Aim
To present a grounded theory of the contribution that fathers make to family‐based treatment when a young person has anorexia nervosa.
Background
Research indicates a potential to improve outcomes by involving both parents in the treatment of anorexia nervosa. However, fathers are underrepresented both within treatment and research. Family‐based treatment requiring the involvement of both parents presents an opportunity to better understand the role of the father in treatment.
Design
Classic grounded theory.
Methods
Individual interviews conducted with fifteen fathers involved in family‐based treatment. The COREQ checklist was followed.
Results
Fathers valued being involved in family‐based treatment and felt they had an important contribution to make. The analysis captures the overall contribution that fathers make and the impact of their involvement. Four categories; Being on the Outside, Finding a Way In, Finding a Way to Be and Finding a Way to Let Go and one core category Repositioning were generated from the data. A substantive theory of Rescripting, generated from categories and the core category, describes the way that participating in family‐based treatment changes fathers and their role.
Conclusions
Fathers make an important and significant contribution to family‐based treatment when a young person has anorexia nervosa. The findings inform clinicians about the importance of including fathers in the treatment of young people with anorexia nervosa. They highlight the importance of incorporating support mechanisms into family‐based treatment to harness and maximise the paternal contribution.
Relevance to clinical practice
Paternal contribution to family‐based treatment can be maximised to improve outcomes for young people with anorexia nervosa.
SynopSiSHepatitis B vaccination is recommended for all clients of sexually transmitted disease (STD) clinics. Hepatitis A vaccination and hepatitis C testing are recommended for STD clinic clients who report specific risks for those viruses. In 1999, the Illinois Department of Public Health began working with local health departments in Illinois (excluding Chicago) to introduce hepatitis B testing and vaccination in public STD clinics. Hepatitis A vaccination and hepatitis C counseling and testing were introduced in 2001. Illinois state funding has covered more than one-third of the costs of offering these integrated viral hepatitis services to STD clients. Hepatitis A and B vaccination and hepatitis C counseling and testing are now the standard of care in almost all (35 of 41) Illinois public STD clinics (excluding Chicago). In 2005, 29.4% of STD client visits included a hepatitis B vaccination. In public STD clinics in Illinois, hepatitis A and B vaccinations and hepatitis C counseling and testing have increased from essentially no activity in 1999 to substantial levels of service in 2005.
This article explores key issues in relation to adolescence and the transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). A national review of services revealed some concern and dissatisfaction regarding existing service provision. Nurses are employed in both of these services and are well placed to play a significant role during transition. The challenges and opportunities for services are explored with reference to key policy documents. Several factors contribute to better outcomes, including collaboration between CAMHS and AMHS, the young person and the family, aligning services with the young person's development and maturity, and approaching transition in a flexible way. These factors are highlighted with the use of a case study and with reference to the nurses' role.
Five aspects of accessibility were examined in a large urban group
practice: going to the surgery, telephone contact, making appointments,
home visits and recommendations for improvements. Randomly selected
patients, numbering 101, from the practice register returned a similar
postal questionnaire. The study revealed that it is relatively easy to
use this approach to get useful information for practice management.
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