Prevention of coercion in public mental health care with family group conferencing

Jong, Gideon de; Schout, Gert

doi:10.1111/j.1365-2850.2010.01616.x

Cited by 8 publications

(8 citation statements)

References 17 publications

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“…From 2011 until 2015, the process and impact of 82 family group conferences in different mental health care settings in The Netherlands [ 44 , 45 ] were examined. Findings indicate FGC’s potential in the recovery of kin ties, the regaining of ownership and the restoring of belongingness.…”

Section: A Case Study Of Fgcmentioning

confidence: 99%

“…In a study of FGC in Dutch mental health care, promising applications of FGC, with different target groups, are seen, such as with multi offenders, homeless youth, residents at risk of eviction and psychiatric patients who are threatened with coercion. But, it is also used in situations of nuisance and liveability problems in neighbourhoods, where so called community conferences are used [ 44 , 45 ]. Extremely marginalised people with multiple health and social problems seem to benefit from the reunion with their relatives.…”

Section: Introductionmentioning

confidence: 99%

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The Weakening of Kin Ties: Exploring the Need for Life-World Led Interventions

Schout

Jong

2018

IJERPH

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The protective features that families and wider social relationships can have are required to meet the demands of life in contemporary Western societies. Choice and detraditionalization, however; impede this source of solidarity. Family Group Conferencing (FGC) and other life-world led interventions have the potential to strengthen primary groups. This paper explores the need for such a social intervention, using insights from sociological and philosophical theories and empirical findings from a case study of the research project ‘FGC in mental health’. This need is understandable considering the weakening of kin ties, the poor qualities of state agencies to mobilise self-care and informal care, its capacity to produce a shift of power from public to private spheres and its capacity to mitigate the co-isolation of individuals, families and communities. A life-world led intervention like FGC with a specific and modest ambition contributes to small-scale solidarity. This ambition is not inclined to establish a broad social cohesion within society but to restore; in terms of the German philosopher Peter Sloterdijk; immunity (protection) and solidarity in primary groups, and consequently, resolve issues with those (family, neighbours, colleagues) who share a sphere (a situation, a process, a fate).

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Section: A Case Study Of Fgcmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Weakening of Kin Ties: Exploring the Need for Life-World Led Interventions

Schout

Jong

2018

IJERPH

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“…The potential of FGCs in avoiding coercive treatments in psychiatry lies in the widening of the circle of support, restoring of relationships and the evolvement of a knitted community that is available 24/7 [ 10 , 11 ]. Plans can be made wherein social networks have a signaling function and can prevent escalation of an situation into a coercive treatment in collaboration with a client.…”

Section: Case Examplementioning

confidence: 99%

Am I My Brother’s Keeper? Moral Dimensions of Informal Caregiving in a Neoliberal Society

2016

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Within the current Dutch policy context the role of informal care is revalued. Formal care activities are reduced and family and friends are expected to fill this gap. Yet, there is little research on the moral ambivalences that informal care for loved ones who have severe and ongoing mental health problems entails, especially against the backdrop of neoliberal policies. Giving priority to one’s own life project or caring for a loved one with severe problems is not reconciled easily. Using a case study we illustrate the moral ambivalences that persons may experience when they try to shape their involvement and commitment when a relative is in need. The case comes from a research project which explores whether it is possible to reduce coercive measures in psychiatry by organizing a Family Group Conference. The purpose of the article is to explore what theoretical concepts such as ‘communities of fate’, ‘communities of choice’ and ‘personal communities’ add in understanding how persons shape their involvement and commitment when a family member experiences recurrent psychiatric crises.

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“…FGCs are organised throughout the world and in different care settings such as youth care, elderly care, the social sector, within the justice system and mental health care (Skaale Havnen & Christiansen, 2014). The potential of FGC lies in the establishment and strengthening of communities for effective problem-solving; this facilitates persons to regain autonomy and control over their situation (De Jong & Schout, 2010;De Jong, Schout, & Abma, 2014;Meijer et al, 2017;Skaale Havnen & Christiansen, 2014). Trustful partnerships between the different actors (network, professionals and clients) contribute to the reduction of coercion.…”

Section: Introductionmentioning

confidence: 99%

Family Group Conferences in coercive psychiatry: understanding relational dynamics by plugging in Bourdieu

Meijer

Schout

Abma

2019

European Journal of Social Work

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Alternatives for coercive treatment in psychiatry, based on partnership between clients, social networks and social workers, need to be given full attention. Despite its potential to inhibit isolation, self-exclusion and reduce coercion, organising Family Group Conferences (FGC) in this field is complex. The process of a FGC may evoke shame and unbelief in the willingness of people to help out. Furthermore a lack of reciprocity in relationships can contribute to the stagnation of the FGC process. The goal of this article is to understand relational dynamics between clients, relatives and friends in the carrying out of a FGC, by applying theoretical concepts on symbolic capital, recognition, reciprocity and gift giving derived from Bourdieu. Using the analytical strategy of 'thinking with theory', we selected three FGCs suitable for illuminating both challenges and opportunities, viewing each FGC as a social field. Bourdieu's theoretical concepts help to understand and overcome difficulties in organising a FGC so participants can discuss, decide and negotiate relational dynamics in the field. Working with FGCs requires for social workers a shift in doing and thinking, facilitating the primary group to discuss expectations, diffusion of tasks, commitments and plans. SAMENVATTING Alternatieven voor gedwongen behandeling in de psychiatrie, gebaseerd op partnerschap tussen cliënten, sociale netwerken en professionals, verdienen aandacht. Ondanks de potentie van Eigen Kracht-conferenties (EK-c's) om uitsluiting, zelfuitsluiting en dwang te verminderen, is het organiseren van EK-c's in het veld van de psychiatrie complex. Het proces van een EK-c kan schaamte oproepen, evenals ongeloof dat er personen zijn die steun willen geven. Ook een gebrek aan wederkerigheid in relaties kan bijdragen aan het stagneren van het EK-c proces. Het doel van dit artikel is om de relationele dynamiek tussen cliënten, vrienden en familie tijdens het EK-c proces, te begrijpen door theoretische concepten van Bourdieu over symbolisch kapitaal, erkenning, wederkerigheid en 'gift-giving', toe te passen. Met behulp van de analytische strategie 'thinking with theory' hebben we drie cases geselecteerd die uitdagingen en kansen laten zien, waarbij we iedere EK-c zien als een sociaal veld. De theoretische concepten van Bourdieu blijken behulpzaam in het begrijpen en

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Prevention of coercion in public mental health care with family group conferencing

Cited by 8 publications

References 17 publications

The Weakening of Kin Ties: Exploring the Need for Life-World Led Interventions

The Weakening of Kin Ties: Exploring the Need for Life-World Led Interventions

Am I My Brother’s Keeper? Moral Dimensions of Informal Caregiving in a Neoliberal Society

Family Group Conferences in coercive psychiatry: understanding relational dynamics by plugging in Bourdieu

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