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Family-driven care in america: more than a good idea
Sandra A Spencer1, Gary M Blau, Coretta J Mallery
1National Federation of Families for Children's Mental Health, Rockville, Maryland, USA.
Summary
Family-driven care has evolved in the US child and youth mental health system, shifting parents from perceived causes to active partners in treatment and policy. This approach improves outcomes when families and youth have meaningful roles.
Area of Science:
- Child and Adolescent Psychiatry
- Health Services Research
- Family-Centered Care
Background:
- Historically, parents were often viewed as the cause of their child's mental health issues.
- A paradigm shift has occurred, recognizing the crucial role of families in treatment and system reform.
Purpose of the Study:
- To trace the historical evolution of family-driven care in the United States.
- To illustrate the development of family-driven care through key examples and policy statements.
Main Methods:
- Review of historical developments in family-driven care.
- Case examples including the Federation of Families for Children's Mental Health, Parent Advocacy Program, and Family Ties Resource Centers.
- Analysis of the 2009 American Academy of Child and Adolescent Psychiatry's Policy Statement.
Main Results:
- Over 25 years, the mental health field has increasingly involved parents as active participants in treatment and policy development.
- Research indicates improved outcomes when family members and youth are meaningfully engaged in their treatment.
- Significant advancements in family involvement within the child and youth mental health system.
Conclusions:
- Family-driven care has progressed significantly in the American child and youth mental health system.
- Further development is needed to establish families as true partners in treatment planning and service development.
- Future efforts should focus on research into the effectiveness of family-driven approaches and policy reform to meet family needs.
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