Piché Geneviève, Villatte Aude, Clément Marie-Ève, Morin Marie-Hélène, Maybery Darryl, Reupert Andrea, Richard-Devantoy Stéphane, Fournier-Marceau Marianne
Département de psychoéducation et de psychologie, Université du Québec en Outaouais, Saint-Jérôme, QC, Canada.
Centre de Recherche Universitaire Sur les Jeunes et les Familles (CRUJEF), Québec, QC, Canada.
Front Psychiatry. 2024 May 13;15:1380001. doi: 10.3389/fpsyt.2024.1380001. eCollection 2024.
Engaging family members in the ongoing care of individuals with mental illness is a practice known to bolster the client's recovery journey and enhance the overall wellbeing of both children and families involved. Despite its potential benefits, there remains a dearth of understanding surrounding the implementation of family-focused practices (FFP) by mental health professionals serving adults, as well as the factors that could either promote or hinder such practices. This knowledge gap is particularly pronounced within North American settings.
The goal of this study was to identify potential hindering and enabling factors of FFP used in adult mental health services.
A sample of 512 professionals working with adult mental health clients, from all regions of Quebec, Canada, with a variety of disciplinary backgrounds and working in different work settings, completed the Family Focused Mental Health Practice Questionnaire (FFMHPQ). Multinominal logistic regression analysis was performed to assess the impact of several factors - organizational, professional, and personal - on the degree of family-based practices of mental health workers.
Findings of this study show that the strongest predictors for the adoption of higher FFP levels among adult mental health professionals in Quebec, are being employed on a full-time basis, perceiving a higher level of skills, knowledge, and confidence toward FFP, and having a supportive workplace environment. Results underscore the need to address both organizational and worker-related aspects to effectively promote better FFP in mental health services.
让家庭成员参与患有精神疾病个体的持续护理是一种已知的有助于促进服务对象康复进程并提升相关儿童和家庭整体幸福感的做法。尽管有潜在益处，但为成年人提供服务的心理健康专业人员在实施以家庭为中心的做法（FFP）方面仍缺乏了解，同时对于可能促进或阻碍此类做法的因素也缺乏认识。这种知识差距在北美地区尤为明显。
本研究的目标是确定成人心理健康服务中使用的FFP的潜在阻碍因素和促进因素。
来自加拿大魁北克所有地区、具有各种学科背景且在不同工作环境中为成年心理健康服务对象工作的512名专业人员完成了《以家庭为中心的心理健康实践问卷》（FFMHPQ）。进行多项逻辑回归分析以评估几个因素——组织因素、专业因素和个人因素——对心理健康工作者基于家庭的实践程度的影响。
本研究结果表明，在魁北克的成年心理健康专业人员中，采用更高水平FFP的最强预测因素是全职工作、对FFP有更高水平的技能、知识和信心，以及拥有支持性的工作场所环境。结果强调需要解决组织和与工作者相关的方面，以有效促进心理健康服务中更好地实施FFP。
