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Family perspectives on evidence-based practice.

Laurie M Flynn1

  • 1Carmel Hill Center for Early Diagnosis and Treatment, Division of Child and Adolescent Psychiatry, Columbia University, 1775 Broadway, Suite 715, New York, NY 10019, USA. flynn1@childpsych.columbia.edu

Child and Adolescent Psychiatric Clinics of North America
|February 8, 2005
PubMed
Summary

System reform in mental health requires prioritizing family experiences. Focusing on practical needs, not just administrative barriers, is crucial for accessible and effective care for parents navigating fragmented systems.

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Area of Science:

  • Medicine
  • Mental Health
  • Healthcare Systems

Background:

  • Evidence-based practices are central to medical and mental health discussions.
  • Professionals often focus on administrative barriers to implementation.
  • Family perspectives are frequently overlooked in system reform efforts.

Purpose of the Study:

  • To highlight the disparity between professional and family experiences in mental health systems.
  • To advocate for the integration of family needs into strategic planning for system reform.
  • To emphasize the impact of fragmented and inaccessible systems on parents.

Main Methods:

  • Qualitative analysis of family experiences within community mental health services.
  • Review of current literature on evidence-based practice implementation barriers.

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  • Comparative analysis of professional vs. family-reported challenges.

    • Main Results:

    • The mental health system is often fragmented and difficult for families to access.
    • Parents report feeling overwhelmed and frustrated by current system structures.
    • Administrative barriers, while real, do not fully capture the family experience.

    Conclusions:

    • Family practical needs and lived experiences are essential for successful mental health system reform.
    • Integrating family-centered approaches is key to overcoming accessibility and usability issues.
    • A shift in focus from solely administrative barriers to holistic family needs is necessary for meaningful change.