Experiences of family members of adult children in forensic services and their interactions with mental health professionals

The importance of family caregiver involvement in (secure) mental health services has been increasingly recognised and there is a wide consensus that family caregivers should be seen by clinicians as partners in the care of patients (Harvey & Ramsay, 2004). Mental health carers however, especial...

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Main Author: Finlay-Carruthers, Gemma
Format: Thesis (University of Nottingham only)
Language:English
Published: 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/33263/
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author Finlay-Carruthers, Gemma
author_facet Finlay-Carruthers, Gemma
author_sort Finlay-Carruthers, Gemma
building Nottingham Research Data Repository
collection Online Access
description The importance of family caregiver involvement in (secure) mental health services has been increasingly recognised and there is a wide consensus that family caregivers should be seen by clinicians as partners in the care of patients (Harvey & Ramsay, 2004). Mental health carers however, especially those caring for relatives who are subject to compulsory care and treatment, often feel overlooked and marginalised, caring in complex circumstances with little or no support. This thesis focuses specifically on the views and experiences of parents of adult children in forensic mental health services. A structured review and synthesis of qualitative studies was undertaken to develop insight into the perceived level of involvement in care, from the perspective of family members of mental health service users. The review also examines family carers’ relationships and engagement with mental health professionals. This highlighted that the practices of some professionals contribute to the distress experienced by caregivers in this marginalised group. The empirical research study, employed a qualitative design conducted within the framework of IPA, and explored what it is like for parents with an adult son or daughter with mental illness and offending background detained in a regional medium secure unit. Findings indicated that parents’ experiences were characterised by a strained relationship with mental health services, accompanied by practical difficulties in getting help in the first place, and conflicting emotions felt in response to their unwell family member’s continued detention in the forensic care setting. Following on from this, a case study describes brief family psycho-education in secure care and illustrates how staff in forensic services can collaborate with parents more empathetically and effectively. Afterwards, the Family Relations Test, an instrument that assesses affective relations from the child’s perspective is critically reviewed. The utility of this tool in clinical practice is remarked upon. In the concluding chapter, the ways in which service delivery and research can be influenced by ‘giving a voice’ to parents of forensic clients is explored, and implications of the findings are discussed with reference to the current recognition of family and social inclusion.
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spelling nottingham-332632025-02-28T13:27:05Z https://eprints.nottingham.ac.uk/33263/ Experiences of family members of adult children in forensic services and their interactions with mental health professionals Finlay-Carruthers, Gemma The importance of family caregiver involvement in (secure) mental health services has been increasingly recognised and there is a wide consensus that family caregivers should be seen by clinicians as partners in the care of patients (Harvey & Ramsay, 2004). Mental health carers however, especially those caring for relatives who are subject to compulsory care and treatment, often feel overlooked and marginalised, caring in complex circumstances with little or no support. This thesis focuses specifically on the views and experiences of parents of adult children in forensic mental health services. A structured review and synthesis of qualitative studies was undertaken to develop insight into the perceived level of involvement in care, from the perspective of family members of mental health service users. The review also examines family carers’ relationships and engagement with mental health professionals. This highlighted that the practices of some professionals contribute to the distress experienced by caregivers in this marginalised group. The empirical research study, employed a qualitative design conducted within the framework of IPA, and explored what it is like for parents with an adult son or daughter with mental illness and offending background detained in a regional medium secure unit. Findings indicated that parents’ experiences were characterised by a strained relationship with mental health services, accompanied by practical difficulties in getting help in the first place, and conflicting emotions felt in response to their unwell family member’s continued detention in the forensic care setting. Following on from this, a case study describes brief family psycho-education in secure care and illustrates how staff in forensic services can collaborate with parents more empathetically and effectively. Afterwards, the Family Relations Test, an instrument that assesses affective relations from the child’s perspective is critically reviewed. The utility of this tool in clinical practice is remarked upon. In the concluding chapter, the ways in which service delivery and research can be influenced by ‘giving a voice’ to parents of forensic clients is explored, and implications of the findings are discussed with reference to the current recognition of family and social inclusion. 2016-07-19 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/33263/8/No%20highlights%20GFinlay-Carruthers_4149373.pdf Finlay-Carruthers, Gemma (2016) Experiences of family members of adult children in forensic services and their interactions with mental health professionals. DForenPsy thesis, University of Nottingham. Mental health personnel Family caregivers Involvement Medical personnel-caregiver relationships
spellingShingle Mental health personnel
Family caregivers
Involvement
Medical personnel-caregiver relationships
Finlay-Carruthers, Gemma
Experiences of family members of adult children in forensic services and their interactions with mental health professionals
title Experiences of family members of adult children in forensic services and their interactions with mental health professionals
title_full Experiences of family members of adult children in forensic services and their interactions with mental health professionals
title_fullStr Experiences of family members of adult children in forensic services and their interactions with mental health professionals
title_full_unstemmed Experiences of family members of adult children in forensic services and their interactions with mental health professionals
title_short Experiences of family members of adult children in forensic services and their interactions with mental health professionals
title_sort experiences of family members of adult children in forensic services and their interactions with mental health professionals
topic Mental health personnel
Family caregivers
Involvement
Medical personnel-caregiver relationships
url https://eprints.nottingham.ac.uk/33263/