A Family-Focused Intervention for Parental Mental Illness

A Practitioner Perspective

Bibliographic Data

ID15519476
AuthorsMairead Furlong (0000-0002-9358-0635, National University of Ireland, Maynooth, corresponding author), Christine Mulligan (0000-0002-5052-932X, National University of Ireland, Maynooth), Sharon McGarr (National University of Ireland, Maynooth), O’connor (0000-0001-8579-1718, National University of Ireland, Maynooth), Sinead McGilloway (0000-0003-0988-3201, National University of Ireland, Maynooth)
Year2021
Volume12
Pages783161-783161
Publication date2021-11-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.783161
PMID34887791
OpenAlexW3215054060
LanguageEN
Citations received4
References cited44

Background: Parental mental illness (PMI) is common and can lead to children developing mental disorders. Family Talk (FT) is a well-known and widely implemented intervention designed to reduce the risk of transgenerational psychopathology. However, given the research to practise "gap," very little qualitative research, to date, has investigated practitioner experiences in implementing FT. This study aimed to explore the practitioner-perceived barriers and facilitators to the implementation and sustainability of FT within mainstream mental health settings. Methods: This qualitative study was nested within a randomised controlled trial (RCT) of Family Talk [ N = 86 families (139 parents, 221 children)] within 15 adult (AMHS), child (CAMHS), primary care mental health, and child protection sites in Ireland. Semi-structured interviews and focus groups were undertaken with a purposive sample of clinicians ( n = 31) and managers ( n = 10), based on their experiences of implementing FT. Interview data were transcribed verbatim, analysed using constructivist grounded theory, and informed by Fixsen's implementation science framework. Results: Service providers highlighted a number of benefits for approximately two thirds of families across different diagnoses and mental health settings (AMHS/CAMHS/primary care). Sites varied in their capacity to embed FT, with key enablers identified as acquiring managerial and organisational support, building clinician skill, and establishing interagency collaboration. Implementation challenges included: recruitment difficulties, stresses in working with multiply-disadvantaged families, disruption in delivery due to the COVID-19 global pandemic, and sustainability concerns (e.g., perceived fit of FT with organisational remit/capacity, systemic and cultural barriers to change). Conclusion: This study is only the second qualitative study ever conducted to explore practitioner experiences in implementing FT, and the first conducted within the context of an RCT and national research programme to introduce family-focused practise (FFP) for families living with PMI. The findings illuminate the successes and complexities of implementing FFP in a country without a "think family" infrastructure, whilst highlighting a number of important generalisable lessons for the implementation of FT, and other similar interventions, elsewhere

Disadvantaged · Focus group · Grounded theory · Intervention (counseling · Mental health · Mental illness · Psychiatry · Qualitative research · Child and Adolescent Psychosocial and Emotional Development · Family Caregiving in Mental Illness · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Psychology