Shifting an agency’s paradigm: Creating the capacity to intervene with parents with mental illness.

Parenting is a key life role for many adults living with serious mental illness who are, most likely, supported best in their treatment and recovery efforts when their family context is taken into consideration. However, providers and agencies traditionally serving individual adults may be challenge...

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Publicado en:American Journal of Psychiatric Rehabilitation Vol. 19; no. 4; pp. 315 - 339
Autores principales: Biebel, Kathleen, Nicholson, Joanne, Woolsey, Katherine, Wolf, Toni
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Oct-Dec2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct-Dec2016
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      pub: Taylor & Francis Ltd
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        10.1080/15487768.2016.1231641
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        atl: Shifting an agency’s paradigm: Creating the capacity to intervene with parents with mental illness.
      aug:
        au:
          Biebel, Kathleen
          Nicholson, Joanne
          Woolsey, Katherine
          Wolf, Toni
        affil: Systems and Psychosocial Advances Research Center, University of Massachusetts Medical School, Shrewsbury, Massachusetts, USA
      sug:
        subj:
          Family
          Parents
          Mental Disorders
          Family Role
          Mental Health Services
          Human
          Persons with Intellectual Disabilities
          Parenting
          Program Implementation
          Psychiatric Care Psychosocial Factors
          Paradigms
          Ethnographic Research
          Interviews
          Thematic Analysis
          Family Centered Care
          Community Mental Health Services Administration
      ab: Parenting is a key life role for many adults living with serious mental illness who are, most likely, supported best in their treatment and recovery efforts when their family context is taken into consideration. However, providers and agencies traditionally serving individual adults may be challenged in working with adults who are parents as they begin taking family roles and members into account. In this article, the implementation of the Family Options intervention for families living with parental mental illness is described, along with critical domains of challenge that emerged while shifting the host agency’s paradigm from focusing on individuals to focusing on families. Ethnographic interview data regarding implementation were obtained from multiple perspectives at multiple points in time over 2 years (n = 100), in the context of a larger developmental hybrid design (implementation and outcomes) study. Results from rigorous thematic analysis suggest the importance of attending to workforce, organizational, and community capacities in shifting an agency’s paradigm to adopt a family-focused intervention; in implementing the intervention with fidelity to the model; and in anticipating replication of the intervention to build the evidence base.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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