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01-10-2008 | Original Paper

Attitudes and Perceived Barriers to Working with Families of Persons with Severe Mental Illness: Mental Health Professionals’ Perspectives

Authors: Hea-Won Kim, Michelle P. Salyers

Published in: Community Mental Health Journal | Issue 5/2008

Abstract

A state-wide survey of 453 clinicians serving people with severe mental illness in community mental health centers evaluated the degree to which they provide services to families and their perceptions of barriers to developing such services. Most clinicians did not provide many services to families and reported barriers related to the family or client (e.g., family’s lack of interest) and their own work environment (e.g., heavy workload). Clinicians who had received prior training on working with families provided more services, had more positive attitudes toward family, and felt more competent about their knowledge, confirming the importance of staff training.

Bernheim, K. (1990). Principles of professional and family collaboration. Hospital and Community Psychiatry, 41(12), 1353–1355.PubMed

Bernheim, K., & Switalski, T. (1988). Mental health staff and patient’s relatives: How they view each other. Hospital and Community Psychiatry, 39, 63–68.PubMed

Biegel, D. E., Song, L., & Milligan, S. (1995). A comparative analysis of family caregivers’ perceived relationships with mental health professionals. Psychiatric Services, 46(5), 477–482.PubMed

Bliese, P. D. (2000). Within-group agreement, non-independence, and reliability: Implications for data aggregation and analysis. In K. J. Klein & S. W. Kozlowski (Eds.), Multilevel theory, research, and methods in organization (pp. 349–381). San Francisco, CA: Jossey-Bass, Inc.

Bogart, T., & Solomon, P. (1999). Procedures to share treatment information among mental health providers, consumers, and families. Psychiatric Services, 50(10), 1321–1325.PubMed

Clark, R., & Drake, R. (1994). Expenditures of time and money of families of people with severe mental illness and substance abuse disorders. Community Mental Health Journal, 30, 145–163.PubMedCrossRef

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

Craig, T., Guy, S., & Ogilvie, L. (1999). An evaluation of a practitioner training program designed to assist families of people with severe psychiatric disorders. Psychiatric Rehabilitation Journal, 23(1), 34–42.

Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M., Falloon, I., Mueser, K. T., Miklowitz, D., Solomon, P., & Sondheimer, D. (2001). Evidence-based practices for services to families of people with psychiatric disabilities. Psychiatric Services, 52(7), 903–910.PubMedCrossRef

Dixon, L., Lucksted, A., Stewart, B., & Delahanty, J. (2000). Therapists’ contacts with family members of persons with severe mental illness in a community treatment program. Psychiatric Services, 51(11), 1449–1451.PubMedCrossRef

Dixon, L., Lyles, A., Scott, J., Lehman, A., Postrado, L., Goldman, H., & McGlynn, E. (1999). Services to families of adults with schizophrenia: From treatment recommendations to dissemination. Psychiatric Services, 50(2), 233–238.PubMed

Eisen, S. V., Wilcox, M., Idiculla, T., Speredelozzi, A., & Dickey, B. (2002). Assessing consumer perceptions of inpatient psychiatric treatment: The perceptions of care survey. The Joint Commission Journal on Quality Improvement, 28(9), 510–526.PubMed

Fisher, G., Benson, P., & Tessler, R. (1990). Family response to mental illness: Developments since deinstitutionalization. In J. R. Greenley (Ed.), Research in community and mental health: Mental disorder in social context (pp. 273–294). Greenwich, CT: JAI.

Greenberg, J., Greenley, J., & Kim, H. (1995). The provision of mental health services to families of persons with serious mental illness. In J. Greenley (Ed.), Research in community and mental health (Vol. 8, pp. 181–204). Greenwich, CT: JAI Press.

Hanson, J., & Rapp, C. (1992). Families’ perceptions of community mental health programs for their relatives with a severe mental illness. Community Mental Health Journal, 28, 181–197.PubMedCrossRef

Herold, D., Fedor, D., & Caldwell, S. (2007). Beyond change management: A multilevel investigation of contextual and personal influences on employees’ commitment to change. Journal of Applied Psychology, 92(4), 942–951.PubMedCrossRef

Howard, P. B., El-Mallakh, P., Rayens, M. K., & Clark, J. J. (2003). Consumer perspectives on quality of inpatient mental health services. Archives of Psychiatric Nursing, 17(5), 205–217.PubMedCrossRef

Jaccard, J., & Wan, C. K. (1996). LISREL approaches to interaction effects in multiple regression. Thousand Oaks, CA: Sage Publication.

James, L. R. (1982). Aggregation bias in estimates of perceptual agreement. Journal of Applied Psychology, 67(2), 219–229.CrossRef

Jensen, L. (2004). Mental health care experiences: Listening to families. Journal of the American Psychiatric Nurses Association, 10(1), 33–41.CrossRef

Kaas, M., Lee, S., & Peitzman, C. (2003). Barriers to collaboration between mental health professionals and families in the care of persons with serious mental illness. Issues in Mental Health Nursing, 24, 741–756.PubMedCrossRef

Karanci, A. (1995). Caregivers of Turkish schizophrenic patients: Causal attributions, burdens, and attitudes to help from the health professionals. Social Psychiatry and Psychiatric Epidemiology, 30, 261–268.PubMedCrossRef

Lefley, H. P. (1996). Family caregiving in mental illness. Family caregiver application series (Vol. 7). Sage Publications.

Lehman, A. F., Steinwachs, D. M., & PORT Co-Investigators. (1998). At issue: Translating research into practice: The Schizophrenia Patient Outcomes Research Team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 1–10.

Levine, I., & Ligenza, L. (2002). In their own voices: Families in crisis: A focus group study of families of persons with serious mental illness. Journal of Psychiatric Practice, 8, 344–353.PubMedCrossRef

Marsh, D. (1999). Serious mental illness: Opportunities for family practitioners. The Family Journal: Counseling and Therapy for Couples and Families, 7(4), 358–366.

Marshall, T. B., & Solomon, P. (2000). Releasing information to families of persons with severe mental illness: A survey of NAMI members. Psychiatric Services, 51(8), 1006–1011.PubMedCrossRef

Marshall, T. B., & Solomon, P. (2004). Provider contact with families of adults with severe mental illness: Taking a closer look. Family Process, 43(2), 209–216.PubMedCrossRef

Marshall, T. B., Solomon, P., Steber, S., & Mannion, E. (2003). Provider and family beliefs regarding the causes of severe mental illness. Psychiatric Quarterly, 74(3), 223–236.PubMedCrossRef

Maurin, J. T., & Boyd, C. B. (1990). Burden of mental illness on the family: A critical review. Archives of Psychiatric Nursing, 4(2), 99–107.PubMedCrossRef

McFarlane, W. R., Dushay, R. A., Deakins, S., Stastny, P., Lukens, E., Toran, J., Link, B. (2000). Employment outcomes in family-aided assertive community treatment. American Journal of Orthopsychiatry, 70, 203–214.PubMedCrossRef

Mohr, W. (2000). Rethinking professional attitudes in mental health settings. Qualitative Health Research, 10, 595–611.PubMedCrossRef

Pejlert, A. (2001). Being a parent of an adult son or daughter with severe mental illness receiving professional care: Parents’ narratives. Health and Social Care in the Community, 9(4), 194–204.PubMedCrossRef

Penn, D., & Mueser, K. (1996). Research update on the psychosocial treatment of schizophrenia. American Journal of Psychiatry, 153, 607–617.PubMed

Reinhard, S. C. (1994). Living with mental illness: Effects of professional support and personal control on caregiver burden. Research in Nursing and Health, 17, 79–88.PubMedCrossRef

Rose, L. (1998). Benefits and limitations of professional-family interactions: The family perspective. Archives of Psychiatric Nursing, 12(3), 140–147.PubMedCrossRef

Saunders, J. (2003). Families living with severe mental illness: A literature review. Issues in Mental Health and Nursing, 24, 175–198.CrossRef

Seltzer, M., Greenberg, J., & Krauss, M. (1995). A comparison of coping strategies of aging mothers of adults with mental illness or mental retardation. Psychology and Aging, 10(1), 64–75.PubMedCrossRef

Skinner, E., Steinwachs, D., & Kasper, J. (1992). Family perspectives on the service needs of people with serious and persistent mental illness. Innovations & Research, 1, 23–30.

Smith, G. (2003). Patterns and predictors of service use and unmet needs among aging families of adults with severe mental illness. Psychiatric Services, 54(6), 871–877.PubMedCrossRef

Solomon, P. (1994). Families’ views of service delivery: An empirical assessment. In H. P. Lefley & M. Wasow (Eds.), Helping families cope with mental illness (pp. 259–274). Newark, NJ: Harwood Academic.

Weiden, P., Scheifler, P., McEvoy, J., et al. (1999). Expert consensus treatment guidelines for schizophrenia: A guide for patients and families. Journal of Clinical Psychiatry, 60(suppl 11), 73–80.

Whelton, C., Pawlick, J., & Cardamone, J. (1997). Involving families in psychological rehabilitation. Psychiatric Rehabilitation Journal, 20, 57–60.

Williams, C. C., & Mfoafo-M’Carthy, M. (2006). Care: Giving, receiving and meaning in the context of mental illness. Psychiatry, 69(1), 26–46.PubMed

Winefield, H., & Burnett, P. (1996). Barriers to an alliance between family and professional caregivers in chronic schizophrenia. Journal of Mental Health, 5(3), 223–233.CrossRef

Winefield, H., & Harvey, E. (1993). Determinants of psychological distress in relatives of people with chronic schizophrenia. Schizophrenia Bulletin, 19, 619–635.PubMed

Wright, E. (1997). The impact of organizational factors on mental health professionals’ involvement with families. Psychiatric Services, 48(7), 921–927.PubMed

Title: Attitudes and Perceived Barriers to Working with Families of Persons with Severe Mental Illness: Mental Health Professionals’ Perspectives
Authors: Hea-Won Kim
Michelle P. Salyers
Publication date: 01-10-2008
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 5/2008
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-008-9135-x

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Attitudes and Perceived Barriers to Working with Families of Persons with Severe Mental Illness: Mental Health Professionals’ Perspectives

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