scholarly journals Family group conferencing in youth care: characteristics of the decision making model, implementation and effectiveness of the Family Group (FG) plans

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Jessica J Asscher ◽  
Sharon Dijkstra ◽  
Geert Jan JM Stams ◽  
Maja Deković ◽  
Hanneke E Creemers
Keyword(s):  
Decision Making ◽  
Youth Care ◽  
Family Group ◽  
Family Group Conferencing ◽  
The Family ◽  
Decision Making Model

Family Group Conferencing for older adults: Social workers’ views

2018 ◽  
Vol 19 (3) ◽  
pp. 351-371
Author(s):  
Rosalie N Metze ◽  
Tineke A Abma ◽  
MH Kwekkeboom
Keyword(s):  
Older Adults ◽  
Social Networks ◽  
Social Workers ◽  
Elderly Care ◽  
Family Group ◽  
Care Process ◽  
Family Networks ◽  
Family Group Conferencing ◽  
Individual Interviews ◽  
The Family

Summary Family Group Conferencing as deployed in child care might be useful in elderly care to strengthen older adults’ social networks and self-mastery. When Family Group Conferencing was implemented for older adults in the Netherlands, social workers were reluctant to refer. To discover reasons for this reluctance, we examined social workers’ views and attitudes concerning Family Group Conferencing for their clients. Findings In an initial exploratory study, we distributed a survey among social workers who worked with older adults and were informed about Family Group Conferencing, followed by three focus groups of social workers with and without Family Group Conferencing experience. We also held semi-structured individual interviews with social workers and an employee of the Dutch Family Group Conferencing foundation. The respondents were positive about Family Group Conferencing, but hesitant about referring their older clients. Reasons were: they were already working with their clients’ social networks; they feared losing control over the care process; and they wondered how they could motivate their clients. They also reported that their clients themselves were reluctant, because they seemed to fear that Family Group Conferencing would lose them self-mastery, and they did not want to burden their social networks. Applications Our findings indicate that implementing Family Group Conferencing in elderly care is a complicated and slow process, partly because social workers have little experience with Family Group Conferencing. To facilitate social workers it might be necessary to offer them more guidance, in a joint process with the Family Group Conferencing foundation. One might also experiment with alterations to the Family Group Conferencing model, for example, by focusing less on family networks and more on reciprocity.

scholarly journals Family Group Conferences as a Shared Decision-Making Strategy in Adults Mental Health Work

2021 ◽  
Vol 12 ◽  
Author(s):  
Shulamit Ramon
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Shared Decision Making ◽  
Child Protection ◽  
Implementation Process ◽  
Family Group ◽  
Shared Decision ◽  
Implementation Phase ◽  
Adult Mental Health ◽  
The Family

Family Group conferences (FGC) provide a system by which a client and their family reach jointly key intervention decisions, from a number of options proposed by professionals. The system originated in child protection social work.Conceptually FGC is based on the assumption that the family is potentially a supportive social system for an individual with a variety of difficulties, including mental ill health. Reaching a family network agreement can lead to long term positive outcomes in self-confidence and social relationships. This strategy of shared decision making (SDM) can re-unite the family around the client's needs and wishes. It fits well the strengths based and the recovery-oriented approaches to mental ill health.Methodologically, this article provides a narrative review of existing empirical research about FGC in the context of adult mental health. In addition, two community case studies consisting of videos of a mother experiencing mental ill health and a daughter are analysed in terms of their subjective experience of the FGCs they were involved in, and looks at both the process and the outcomes of FGCs.The key findings demonstrate a high level of satisfaction from participating in the FGC meeting, while the evidence pertaining to the outcomes is inconclusive. Only very few systematic review studies, or comparative studies of different approaches to family decision making, exist, and there are no studies which offer cost effectiveness analysis.Discussion: The observed gap between the satisfaction from the process of FGC by the participants vs. the inconclusive outcomes relates to the implementation phase, in which the decisions made by the family are tested. Evaluating FGC processes and outcomes is complex. A systematic and comprehensive research of the implementation process is missing at this stage.In conclusion, FGC is a promising strategy of SDM in adult mental health. The research evidence indicates the need for further exploration of its implementation process, evaluative methodology and methods.

The Children Young Persons and their Families Act 1989

1992 ◽  
Vol 17 (4) ◽  
pp. 5-6 ◽  
Author(s):  
Ian Hassall
Keyword(s):  
Decision Making ◽  
New Zealand ◽  
The State ◽  
Family Group ◽  
Youth Justice ◽  
Family Group Conference ◽  
Child Services ◽  
The Family ◽  
Justice And Care

Since November 1989 New Zealand has had new statutory care and protection and youth justice procedures. They differ substantially from the procedures under the old 1974 act. For the majority of cases, the disposition of the child, services provided and, in the case of offending, any penalties or restitution imposed are now the responsibility of the family rather than the Court.This responsibility is exercised through a new official process called the Family Group Conference, at which the State is represented but in which the decision-making power is expected to rest largely with the family. Only if this fails or if the offence falls into the most serious of categories is the matter passed to the Court. A new group of officials has been created to co-ordinate the process. They are known as Youth Justice and Care and Protection Co-ordinators.

The value of recognition theory to Family Group Conferencing and child-care and protection

2020 ◽  
Author(s):  
Mary Mitchell
Keyword(s):  
Social Work ◽  
Social Relations ◽  
Work Practice ◽  
Social Work Practice ◽  
Family Group ◽  
Family Group Conferencing ◽  
The Family ◽  
Recognition Theory ◽  
Identify Formation ◽  
Just Society

Abstract Much has been written over the past thirty years within the international social work literature on Family Group Conferencing as a process of decision making. Yet, the theories that frame our understanding of how Family Group Conferencing contributes towards family outcomes are less distinct. This article makes an original contribution to this literature by proposing the use of recognition theory as a beneficial lens for understanding the Family Group Conferencing process. The recognition theory contends that social relations acknowledge and validate personal existence and are pivotal to identify formation; a just society is therefore one where everyone gets due recognition. A retrospective qualitative study will be used to exemplify how Family Group Conferencing can create the conditions within which participants can experience different forms of recognition: care; respect; solidarity and, as such, experience a level of social justice (or not). It is argued that recognition within the Family Group Conferencing process can influence the identity and relationships of those involved in social work services. This article has significance beyond those with an interest in Family Group Conferencing as the recognition theory can shed light on the nature of relationships in social work practice more generally.

scholarly journals 臨終關懷決策問題的倫理考慮

2009 ◽  
Vol 7 (2) ◽  
pp. 55-65
Author(s):  
Ho Mun CHAN
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Hong Kong ◽  
Shared Decision Making ◽  
Medical Practitioner ◽  
Final Decision ◽  
Shared Decision ◽  
The Family ◽  
Medical Paternalism ◽  
Decision Making Model

LANGUAGE NOTE | Document text in Chinese; abstract also in English.本文從倫理角度探討臨終關懷的決策問題。首先會簡介臨終關懷決策問題的內容及不同的決策模式。對於應該選取甚麽模式是與我們的價值取向有關，所以本文會就有關價值進行討論，並探討預設醫療指示在臨終關懷決策過程的角色與安樂死的關係。最後，本文討論香港應該如何引入預設醫療指示，體現儒家思想精神。This paper examines the end-of-life (EOL) decision-making process for mentally incapacitated patients from an ethical perspective. It introduces four common models in EOL decision making: medical paternalism, individualism, familism and the shared decision-making model. According to medical paternalism, the final decision should be made by the medical practitioner, whereas individualism asserts that this decision should be made by the patient before losing decisional capacity. Familism regards the final decision as a collective choice made by the family, whereas the shared decision-making model maintains that the family should jointly make the decision after taking the patient’s wishes, values and beliefs into consideration. The choice of model is affected by different values upheld by different people across different cultures. These values, including autonomy, best interests, family value, and the sanctity of life, are discussed in this paper.This paper also examines the role of advance directives (ADs) in EOL decision making. There are two kinds of ADs: instructional directives and proxy directives. Instructional directives can be tools with which patients exercise autonomy, and proxy directives can be used to assert the value of the family. The distinction between the execution of ADs and euthanasia is discussed. Four positions are put forth to defend the distinction. First, following an AD can be regarded as an act of respecting the autonomy of the patient. Second, the doctor who duly respects the patient’s wishes does not have the intention to kill the patient. Third, the life-sustaining treatment refused by the terminally ill patient is usually futile. Fourth, the cause of the patient’s death is the life-threatening disease itself.The paper then discusses the use of ADs and the choice of the EOL decision-making model in Hong Kong. Under the common law in Hong Kong, a valid and applicable AD is legally binding. According to a survey, a significant number of people in the community believe that they should be allowed to exercise their self-determination in the EOL stage when they become mentally incapacitated. ADs are important tools for them to exercise their autonomy. Nevertheless, the same survey shows that more people prefer the shared decision-making model. Therefore, it is argued that advanced care planning (ACP) should be promoted in Hong Kong. ACP is a communication process that aims at promoting a common understanding among patients, their family and health-care professionals, and a close alignment of their expectations regarding the goals and objectives of EOL care. It is argued that ADs also have a role to play in the process because they may help the family and the attending health-care team to make difficult life-and-death decisions for the patient.Hong Kong is a Chinese society deeply shaped by a strong Confucian ethos. This paper argues that the shared decision-making model, which is an amalgam of familism and medical paternalism, is very suitable for Hong Kong. It recognizes the value of the family because the views of the family members are seriously considered. The involvement of medical practitioners in this model can also help the family to fulfill the responsibility of taking good care of the patient. Furthermore, harmony is an important value in Confucianism. The model takes that value seriously because it aims to develop a consensus among the patient, the family, and the medical practitioner. In sum, the model is very suitable for many people in Hong Kong, though its adoption does not preclude patients from using ADs to exercise their autonomy if they so wish.DOWNLOAD HISTORY | This article has been downloaded 520 times in Digital Commons before migrating into this platform.

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