The Relationship between Public Mental Health Policy and the Practice of Community Psychology through Family Support Groups

Brigitte Swarts
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Abstract

This article will examine the relationship between public mental health policy and the practice of community psychology through the lens of family support groups (FSGs). Government policy promotes community psychology, but the implementation thereof is lacking and gives way to approaches that deny the involvement of communities and families as equal owners in the psychotherapeutic process. However, the psychiatric system expects families to act as the ‘primary carers’ or ‘case managers.’ Family involvement is cited as invaluable to the overall success of recovery and, therefore, represents an opportunity for self-critique within the psychiatric system in its orientation towards partnering with families. In this context, FSGs were initiated within the adult male and adolescent inpatient units in the Western Cape at Lentegeur Hospital (LGH). This article promotes FSGs as central to psychotherapeutic interventions and offers an empirical grounding for an inclusive approach to family support. This practice of inclusivity is underpinned by a community psychology ethos and is based on the analysis of 24 FSG sessions involving 446 family members between July 2013 and November 2015.
公共心理健康政策与通过家庭支持小组开展社区心理学实践之间的关系
本文将通过家庭支持团体(FSGs)的视角来研究公共精神卫生政策与社区心理学实践之间的关系。政府的政策促进了社区心理学,但缺乏实施,并让位于否认社区和家庭作为平等所有者参与心理治疗过程的方法。然而,精神病学系统期望家庭充当“主要照顾者”或“病例管理者”。“家庭参与被认为对康复的整体成功是无价的,因此,它代表了精神病学系统在与家庭合作的方向上进行自我批评的机会。”在这种情况下,在西开普省Lentegeur医院(LGH)的成年男性和青少年住院部开展了FSGs。本文将FSGs作为心理治疗干预的核心,并为家庭支持的包容性方法提供了经验基础。这种包容性实践以社区心理学精神为基础,并基于对2013年7月至2015年11月期间涉及446名家庭成员的24次FSG会议的分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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