Promoting family inclusive practice in Home Treatment Teams

Journal article


Griffiths, M., Allen, J., Patel, K. and Bell, V. 2020. Promoting family inclusive practice in Home Treatment Teams. The Journal of Mental Health Training, Education and Practice. https://doi.org/10.1108/JMHTEP-11-2019-0058
AuthorsGriffiths, M., Allen, J., Patel, K. and Bell, V.
Abstract

Purpose
Families play an instrumental role in helping their relatives experiencing mental health issues to stay well. This study aimed to evaluate the feasibility, acceptability and potential benefits of a bespoke one-day workshop for practitioners working with families in crisis.

Design
The study was an uncontrolled evaluation of a one-day workshop for Home Treatment Team practitioners (HTTs) using pre and post-workshop questionnaires.

Findings
Eighty three practitioners participated. Overall, there was strong agreement for the involvement of families in their relative’s care, which increased marginally following the workshop. There were significant changes in views about talking to family members without service user consent (p=0.001) and keeping them informed of their relative’s wellbeing (p=0.02).

Qualitative feedback indicated that participants enjoyed the interactive elements of the workshop, particularly the opportunity to practise skills. It encouraged participants to share knowledge and facilitate the integration of family work into their professional role.

Research and practical implications
Support for families can contribute to effective mediation of crisis and continuation of care; factors that are important in reducing admission rates and protecting relationships. Participants’ responses suggested that this one-day workshop offered a helpful introduction to a family approach at times of a mental health crisis, which could be routinely offered in HTTs.

Originality/value
A social systems perspective is at the heart of a successful HTT approach to managing mental health crises. This workshop offered a feasible means to address one element of the necessary conditions for family-focused practice; practitioner confidence to talk with families at times of crisis.

KeywordsHome Treatment Teams; HTT; Crisis resolution; Workshop; Family
Year2020
JournalThe Journal of Mental Health Training, Education and Practice
PublisherEmerald
ISSN2042-8707
1755-6228
Digital Object Identifier (DOI)https://doi.org/10.1108/JMHTEP-11-2019-0058
Official URLhttps://doi.org/10.1108/JMHTEP-11-2019-0058
Publication dates
Print13 Jul 2020
Publication process dates
Accepted05 Jun 2020
Deposited26 Aug 2020
Accepted author manuscript
License
File Access Level
Open
Output statusPublished
References

Bergstro¨m, T., Seikkula, J., Alakare, B., Ma¨ki, P., Ko¨nga¨s-Saviarob, P., Taskilab, J., Tolvanene, A. and
Aaltonen, J. (2018), “The family-oriented open dialogue approach in the treatment of first-episode psychosis: nineteen–year outcomes”, Psychiatry Research, Vol. 270, pp. 168-175, doi: 10.1016/j.psychres.2018.09.039.
Brennan, A., Warren, N., Peterson, V., Hollander, Y., Boscarato, K. and Lee, S. (2016), “Collaboration in
crisis: carer perspectives on police and mental health professional’s responses to mental health crises”,
International Journal of Mental Health Nursing, Vol. 25 No. 5, pp. 452-461, doi: 10.1111/inm.12233.
Bucci, S., Berry, K., Barrowclough, C. and Haddock, G. (2016), “Family interventions in psychosis: a
review of the evidence and barriers to implementation”, Australian Psychologist, Vol. 51 No. 1, pp. 62-68,
doi: 10.1111/ap.12172.
Buley, N., Copland, E. and Hodge, S. (2017), ‘Home Treatment Accreditation Scheme (HTAS): Standards
for Home Treatment Teams, 3rd ed., Royal College of Psychiatrists.
Burbach, F.R. (2018), “Family therapy and schizophrenia: a brief theoretical overview and a framework for clinical practice”, BJPsych Advances, Vol. 24 No. 4, pp. 225-234, doi: 10.1192/bja.2017.32.
Care Quality Commission (2015), “Right here, right now”, available at: www.cqc.org.uk/sites/default/files/
20150611_righthere_mhcrisiscare_summary_3.pdf (accessed on 24th June 2019).
Carpenter, R.A., Falkenburg, J., White, T.P. and Tracy, D.K. (2013), “Crisis teams: a systematic review of
their effectiveness in practice”, The Psychiatrist, Vol. 37 No. 7, pp. 232-237, doi: 10.1192/pb.bp.112.039933.
Dallos & Draper (2000), ‘An Introduction to Family Therapy: Systemic Theory and Practice, 3rd ed., Open University Press, New York, NY.
Department of Health (2001), “Crisis resolution/home treatment teams”, The mental health policy implementation guide.
Fadden, G. (2006), “Training and disseminating family interventions for schizophrenia: developing family
intervention skills with multi-disciplinary groups”, Journal of Family Therapy, Vol. 28 No. 1, pp. 23-38, doi:
10.1111/j.1467-6427.2006.00335.x.
Fadden, G. (2018), “Are we there yet? Commentary on family therapy and schizophrenia”, Bjpsych Advances, Vol. 24 No. 4, pp. 235-236, doi: 10.1192/bja.2018.11.
Falloon, I. Mueser, K. Gingerich, S. et al. (2004), “Family work manual”, The West Midlands Family Programme.
Goldenberg, H. and Goldenberg, I. (2012), “Family therapy: an overview”, Cengage Learning.
Grohmann, A. and Kauffeld, S. (2013), “Evaluating training programs: development and correlates of the questionnaire for professional training evaluation”, International Journal of Training and Development, Vol. 17 No. 2, pp. 135-155, doi: 10.1111/ijtd.12005.
Holttum, S. (2018), “Inclusion of family and parenthood in mental health recovery”, Mental Health and Social Inclusion, Vol. 22 No. 3, pp. 114-120, doi: 10.1108/MHSI-04-2018-0014.
Hyde, P. and Thomas, A.B. (2002), “Organisational defences revisited: systems and contexts”, Journal of Managerial Psychology, Vol. 17 No. 5, pp. 408-421, doi:10.1108/02683940210432646.
IBM SPSS Statistics for Windows, Version 21.0. (2013), IBM Corp. IBM Corp, Armonk, New York, NY.
Kirkpatrick, D. (1996), “Great ideas revisited. Techniques for evaluating training programs”, Revisiting Kirkpatrick’s Four-Level Model’ Training and Development, Vol. 50, pp. 54-59, available at: https://eric.ed.gov/?id=EJ515660
Kowalski, C., Attoe, C., Ekdawi, I., Parry, C., Phillips, S. and Cross, S. (2017), “Interprofessional simulation training to promote working with families and networks in mental health services”, Academic Psychiatry, Vol. 42 No. 5, pp. 605-612, doi: 10.1007/s40596-017-0840-z.
Lloyd-Evans, B., Fullarton, K., Lamb, D., Johnston, E., Onyett, S., Osborn, D. and Johnson, S. (2016), “The CORE service improvement programme for mental health crisis resolution teams: study protocol for a cluster-randomised controlled trial”, Trials, Vol. 17 No. 1, p. 158, doi: 10.1186/s13063-016-1283-7.
Martin, R.M., Ridley, S.C. and Gillieatt, S.J. (2017), Family Inclusion in Mental Health Services: Reality or Rhetoric?, SAGE Publications, London.
McGoldrick, M., Gerson, R. and Shellenberger, S. (1999), Genograms: Assessment and Intervention, W. W. Norton & Company, New York, NY.
Mind (2011), Listening to Experience: An Independent Report into Acute and Crisis Mental Healthcare, Mind, London.
Morant, N., Lloyd-Evans, B., Lamb, D., Fullarton, K., Brown, E., Paterson, B., Istead, H., Kelly, K., Hindle,
D., Fahmy, S., Henderson, C., Mason, O. and Johnson, S. (2017), “Crisis resolution and home treatment: stakeholders’ views on critical ingredients and implementation in England”, BMC Psychiatry, Vol. 17 No. 1, pp. 254-313,
doi: 10.1186/s12888-017-1421-0.
Norman, R.M.G., Malla, A.K., Manchanda, R., Harricharan, R., Takhar, J. and Northcott, S. (2005), “Social support and three-year symptom and admission outcomes for first-episode psychosis”, Schizophrenia Research, Vol. 80 Nos 2/3, pp. 227-234, doi: 10.1016/j.schres.2005.05.006.
Olson, M., Seikkula, J. and Ziedonis, D. (2014), Key Elements of Fidelity to Dialogic Practice in Open Dialogue: Fidelity Criteria, The University of MA Medical School. Worcester, MA.
Sin, J., Livingstone, S., Griffiths, M. and Gamble, C. (2014), “Family intervention for psychosis: impact of
training on clinicians’ attitudes, knowledge and behaviour”, Psychosis, Vol. 6 No. 2, pp. 128-142,
doi:10.1080/17522439.2013.806569.
Smidt, A., Balandin, S., Sigafoos, J. and Reed, V.A. (2009), “The Kirkpatrick model: a useful tool for evaluating training outcomes”, Journal of Intellectual & Developmental Disability, Vol. 34 No. 3, pp. 266-274,
doi: 10.1080/13668250903093125.
Stanbridge, R.I., Burbach, F.R. and Leftwich, S.H. (2009), “Establishing family-inclusive acute inpatient mental health services: a staff training programme in somerset”, Journal of Family Therapy, Vol. 31 No. 3, pp. 233-249,
doi: 10.1111/j.1467-6427.2009.00467.x.
The Care Act (2014), [online], available at: www.legislation.gov.uk/ukpga/2014/23/contents/enacted
(accessed 26th June 2019).
Worthington, A., Rooney, P. and Hannan, R. (2013), The Triangle of Care. Carers Included: A Guide to Best Practice in Acute Mental Health Care in England, 2nd ed, Carers Trust, London.

Permalink -

https://repository.canterbury.ac.uk/item/8w08x/promoting-family-inclusive-practice-in-home-treatment-teams

Download files

Accepted author manuscript
Family inclusive practice in HTTs FINAL with tables.pdf
License: CC BY-NC 4.0
File access level: Open

  • 3
    total views
  • 3
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Export as

Related outputs

A grounded theory of how service users experience and make use of formulation in therapy for psychosis
Gibbs, M., Griffiths, M. and Dilks, S. 2020. A grounded theory of how service users experience and make use of formulation in therapy for psychosis. Psychosis: Psychological, Social and Integrative Approaches. pp. 1-12. https://doi.org/10.1080/17522439.2020.1742198
A Delphi survey to explore best practice for practitioners offering family intervention for psychosis to families with children
Thompson, O., Griffiths, M., Allen, J. and Jones, F. 2019. A Delphi survey to explore best practice for practitioners offering family intervention for psychosis to families with children. Journal of Family Therapy. https://doi.org/10.1111/1467-6427.12264
Using clinical records to evaluate family intervention for psychosis in routine practice
Chuttoo, L., Griffiths, M. and Allen, J. 2019. Using clinical records to evaluate family intervention for psychosis in routine practice. Journal of Psychiatric Intensive Care.
Carers matter: promoting the inclusion of families within acute inpatient settings
Taylor, R., Mellotte, H., Griffiths, M., Compton, A. and Koravangattu, V. 2016. Carers matter: promoting the inclusion of families within acute inpatient settings. Journal of Psychiatric Intensive Care. 12 (2), pp. 69-77.