The silent world of young next of kin in mental healthcare

Martinsen, Elin Håkonsen; Weimand, Bente; Pedersen, Reidar; Norvoll, Reidun

doi:10.1177/0969733017694498

Cited by 9 publications

(30 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As shown in Fig. 1, 26 23 papers were selected: 12,16, 16 reported on the experiences of carers only, 12,16,[34][35][36][37][38][39][40][41][42][43][44][45][46][47] while seven reported on the experiences of patients, carers and other stakeholders. [27][28][29][30][31][32][33] Study characteristics are summarised in supplementary Table 1 including quality appraisal results that show that 20 of the 23 papers were rated as high-quality studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

Carers' experiences of involuntary admission under mental health legislation: systematic review and qualitative meta-synthesis

et al. 2020

View full text Add to dashboard Cite

Background Carers are key providers of care and support to mental health patients and mental health policies consistently mandate carer involvement. Understanding carers' experiences of and views about assessment for involuntary admission and subsequent detention is crucial to efforts to improve policy and practice. Aims We aimed to synthesise qualitative evidence of carers' experiences of the assessment and detention of their family and friends under mental health legislation. Method We searched five bibliographic databases, reference lists and citations. Studies were included if they collected data using qualitative methods and the patients were aged 18 or older; reported on carer experiences of assessment or detention under mental health legislation anywhere in the world; and were published in peer-reviewed journals. We used meta-synthesis. Results The review included 23 papers. Themes were consistent across time and setting and related to the emotional impact of detention; the availability of support for carers; the extent to which carers felt involved in decision-making; relationships with patients and staff during detention; and the quality of care provided to patients. Carers often described conflicting feelings of relief coupled with distress and anxiety about how the patient might cope and respond. Carers also spoke about the need for timely and accessible information, supportive and trusting relationships with mental health professionals, and of involvement as partners in care. Conclusions Research is needed to explore whether and how health service and other interventions can improve the involvement and support of carers prior to, during and after the detention of family members and friends.

show abstract

Section: Study Characteristicsmentioning

confidence: 99%

Carers' experiences of involuntary admission under mental health legislation: systematic review and qualitative meta-synthesis

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Thus, the results from this study are consistent with findings from the main project (PET). 11 However, the previous article in the main project found that young next-of-kin wanted more contact with their family members during hospital admittance. 11 To a certain degree, this point diverges from the findings in the current study, in that there were different views and uncertainty among the participants about whether the young next-of-kin wanted to have distance or more close contact with their close relatives during times of admittance.…”

Section: What Needs Do Young Next-of-kin In Coercion-related Situatiomentioning

confidence: 95%

“…Even though the data are five years old, there are only a few recent studies exploring similar problems. 7,11,24 By interviewing the CRS, we gained access to key informants in the field. However, additional observational data on how CRS deals with these challenges in practice would have been beneficial.…”

Section: Methodological Considerationsmentioning

confidence: 99%

“…children described a lack of information about coercion, a lack of contact with their close relative and scary experiences both prior to and after the admission. 11 The study revealed that health personnel did not provide support for young people when their family members were involuntarily hospitalised. To the best of our knowledge, no studies have specifically explored the views and experiences of health care personnel regarding follow-up with young next-of-kin in coercive situations.…”

Section: Introductionmentioning

confidence: 97%

“…[6][7][8] These challenges may create barriers for the other family members to be involved in the treatment and follow-up of the patient, 2, 9-10 thus implying that the use of coercion needs to be considered in a broader family perspective. 5,11 Studies have clearly shown that the children of parents with serious mental health problems face many developmental, emotional, behavioural and educational challenges and are at risk of developing mental health problems themselves. [12][13][14][15][16] Therefore, health personnel should ascertain what kind of support measures these children need and start the necessary followup.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does coercion matter? Supporting young next-of-kin in mental health care

2019

Self Cite

View full text Add to dashboard Cite

Background: Coercion can cause harm to both the patient and the patient’s family. Few studies have examined how the coercive treatment of a close relative might affect young next-of-kin. Research questions: We aimed to investigate the views and experiences of health professionals being responsible for supporting young next-of-kin to patients in mental health care (children-responsible staff) in relation to the needs of these young next-of-kin in coercive situations and to identify ethical challenges. Research design: We conducted a qualitative study based on semistructured, focus group interviews and an individual interview. Participants and research context: We held three focus group interviews with six to seven children-responsible staff in each group (a total of 20 participants) and one individual interview with a family therapist. The participants were recruited from three hospital trusts in the eastern part of Norway. Ethical considerations: The study was approved by the National Data Protection Official for Research and based on informed consent and confidentiality. Findings: Coercion was not a theme among the participants in relation to their work with young next-of-kin, and there was much uncertainty related to whether these young people need special support to deal with the coercive treatment of their close relative. Despite the uncertainty, the study indicated a need for more information and emotional support among the youth. Discussion: Few studies have addressed the potential impact of coercive treatment of a close family member on young next-of-kin. The findings were consistent with existing research but highlighted disagreement and uncertainty among the children-responsible staff about to what extent the young next-of-kin should visit and whether they should enter the ward unit or not. We identified ethical challenges for the children-responsible staff related to the principle of not inflicting harm ( nonmaleficence). Conclusion: From the perspective of children-responsible staff, it appears that the coercive treatment of a close family member entails a need for extra support of young relatives both in relation to information and the facilitation of visits, but more systematic knowledge about these issues is needed.

show abstract

The Capability Approach in Research about Children and Childhood: a Scoping Review

et al. 2020

View full text Add to dashboard Cite

The silent world of young next of kin in mental healthcare

Abstract: The study finds a need for more family-oriented perspectives in both mental healthcare practices and healthcare ethics.

Cited by 9 publications

References 38 publications

Carers' experiences of involuntary admission under mental health legislation: systematic review and qualitative meta-synthesis

Carers' experiences of involuntary admission under mental health legislation: systematic review and qualitative meta-synthesis

Does coercion matter? Supporting young next-of-kin in mental health care

The Capability Approach in Research about Children and Childhood: a Scoping Review

Contact Info

Product

Resources

About