Barriers to pathways to care for family members of persons with severe mental illness in a family-centered service

IF 0.9 Q3 SOCIAL WORK

Journal of Family Social Work Pub Date : 2022-01-01 DOI:10.1080/10522158.2022.2058142

R. Shor, Amit Nahoum Shaty, A. Shalev

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Abstract

ABSTRACT Research aimed at understanding the barriers that family members of persons with mental illness may encounter in seeking supportive and preventative services from social workers during the hospitalization of their family member is scarce. Therefore, a cross-sectional survey study was implemented among 120 family members of persons with mental illness in family-centered services in two psychiatric hospitals in Israel. The research instrument included structured questionnaires and open-ended questions examining the barriers to seek help and the experience of families caring for a person with mental illness. The findings indicate that having a person with mental illness in the family may have significant implications on the barriers experienced by family members to seek help for themselves. The extent of the barriers could be related to factors such as the stigma they may experience, overwhelming reactions, lack of knowledge about the mental illness and about the availability of services for families, and dilemmas about seeking help. Social workers are in a key position in psychiatric hospitals to identify and reduce the individual as well as the contextual barriers. To increase family members’ readiness to seek help and their access to early intervention, they should adopt a family-centered approach.

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阻碍在以家庭为中心的服务中照顾严重精神疾病患者的家庭成员

摘要针对精神疾病患者的家庭成员在其家庭成员住院期间向社工寻求支持性和预防性服务时可能遇到的障碍的研究很少。因此，在以色列两家精神病院以家庭为中心服务的120名精神病患者家庭成员中开展了一项横断面调查研究。研究工具包括结构化问卷和开放式问题，调查寻求帮助的障碍和照顾精神疾病患者的家庭经验。研究结果表明，家庭中有精神疾病患者可能会对家庭成员寻求帮助时遇到的障碍产生重大影响。障碍的程度可能与他们可能经历的耻辱、压倒性的反应、对精神疾病和家庭服务的可用性缺乏了解以及寻求帮助的困境等因素有关。在精神病院，社会工作者在识别和减少个体以及环境障碍方面处于关键地位。为了提高家庭成员寻求帮助的意愿和获得早期干预的机会，他们应该采取以家庭为中心的做法。

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来源期刊

Journal of Family Social Work SOCIAL WORK-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： Each issue of the Journal of Family Social Work contains peer reviewed research articles, conceptual and practice articles, creative works, letters to the editor, and book reviews devoted to innovative family theory and practice subjects. In celebrating social workers" tradition of working with couples and families in their life context, the Journal of Family Social Work features articles which advance the capacity of practitioners to integrate research, theory building, and practice wisdom into their services to families. It is a journal of policy, clinical practice, and research directed to the needs of social workers working with couples and families.