A Family-Focused Intervention for Parental Mental Illness

A Practitioner Perspective

Dados Bibliográficos

ID15519476
AutoresMairead Furlong (0000-0002-9358-0635, National University of Ireland, Maynooth, autor correspondente), 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)
Ano2021
Volume12
Páginas783161-783161
Data de publicação2021-11-23
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.783161
PMID34887791
OpenAlexW3215054060
IdiomaEN
Citações recebidas4
Referências citadas44

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