Les approches familiales en intervention précoce : repères pour guider les interventions et soutenir les familles dans les programmes d’intervention pour premiers épisodes psychotiques (PPEP)

Morin, Marie-Hélène; Bergeron, Anne-Sophie; Levasseur, Mary Anne; Iyer, Srividya N.; Roy, Marc‐André

doi:10.7202/1088181ar

Cited by 7 publications

(2 citation statements)

References 35 publications

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“…This approach involves systematically considering the involvement of children in their interventions. Despite a wealth of evidence supporting family involvement in mental health ( 65 ), achieving systematic implementation remains challenging. 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.…”

Section: Discussionmentioning

confidence: 99%

Predictors of family-focused practices among mental health workers in Quebec

Piché,

Villatte,

Clément

et al. 2024

Front. Psychiatry

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ContextEngaging 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.GoalThe goal of this study was to identify potential hindering and enabling factors of FFP used in adult mental health services.MethodsA 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.Results and discussionFindings 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.

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Section: Discussionmentioning

confidence: 99%

Predictors of family-focused practices among mental health workers in Quebec

Piché,

Villatte,

Clément

et al. 2024

Front. Psychiatry

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“…Notwithstanding the substantial evidence base, implementation remains problematic, with remarkable similarities internationally across differing health care systems (Hahlweg & Baucom, 2022; Hansson, Romøren, Pedersen, et al, 2022; Hestmark et al, 2021; Morin et al, 2021; Powell et al, 2021) and from the earliest to established psychosis presentations (Estradé, Spencer, et al, 2023; Selick et al, 2017). Delivery estimates of receipt of family intervention range from half to none of those eligible (Bucci et al, 2016).…”

Section: Implementation and Delivery Studiesmentioning

confidence: 99%

State of the art in psychological therapies for psychosis: Family interventions for psychosis

Jolley

Grice

2023

Psychol Psychother

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PurposeIt is a half‐century since the coalescence of social psychiatry and systemic family therapy approaches started to inform condition‐specific therapeutic work with families to reduce relapse and hospital readmission for people with schizophrenia. Today, family interventions are a cornerstone of international guidelines for the treatment of psychosis, and of workforce development initiatives. Effect sizes for clinical and economic outcomes are large, and the evidence base is robust and reliable, not only for outcomes but also for the underpinning theoretical models, which are coherent and consistent. Few, if any, psychological therapies, have so powerful a framework to drive widespread implementation. Nevertheless, delivery in clinical services is variable, often lagging behind that of individual cognitive behavioural therapy, notwithstanding its considerably weaker implementation framework. Our aim in this article is to formulate this translation failure and offer potential solutions.MethodWe summarise the model/intervention and supporting evidence, then consider why delivery remains problematic.ResultsWe highlight the inter‐linked issues of conceptual confusion between and conflation of, different approaches to working with families; of addressing diagnostic uncertainty, complex comorbidity and adapting interventions for specific populations; and of translation from gold‐standard research trial practice, through educational curricula and training programmes, to routine delivery in frontline services.ConclusionWe present our view of clinical, research and workforce development priorities to address these issues and continue the collective effort, moving into the next half‐century, to work more effectively with people with psychosis and their families, to further improve outcomes.

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Family Care-givers as Essential Partners in Care: Lessons from a Time of Covid-19

Levasseur¹,

Morin²

2023

The British Journal of Social Work

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Les approches familiales en intervention précoce : repères pour guider les interventions et soutenir les familles dans les programmes d’intervention pour premiers épisodes psychotiques (PPEP)

Cited by 7 publications

References 35 publications

Predictors of family-focused practices among mental health workers in Quebec

Predictors of family-focused practices among mental health workers in Quebec

State of the art in psychological therapies for psychosis: Family interventions for psychosis

Family Care-givers as Essential Partners in Care: Lessons from a Time of Covid-19

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