A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective

Background: Parental mental illness (PMI) is common and can lead to children developing mental disorders. Family Talk (FT) is a well-known and widely implemented intervention designed to reduce the risk of transgenerational psychopathology. However, given the research to practise “gap,” very little...

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Autores principales:	Mairead Furlong, Christine Mulligan, Sharon McGarr, Siobhan O'Connor, Sinead McGilloway
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	family talk implementation mental disorder mental illness parents qualitative Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/14a404c238eb41c5a47e4126be5f9010
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spelling	oai:doaj.org-article:14a404c238eb41c5a47e4126be5f90102021-11-30T11:46:29ZA Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective1664-064010.3389/fpsyt.2021.783161https://doaj.org/article/14a404c238eb41c5a47e4126be5f90102021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.783161/fullhttps://doaj.org/toc/1664-0640Background: Parental mental illness (PMI) is common and can lead to children developing mental disorders. Family Talk (FT) is a well-known and widely implemented intervention designed to reduce the risk of transgenerational psychopathology. However, given the research to practise “gap,” very little qualitative research, to date, has investigated practitioner experiences in implementing FT. This study aimed to explore the practitioner-perceived barriers and facilitators to the implementation and sustainability of FT within mainstream mental health settings.Methods: This qualitative study was nested within a randomised controlled trial (RCT) of Family Talk [N = 86 families (139 parents, 221 children)] within 15 adult (AMHS), child (CAMHS), primary care mental health, and child protection sites in Ireland. Semi-structured interviews and focus groups were undertaken with a purposive sample of clinicians (n = 31) and managers (n = 10), based on their experiences of implementing FT. Interview data were transcribed verbatim, analysed using constructivist grounded theory, and informed by Fixsen's implementation science framework.Results: Service providers highlighted a number of benefits for approximately two thirds of families across different diagnoses and mental health settings (AMHS/CAMHS/primary care). Sites varied in their capacity to embed FT, with key enablers identified as acquiring managerial and organisational support, building clinician skill, and establishing interagency collaboration. Implementation challenges included: recruitment difficulties, stresses in working with multiply-disadvantaged families, disruption in delivery due to the COVID-19 global pandemic, and sustainability concerns (e.g., perceived fit of FT with organisational remit/capacity, systemic and cultural barriers to change).Conclusion: This study is only the second qualitative study ever conducted to explore practitioner experiences in implementing FT, and the first conducted within the context of an RCT and national research programme to introduce family-focused practise (FFP) for families living with PMI. The findings illuminate the successes and complexities of implementing FFP in a country without a “think family” infrastructure, whilst highlighting a number of important generalisable lessons for the implementation of FT, and other similar interventions, elsewhere.Mairead FurlongChristine MulliganSharon McGarrSiobhan O'ConnorSinead McGillowayFrontiers Media S.A.articlefamily talkimplementationmental disordermental illnessparentsqualitativePsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	family talk implementation mental disorder mental illness parents qualitative Psychiatry RC435-571
spellingShingle	family talk implementation mental disorder mental illness parents qualitative Psychiatry RC435-571 Mairead Furlong Christine Mulligan Sharon McGarr Siobhan O'Connor Sinead McGilloway A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective
description	Background: Parental mental illness (PMI) is common and can lead to children developing mental disorders. Family Talk (FT) is a well-known and widely implemented intervention designed to reduce the risk of transgenerational psychopathology. However, given the research to practise “gap,” very little qualitative research, to date, has investigated practitioner experiences in implementing FT. This study aimed to explore the practitioner-perceived barriers and facilitators to the implementation and sustainability of FT within mainstream mental health settings.Methods: This qualitative study was nested within a randomised controlled trial (RCT) of Family Talk [N = 86 families (139 parents, 221 children)] within 15 adult (AMHS), child (CAMHS), primary care mental health, and child protection sites in Ireland. Semi-structured interviews and focus groups were undertaken with a purposive sample of clinicians (n = 31) and managers (n = 10), based on their experiences of implementing FT. Interview data were transcribed verbatim, analysed using constructivist grounded theory, and informed by Fixsen's implementation science framework.Results: Service providers highlighted a number of benefits for approximately two thirds of families across different diagnoses and mental health settings (AMHS/CAMHS/primary care). Sites varied in their capacity to embed FT, with key enablers identified as acquiring managerial and organisational support, building clinician skill, and establishing interagency collaboration. Implementation challenges included: recruitment difficulties, stresses in working with multiply-disadvantaged families, disruption in delivery due to the COVID-19 global pandemic, and sustainability concerns (e.g., perceived fit of FT with organisational remit/capacity, systemic and cultural barriers to change).Conclusion: This study is only the second qualitative study ever conducted to explore practitioner experiences in implementing FT, and the first conducted within the context of an RCT and national research programme to introduce family-focused practise (FFP) for families living with PMI. The findings illuminate the successes and complexities of implementing FFP in a country without a “think family” infrastructure, whilst highlighting a number of important generalisable lessons for the implementation of FT, and other similar interventions, elsewhere.
format	article
author	Mairead Furlong Christine Mulligan Sharon McGarr Siobhan O'Connor Sinead McGilloway
author_facet	Mairead Furlong Christine Mulligan Sharon McGarr Siobhan O'Connor Sinead McGilloway
author_sort	Mairead Furlong
title	A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective
title_short	A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective
title_full	A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective
title_fullStr	A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective
title_full_unstemmed	A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective
title_sort	family-focused intervention for parental mental illness: a practitioner perspective
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/14a404c238eb41c5a47e4126be5f9010
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A Family-Focused Intervention for Parental Mental Illness: A Practitioner Perspective

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