A conceptual review of family involvement in acute mental health treatment: Methodology and personal reflections

2018 ◽  
Vol 2 (2) ◽  
pp. 257-266 ◽  
Author(s):  
Aysegul Dirik ◽  
Katherine Shea Barrett ◽  
Gerry Bennison ◽  
Sue Collinson ◽  
Sima Sandhu

This paper describes a process developed in order to work collaboratively on a conceptual review of some of the family involvement models that are used in acute mental health treatment. The members of the review team consisted of clinicians, academics and people with lived experience of mental illness and mental health services. This combination of backgrounds had the potential to present many challenges to the dynamics of the group. There were varying levels of research knowledge and experience within the group, as well as a lack of literature describing how to actualize their potential to best effect. Financial resources were minimal, which meant that the number of meetings had to be limited. Most importantly, however, there was the strong potential for a power imbalance within the group during the review process. Senior academics and clinicians were being expected to help to create a research environment in which the patient voice carried as much weight as theirs. In this paper, we discuss how we overcame these challenges and ended up with a process that was coherent, equable and enjoyable.

2018 ◽  
Vol 2 (2) ◽  
pp. 257-266 ◽  
Author(s):  
Aysegul Dirik ◽  
Katherine Barrett ◽  
Gerry Bennison ◽  
Sue Collinson ◽  
Sima Sandhu

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017680 ◽  
Author(s):  
Aysegul Dirik ◽  
Sima Sandhu ◽  
Domenico Giacco ◽  
Katherine Barrett ◽  
Gerry Bennison ◽  
...  

ObjectivesFamily involvement is strongly recommended in clinical guidelines but suffers from poor implementation. To explore this topic at a conceptual level, a multidisciplinary review team including academics, clinicians and individuals with lived experience undertook a review to explore the theoretical background of family involvement models in acute mental health treatment and how this relates to their delivery.DesignA conceptual review was undertaken, including a systematic search and narrative synthesis. Included family models were mapped onto the most commonly referenced underlying theories: the diathesis–stress model, systems theories and postmodern theories of mental health. Common components of the models were summarised and compared. Lastly, a thematic analysis was undertaken to explore the role of patients and families in the delivery of the approaches.SettingGeneral adult acute mental health treatment.ResultsSix distinct family involvement models were identified: Calgary Family Assessment and Intervention Models, ERIC (Equipe Rapide d’Intervention de Crise), Family Psychoeducation Models, Family Systems Approach, Open Dialogue and the Somerset Model. Findings indicated that despite wide variation in the theoretical models underlying family involvement models, there were many commonalities in their components, such as a focus on communication, language use and joint decision-making. Thematic analysis of the role of patients and families identified several issues for implementation. This included potential harms that could emerge during delivery of the models, such as imposing linear ‘patient–carer’ relationships and the risk of perceived coercion.ConclusionsWe conclude that future staff training may benefit from discussing the chosen family involvement model within the context of other theories of mental health. This may help to clarify the underlying purpose of family involvement and address the diverse needs and world views of patients, families and professionals in acute settings.


2012 ◽  
Author(s):  
John Robst ◽  
Mary Armstrong ◽  
Norin Dollard ◽  
Patty Sharrock ◽  
Catherine Batche ◽  
...  

2013 ◽  
Vol 42 (3) ◽  
pp. 225-238 ◽  
Author(s):  
John Robst ◽  
Lodi Rohrer ◽  
Mary Armstrong ◽  
Norín Dollard ◽  
Patty Sharrock ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lauren Butler ◽  
Sue Ledwith

Purpose This study aims to explore service users’ experience of psychological therapy as part of a community sentence with a Mental Health Treatment Requirement (MHTR) in Birmingham Courts between January and December 2018. Design/methodology/approach All service users that had therapy in this period were telephoned a month after ending and offered a semi-structured telephone interview. Seven service users agreed to be recorded. This data was then transcribed and analysed using thematic analysis to gain a richer understanding of their lived experience. Findings Themes identified were: Is the MHTR for me? Opening up, enlightening connections and personal change. Service users initially questioned the relevance and burden of the order for them; the experience of therapy allowed them to trust and talk about things unsaid in the past; this helped them to review and reconsider their understanding of themselves and their life choices and what further support they might need. Research limitations/implications Interviews were not completed by an independent interviewer. Experience of working with offender manager supervision additionally available throughout the sentence was not explored. Practical implications What is included in the MHTR information and support needs to be informed by the service user’s perspective, including this can improve engagement. Social implications Therapy was seen as a “a cog in the machine” and wider social inequalities may need to be addressed within the sentence. Originality/value This report focusses on experience of a therapeutic intervention – a key part of a community sentence with an MHTR.


2013 ◽  
Vol 35 (1) ◽  
pp. 40-46 ◽  
Author(s):  
John Robst ◽  
Mary Armstrong ◽  
Norín Dollard ◽  
Lodi Rohrer ◽  
Patty Sharrock ◽  
...  

2012 ◽  
Author(s):  
John Robst ◽  
Mary Armstrong ◽  
Norin Dollard ◽  
Lodi Rohrer ◽  
Catherine Batche ◽  
...  

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