Goodyear Melinda, Maybery Darryl, Reupert Andrea, Allchin Rebecca, Fraser Cait, Fernbacher Sabin, Cuff Rose
School of Rural Health, Monash University, Moe, Victoria, Australia.
The Parenting Research Centre, East Melbourne, Clayton, Victoria, Australia.
Int J Ment Health Nurs. 2017 Jun;26(3):238-248. doi: 10.1111/inm.12293. Epub 2016 Dec 27.
Parenting with mental illness is not uncommon and is often associated with a range of challenges for parents, children, and the family unit. Family-focussed practice involves the provision of services to the wider family system, including children. While family-focussed practice is important to consumers and their families, adult mental health practitioners do not routinely discuss parenting or children with their clients, nor work closely with the whole family. In the present study, we aimed to examine the characteristics of practitioners from Australian adult mental health services associated with family-focussed practices. Characteristics included sex, years of experience, location, and previous training in child and family-focussed practice. A total of 307 adult mental health practitioners from Victoria, Australia, responded to the Family Focused Mental Health Practice Questionnaire and a series of demographic items. The results indicated that particular practitioner characteristics predicted the delivery of family-focussed practice. Practitioner experience, sex, working in a rural location, and previous family- or child-related training were found to be important in the provision of family-focussed practice. More experienced, female, rurally-located, and well-trained practitioners undertake most family-focussed practice. These results suggest that training in family-focussed practice needs to be promoted, with considerations made for differing needs according to the characteristics of the adult mental health practitioner.
患有精神疾病的父母并不罕见，而且往往会给父母、孩子以及整个家庭带来一系列挑战。以家庭为中心的实践涉及为更广泛的家庭系统提供服务，包括孩子。虽然以家庭为中心的实践对消费者及其家庭很重要，但成人心理健康从业者通常不会与他们的客户讨论育儿或孩子的问题，也不会与整个家庭密切合作。在本研究中，我们旨在研究澳大利亚成人心理健康服务从业者中与以家庭为中心的实践相关的特征。这些特征包括性别、工作年限、工作地点以及之前接受的儿童和家庭相关实践培训。来自澳大利亚维多利亚州的307名成人心理健康从业者回答了《以家庭为中心的心理健康实践问卷》以及一系列人口统计学问题。结果表明，特定的从业者特征预示着以家庭为中心的实践的开展。研究发现，从业者的经验、性别、在农村地区工作以及之前接受的与家庭或儿童相关的培训对于开展以家庭为中心的实践很重要。经验更丰富、女性、在农村地区工作且训练有素的从业者开展的以家庭为中心的实践最多。这些结果表明，需要推广以家庭为中心的实践培训，并根据成人心理健康从业者的特征考虑不同的需求。
