[Natural caregivers of the mentally ill]

When the mentally ill were de-institutionalized, the intention was to humanize their care. It now appears that the welfare of these clients is secured to the detriment of their family and significant others. This article exposes the difficulties, showing nurses concrete means of intervention to assist families in their role. In her research on the health conditions of family and significant others, the author interviewed approximately 60 women who cared for a chronically ill member at home. Questionnaires revealed information on life conditions, problems and worries, the impact of the presence of the ill person on their activities of daily life. They also revealed marital discord, problems with brother, sister, and other siblings and immediate neighbours. Family and significant others revealed a great need for resource information, empathy, help, orientation, sitting and respite services and a backup support when their own health deteriorated. The author commented on the importance of the role of the psychiatric and community health nurse, since in almost half of the cases studied, professional support is insufficient.