scholarly journals Family Functioning in Families Affected by Parental Mental Illness: Parent, Child and Clinician Ratings

2021 ◽  
Vol 18 (15) ◽  
pp. 7985
Author(s):  
Marlit Sell ◽  
Anne Daubmann ◽  
Holger Zapf ◽  
Bonnie Adema ◽  
Mareike Busmann ◽  
...  
Keyword(s):  
Mental Illness ◽  
Family Functioning ◽  
Family Members ◽  
Family Assessment ◽  
Parental Mental Illness ◽  
Cross Sectional ◽  
Relational Functioning ◽  
Assessment Measure ◽  
The Family ◽  
Family Based

Family functioning is often impaired in families with a parent with mental illness and is linked to child mental health. This study aims to gain a better understanding of family functioning in affected families by comparing ratings among family members and by analyzing associations with clinician-rated family functioning. The cross-sectional sample comprised 210 families with ratings of 207 patients, 139 partners, and 100 children. Parents with a mental illness as well as their partners and children completed the German version of the Family Assessment Measure (FAM). Clinician ratings were obtained by the Global Assessment of Relational Functioning Scale (GARF). We conducted several mixed models to compare ratings of family functioning while accounting for family cluster. Family dysfunction was consistently elevated compared to a normative sample. On several domains, parents with a mental illness perceived family functioning to be worse compared to their partners and children. Partners and children did not differ in their perceptions of family functioning. Ratings of family members were moderately associated with clinician ratings. We discuss the importance of multi-informant assessment of family functioning and the implementation of family-based interventions for families with a parent with mental illness.

Care Plans for Families Affected by Parental Mental Illness

2008 ◽  
Vol 89 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Andrea E. Reupert ◽  
Kirsten T. Green ◽  
Darryl J. Maybery
Keyword(s):  
Mental Illness ◽  
Family Members ◽  
Family Care ◽  
Social Supports ◽  
Parental Mental Illness ◽  
Crisis Plans ◽  
Care Plans ◽  
The Family ◽  
Original Objective

The process of establishing care plans for families affected by parental mental illness is outlined in this article. Based on the feedback of families involved, the original objective of developing crisis plans was broadened to incorporate “care” components. Accordingly, family care plans included planning for possible future crises, such as a parent's hospitalization, as well as long-term goals, for example, education plans for the children. It was found that identifying both crisis and care components enhanced existing social supports within the family and involved pre-negotiating and coordinating agency supports for family members. The general principles and basic components of family care plans are outlined, and the implications for workers' roles conclude the article.

Superficial and systemic diagnosis of family

2010 ◽  
Vol 41 (3) ◽  
pp. 113-121 ◽  
Author(s):  
Waldemar Świętochowski
Keyword(s):  
Factor Analysis ◽  
Theoretical Model ◽  
Personality Traits ◽  
Family System ◽  
Family Members ◽  
Family Assessment ◽  
Assessment Measure ◽  
The Family ◽  
Systemic Model ◽  
Psychological Questionnaires

Superficial and systemic diagnosis of family The distinction between two types of diagnosis of family was inspired by the concept of surface and source features of personality by R.B. Cattell. By means of existing psychological questionnaires we can only know the surface of consciously available mental phenomena. The same is true in the diagnosis of family. The McMaster model of family, systemic in its assumptions, developed research tools giving access only to the surface of the phenomena. Although they are divided into certain thematic categories they do not reveal what is really important in the family system. In this article, the author, after a detailed discussion of one of the tests based on the McMaster theoretical model, is attempting to identify the source features (here: unavailable for conscious cognition) of the family, hereinafter called systemic traits. In this research the exploration factor analysis was used. Three perspectives of the opinion of the family were maintained (like in the Family Assessment Measure). Factor analysis allowed identification of three factors for each perspective of the family assessment. Confirmative analysis proved a satisfactory match (using RMSEA, GFI and AGFI statistics). The accuracy of the identified systemic model was then tested by a confirmation study (confirmative factor analysis using Amos from SPSS). The authors also prepared a provisional questionnaire for measuring these systemic traits of the family. The tool proved to be promising and the work worth continuing. Incidentally, it turned out that the characteristics of the family system are relatively independent of personality traits of family members.

scholarly journals Stigma perceived by family members of psychiatric patients attending outpatient department of a teaching hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 64-69
Author(s):  
Rama Kumari Lamichhane
Keyword(s):  
Mental Illness ◽  
Psychiatric Patients ◽  
Family Members ◽  
Demographic Variables ◽  
Outpatient Department ◽  
P Value ◽  
Perceived Stigma ◽  
Cross Sectional ◽  
The Family ◽  
High Level

Introductions: Stigma and unfavorable view of people towards mental illness is prevailing in Nepal due to lack of awareness. Stigma among family members of people with mental illness has a serious impact on the outcome. This study aims to identify the level of perceived stigma by family members and association with selected demographical variables. Methods: A cross-sectional research design was used to assess the stigma perceived by family members of patients visiting psychiatry outpatient department of Patan Hospital, Patan Academy of Health Sciences during 12 August to Sep 7, 2018. Questionnaire on socio-demographic variables and self-stigma of mental illness scale was used to interview the family members to assess the level of perceived stigma. Chi-square was used to examine the association between demographic variables and stigma, p < 0.05 was considered significant. Results: Out of 180 family interviewed 94 (52.2%) had perceived high level of stigma and 86 (47.8%) low level of stigma. There was significant association between age and perceived stigma (p value=0.030) at 95% of significance. Conclusions: More than half of the family members of psychiatric patients had perceived high level of stigma and was associated with the age.

Family Functioning in Foster Care

1997 ◽  
Vol 78 (5) ◽  
pp. 463-470 ◽  
Author(s):  
James R. Seaberg ◽  
Marcia P. Harrigan
Keyword(s):  
African American ◽  
Foster Care ◽  
Family Functioning ◽  
Family Assessment ◽  
Cross Sectional ◽  
Foster Families ◽  
Family Assessment Device ◽  
The Family ◽  
Perceived Impact ◽  
Better Than

This study examined the family functioning of a cross-sectional sample of all approved and insured child-foster-care families in a mid-Atlantic state. The families studied functioned from well to excellent according to the Family Assessment Device. White and African American foster families showed relatively little difference in family functioning and both consistently scored better than did normative samples. Foster care's perceived Impact on the families was minimal and tended to be more positive than negative. The authors compare these results with other studies and suggest implications of their findings for practice.

The Family Assessment Measure

1983 ◽  
Vol 2 (2) ◽  
pp. 91-103 ◽  
Author(s):  
Harvey A. Skinner ◽  
Paul D. Steinhauer ◽  
Jack Santa-Barbara
Keyword(s):  
Family Functioning ◽  
Process Model ◽  
Rating Scale ◽  
Basic Research ◽  
Self Report ◽  
Family Assessment ◽  
Dyadic Relationships ◽  
Assessment Measure ◽  
The Family ◽  
Task Accomplishment

The Family Assessment Measure (FAM) is a self-report instrument that provides quantitative indices of family strengths and weaknesses. FAM is based on a process model of family functioning that integrates different approaches to family therapy and research. The basic concepts assessed by FAM include: task accomplishment, role performance, communication, affective expression, involvement, control, values and norms. FAM consists of three components: (1) a General Scale which focuses on the family as a system, (2) a Dyadic Relationships Scale which examines relationships between specific pairs, and (3) a Self-Rating Scale which taps the individual's perception of his/her functioning in the family. Each scale provides a different perspective on family functioning. FAM takes about 20-30 minutes to administer, and may be used as a clinical diagnostic tool, as a measure of therapy outcome, or as an instrument for basic research on family processes. This article reviews the theoretical model of family functioning, presents data on the reliability and discriminating power of FAM, and describes a case study as an illustration of information provided by FAM.

Study on covert administration of medications practices among persons with severe mental illness: A cross-sectional study

2021 ◽  
pp. 002076402110656
Author(s):  
Prakyath R Hegde ◽  
Guru S Gowda ◽  
Bhavika Vajawat ◽  
Vinay Basavaraju ◽  
Sydney Moirangthem ◽  
...  
Keyword(s):  
Mental Illness ◽  
Family Functioning ◽  
Severe Mental Illness ◽  
Self Care ◽  
Male Gender ◽  
Poor Adherence ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Medication Delivery ◽  
Delivery Practices

Background: Covert administration of medication (CoAdM) by caregivers to persons with severe mental illness (SMI) is a commonly observed medication delivery practice in India. Aims: This study aims to examine different medication delivery practices adopted by caregivers to provide care to SMI at times of medication refusal. Method: This study was conducted at the outpatient department between April 2019 and November 2019. A semi-structured questionnaire was used to interview the caregivers of persons with SMI to assess medication delivery practices. Results: A total of 300 caregivers were interviewed. CoAdM was practiced in 96 (32.0%) persons with SMI at least once during their lifetime, and other strategies used were pleading ( n = 105, 35.0%), lying ( n = 10, 3.3%), and threatening ( n = 154, 51.4%). Logistic regression showed that male gender (OR 4.75; CI 1.37–16.46), absent insight (OR 10.0; CI 2.01–47.56), and poor adherence to medication (OR 4.75; CI 1.31–16.92) were significantly associated with CoAdM in the last 1 year. Caregivers perceived significant improvement in self-care ( Z = −4.37, p < .01), interpersonal ( Z = −7.61, p < .01), work ( Z = −5.9, p < .01), family functioning ( Z = −7.82, p < .01) difficult behavior ( Z = −8.27, p < .01), and dependency ( Z = −6.34, p < .01) in persons with SMI with use of CoAdM. Conclusions: CoAdM was given to one in three persons with SMI at some point in their lives. Male gender, absent insight and poor adherence were predictive of CoAdM in the last 1 year. Caregiver perceived improvements in self-care, work, interpersonal, family functioning, problem behaviors, and dependency after CoAdM. Policies need to be evolved to serve all stakeholders while keeping these practices in mind.

Human rights of people with mental illness diagnosis: perceptions among service users, family members and health professionals in Tunisia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mayssa Rekhis ◽  
Sami Ouanes ◽  
Abir Ben Hamouda ◽  
Rym Rafrafi
Keyword(s):  
Mental Illness ◽  
Human Rights ◽  
Family Members ◽  
Mental Illnesses ◽  
Service Users ◽  
Content Type ◽  
People With Mental Illness ◽  
The Family ◽  
The Right ◽  
Main Factor

Purpose This study aims to assess the awareness about the rights of people with mental illness in the main psychiatric hospital in Tunisia among the service users, the family members and the staff. Design/methodology/approach The Convention of Rights of People with Disabilities mandates that State Parties initiate and maintain campaigns and human rights training to promote understanding of the rights of people with mental illnesses, considered as a main factor for their fulfillment. Service users, family members and staff evaluated, through a survey, the importance of ten rights for persons with mental illness, stated in the convention. Findings Disparities were found in the perception of the different rights by and between the three groups. The highest levels of awareness were associated with the freedom from torture or degrading treatment and the right to live with dignity and respect, whereas the lower importance were assigned to the right to participation in recovery plans, to give consent and to exercise legal capacity. Originality/value The lack of awareness and the poor perception of rights of people with mental illness is one of the barriers to their achievement. More training and awareness raising is necessary.

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