While policy and practice standards emphasise the importance of engaging and supporting families of people with mental health problems, many families have reported feeling unsupported and distanced from treatment and care planning in acute inpatient units. There has been little systematic interest in the changing role and experiences of families throughout the emergence of illness, crisis, seeking of treatment, and subsequent recovery. Nineteen in-depth interviews were conducted with the next of kin of 17 people who had been admitted under an Involuntary Treatment Order in a large metropolitan hospital in the Brisbane region. A general inductive approach was used to analyse the data. While hospital admission was described as a time where, ideally, families were able to let go of being responsible for their relative's behaviour and let the health care professionals take over, for many this did not occur. We suggest four critical elements for providing recovery-oriented support to families. These include: (a) ensuring that families feel that their relative is safe and receiving the care needed; (b) keeping the family informed about their relative's progress; (c) ensuring families have access to information about the mental health system, and (d) working in partnership with the families.
IMPLICATIONS
Family wellbeing is improved when they feel part of a supportive team.
Instituting an open policy where families can contact ward staff easily and access information about the person they care for may alleviate families’ anxieties and minimise stress.
Family work is enhanced when health professionals acknowledge families’ relationships, expertise, and understanding of their family member.
Since the 1960s, social science surveys have aimed to assess respondents' attitudes towards gender roles. In this paper, a model-based clustering approach towards gender role attitudes is proposed in contrast to commonly used dimensional methods. Working from a role theory perspective, we expect different profiles in the population when it comes to role expectations. Using data from the German General Social Survey in 1991 and 2012, we identify attitude patterns via multi-group latent class analysis, taking differences between Eastern and Western Germany into account. Five latent classes representing different combinations of role expectations towards couples and parents and varying levels of intensity are distinguished. Attitude change is assessed by comparing latent class prevalence over time, while statistically testing for measurement equivalence. The analysis reveals a regionally variable decrease in traditional role models: Eastern Germany exhibits a faster pace of ‘de-traditionalization’ and less potential for role conflicts regarding working mothers. 相似文献
The research literature on family members’ experiences of the use of electroconvulsive therapy (ECT) is limited. This article explores the perspectives of family members whose relatives had received ECT. Drawing on a social constructionist perspective, this qualitative study collected data using in-depth interviews with nine families in South Australia, to examine how family members constructed the supports and challenges they experienced. The research found that families experienced a range of social and service system barriers, including social stigma and isolation, and limited support from health professionals. They had to negotiate caring expectations within a social context that stigmatised both mental illness and ECT. A need for ECT-specific mental health support groups was identified.
IMPLICATIONS
Social workers’ roles in Australian hospitals could be further expanded to accommodate supporting families whose relatives have received ECT, referring families to community support, and advocating for specialist support post-ECT treatment.
Social workers can further articulate their unique contribution to community care post-ECT treatment and advocate for supporting families.
Increased focus on ongoing and preventative care for supporting families is a potential growth area for social workers in mental health.
This qualitative study examined the experiences of 25 adult children who initiated or maintained estrangement from one or both parents. Participants often stated that they initiated or maintained estrangement to provide relief and space to heal from a difficult relationship, but it was also experienced as a considerable loss that impacted them across the lifespan. They missed having a family and the benefits of such a relationship, including emotional, financial and physical support. However, the majority stated that they did not miss ‘their own family’ or the person they were estranged from, often taking active measures to keep the estrangement status intact. Estrangement also appeared to affect participant’s experiences of other relationships with non-estranged family members, work colleagues, and potential partners and friends. These findings suggest social work practice that is focused on understanding and addressing grief reactions, a critical examination of family, stress reduction, and reconnection to safe and trusting relationships. 相似文献