Department of Lifelong Learning, University of Groningen School of Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands.
Int J Ment Health Nurs. 2011 Feb;20(1):63-74. doi: 10.1111/j.1447-0349.2010.00701.x.
Family group conferences are usually organized in youth care settings, especially in cases of (sexual) abuse of children and domestic violence. Studies on the application of family group conferences in mental health practices are scarce, let alone in a setting even more specific, such as public mental health care. The present study reports on an exploratory study on the applicability of family group conferencing in public mental health care. Findings suggest that there are six reasons to start family group conference pilots in public mental health care. First, care providers who work in public mental health care often need to deal with clients who are not motivated in seeking help. Family group conferences could yield support or provide a plan, even without the presence of the client. Second, conferences might complement the repertoire of treatment options between voluntary help and coercive treatment. Third, clients in public mental health care often have a limited network. Conferences promote involvement, as they expand and restore relationships, and generate support. Fourth, conferences could succeed both in a crisis and in other non-critical situations. Sometimes pressure is needed for clients to accept help from their network (such as in the case of an imminent eviction), while in other situations, it is required that clients are stabilized before a conference can be organized (such as in the case of a psychotic episode). Fifth, clients who have negative experiences with care agencies and their representatives might be inclined to accept a conference because these agencies act in another (modest) role. Finally, the social network could elevate the work of professionals.
家庭团体会议通常在青少年关怀环境中组织，尤其是在儿童遭受（性）虐待和家庭暴力的情况下。关于家庭团体会议在心理健康实践中的应用的研究很少，更不用说在更具体的环境中，例如公共心理健康护理。本研究报告了一项关于家庭团体会议在公共心理健康护理中的适用性的探索性研究。研究结果表明，有六个理由可以在公共心理健康护理中启动家庭团体会议试点。首先，在公共心理健康护理中工作的护理提供者经常需要处理那些没有寻求帮助动力的客户。家庭团体会议可以提供支持或提供计划，即使客户不在场。其次，会议可以补充自愿帮助和强制治疗之间的治疗选择范围。第三，公共心理健康护理中的客户通常网络有限。会议促进参与，因为它们扩展和恢复关系，并产生支持。第四，会议既可以在危机中也可以在其他非关键情况下取得成功。有时需要对客户施加压力，使其接受网络中的帮助（例如在即将被驱逐的情况下），而在其他情况下，则需要在可以组织会议之前使客户稳定下来（例如在精神病发作的情况下）。第五，对护理机构及其代表有负面体验的客户可能倾向于接受会议，因为这些机构以另一种（适度）角色行事。最后，社交网络可以提升专业人员的工作。
