ◽  
Future Research ◽  
Evidence Based ◽  
Late Life Depression ◽  
Evidence Based Treatments

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.

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