Outcomes of a Family Peer Education Program for Families of Youth and Adults with Mental Illness

Schiffman, Jason; Reeves, Gloria; Kline, Emily; Medoff, Deborah R.; Lucksted, Alicia; Fang, Li; Dixon, Lisa B.

doi:10.1080/00207411.2015.1076293

Cited by 15 publications

(15 citation statements)

References 40 publications

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“…; O'Brien et al ., ), the impact of tailoring carer and family intervention to address issues related to violence in caregiving relationships should be explored for their efficacy and ease of implementation in specialized early intervention in psychosis services. The contribution of peer‐based interventions to improving the quality of family relationships in mental health and reducing conflict should also be considered (Mercado et al ., ; Schiffman et al ., ). Services need to be aware that carers are likely to be reluctant to share details about violence‐related issues in their relationship, and this may particularly be the case in situations where the aggression recently commenced following the onset of illness (Hodgins & Klein, ).…”

Section: Discussionmentioning

confidence: 97%

The last taboo: The experience of violence in first‐episode psychosis caregiving relationships

et al. 2018

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Carers were exposed to a broad range of patient violence, which included being kicked and having weapons used against them. The violence typically occurred within carers' homes, when no other people were around. Patient violence impacted negatively on carer emotional and physical functioning, which included leaving carers living in fear of their own safety and what might become of their relative. The results highlight the importance of routinely asking first-episode carers about their experience of patient violence. The development of interventions (e.g., identification of early triggers, de-escalation) that are able to take account of the ongoing nature and complexity of the caregiving relationship but are purposefully aimed at supporting carers to remain safe in their relationship should be explored for their impact.

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Section: Discussionmentioning

confidence: 97%

The last taboo: The experience of violence in first‐episode psychosis caregiving relationships

et al. 2018

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“…Given the importance of building family members’ capacity to impact positively on people who experience severe mental distress (NICE 2009; Schiffman et al . 2015) and the evidence internationally and within Ireland that suggests family members are often excluded in the care and decision‐making process (Cleary et al . 2014; Hungerford & Richardson 2013; O’Feich et al .…”

Section: Discussionmentioning

confidence: 99%

Beyond the moment: Influence of a co‐facilitated education intervention on practitioners’ recovery beliefs and practices

Higgins

Murphy

Downes

et al. 2020

Int J Mental Health Nurs

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Despite health policy and research increasingly advocating for recovery‐enabling principles to be better integrated into mental health services, finding solutions to enhance the translation of recovery policy into practice remains a challenge. This study sought to understand whether a co‐facilitated group education intervention for service users and family members reached beyond the intervention and impacted the everyday recovery promoting beliefs and practices of the practitioners involved and the wider organization. The study employed a qualitative design involving semi‐structured interviews with a purposively selected sample of 28 participants (mental health nurses and other members of the multidisciplinary team) who were involved in delivering the intervention. Data were analysed using thematic analysis, with the assistance of NVivo. Participants reported that not only did involvement with the programmes help them reconnect with the contextual realities of service user and family members lived experience, but it enabled them to move beyond traditional power relationships and pathologizing discourses. Having engaged with and experienced the feasibility and positive impact of the co‐facilitation process practitioners’ self‐efficacy around partnership working and co‐production was enhanced. In addition, those involved demonstrated a willingness to challenge paternalistic practices and advocate for the perspectives of service users and families to be further embedded within the organizational infrastructure and operational spaces. Providing mental health practitioners with real‐life examples of partnership working and peer support in action within a co‐facilitated psychoeducation context has potential to be a forum for promoting second‐order change around recovery‐oriented practice within mental health services.

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“…In terms of health outcomes, patient symptoms decreased for the three intervention types [25,26,36]. Although few studies have investigated patient satisfaction [23,39,40] or quality of life [19], results tend to be positive.…”

Section: Introductionmentioning

confidence: 97%

Implementation of three innovative interventions in a psychiatric emergency department aimed at improving service use: a mixed-method study

Gabet

Grenier

Cao

et al. 2020

BMC Health Serv Res

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Background Emergency department (ED) use is often viewed as an indicator of health system quality. ED use for mental health (MH) reasons is increasing and costly for health systems, patients, and their families. Patients with mental disorders (MD) including substance use disorders (SUD) and suicidal behaviors are high ED users. Improving ED services for these patients and their families, and developing alternatives to ED use are thus key issues. This study aimed to: (1) describe the implementation of three innovative interventions provided by a brief intervention team, crisis center team, and family-peer support team in a Quebec psychiatric ED, including the identification of implementation barriers, and (2) evaluate the impacts of these ED innovations on MH service use and response to needs. Method Using mixed methods with data triangulation, the implementation and impact of the three above-named ED interventions were studied. Quantitative data were collected from 101 participants (81 patients, 20 family members) using a user questionnaire and patient medical records. Qualitative data were gathered from focus groups (n = 3) with key intervention staff members (n = 14). The user questionnaire also included open-ended questions. Descriptive, comparative and content analyses were produced. Results Key implementation issues were identified in relation to system, organizational and patient profiles, similar to results identified in most studies in the ED implementation literature aimed at improving responsiveness to patients with MD. Results were encouraging, as the innovations had a significant impact for improved patient MH service use and adequacy of care. Services also seemed adapted to patient profiles. Family members were grateful for the help received in the ED. Conclusions Before implementing innovations, managers need to recognize the basic issues common to all new healthcare interventions: the need for staff training and strong involvement, particularly among physicians, development of collaborative tools especially in cases of potential cultural clash between staff and organizations, and continuous quality assessment. Future research needs to confirm the pertinence of these interventions, especially use of family-peer support teams in ED, as a highly innovative intervention. Broader ED strategies could also be deployed to improve MH services and decrease ED use for MH reasons.

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Outcomes of a Family Peer Education Program for Families of Youth and Adults with Mental Illness

Cited by 15 publications

References 40 publications

The last taboo: The experience of violence in first‐episode psychosis caregiving relationships

The last taboo: The experience of violence in first‐episode psychosis caregiving relationships

Beyond the moment: Influence of a co‐facilitated education intervention on practitioners’ recovery beliefs and practices

Implementation of three innovative interventions in a psychiatric emergency department aimed at improving service use: a mixed-method study

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