School of Health Sciences, University of Manchester, UK.
Psychol Psychother. 2020 Dec;93(4):657-673. doi: 10.1111/papt.12249. Epub 2019 Aug 26.
There is a lack of research into parenting interventions for families which include a parent experiencing psychosis or other serious mental illness (SMI). Preliminary findings highlight the potential benefits of adult mental health practitioners supporting parents experiencing SMI by using self-directed parenting interventions. This study explored beliefs relating to parenting and psychosis held by practitioners working in adult mental health settings, specifically examining their beliefs about the parenting needs of adults experiencing psychosis who have dependent children, as well as their role as adult mental health practitioners.
This study used Q methodology to explore the beliefs of mental health practitioners on psychosis and parenting.
Twenty-one adult mental health practitioners ranked 58 items according to how much they agreed with the belief statement presented. Participants also provided additional written information and interviews to contextualize the Q methodology data.
Three factors emerged representing three groups of practitioners with similar beliefs around psychosis and parenting. Factors were labelled: 'Parenting interventions are worthwhile, and I'd deliver them', 'Parenting interventions are worthwhile, but I'm not confident to deliver them', and 'Parenting interventions might be worthwhile, but it's not my responsibility'.
Using parenting interventions as part of their clinical work was acceptable to most practitioners; however, some lacked confidence in their ability to work in a family-focused way. Efforts now need to focus on enhancing practitioners' skill, knowledge, and confidence in family-focused approaches to provide increased and improved support to families which include a parent experiencing psychosis or other SMI.
Parenting interventions need to be made more available and accessible to parents experiencing serious mental illness (SMI), such as psychosis. Adult mental health practitioners are willing to incorporate parenting interventions into their work with parents accessing their services, but some lack confidence to do this. These results highlight the importance of equipping practitioners with the skill, knowledge, and confidence to engage in family-focused approaches. Further research needs to involve parents experiencing SMI as well practitioners working in adult mental health services.
针对包括经历精神病或其他严重精神疾病（SMI）的父母在内的家庭，育儿干预措施的研究相对较少。初步研究结果强调了通过使用自我指导的育儿干预措施来支持经历 SMI 的父母的成年心理健康从业者的潜在益处。本研究探讨了在成人心理健康环境中工作的从业者对育儿和精神病的相关信念，特别是检查他们对有依赖子女的经历精神病的成年人的育儿需求的信念，以及他们作为成人心理健康从业者的角色。
本研究使用 Q 方法探讨了心理健康从业者对精神病和育儿的信念。
21 名成年心理健康从业者根据他们对提出的信念陈述的同意程度对 58 项进行了排名。参与者还提供了额外的书面信息和访谈，以将 Q 方法数据置于上下文中。
出现了三个因素，代表了三组在精神病和育儿方面具有相似信念的从业者。因素分别标记为：“育儿干预措施是值得的，我会提供它们”、“育儿干预措施是值得的，但我没有信心提供它们”和“育儿干预措施可能是值得的，但这不是我的责任”。
大多数从业者都认为将育儿干预措施作为其临床工作的一部分是可以接受的；然而，有些人对以家庭为中心的方式工作缺乏信心。现在需要努力提高从业者在以家庭为中心的方法方面的技能、知识和信心，为包括经历精神病或其他 SMI 的父母在内的家庭提供更多和更好的支持。
需要使经历严重精神疾病（SMI），如精神病的父母更容易获得育儿干预措施。成年心理健康从业者愿意将育儿干预措施纳入他们为接受服务的父母提供的工作中，但有些人缺乏这样做的信心。这些结果强调了为从业者提供从事以家庭为中心的方法所需的技能、知识和信心的重要性。进一步的研究需要涉及经历 SMI 的父母以及在成人心理健康服务机构工作的从业者。
