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  11. Family Caregiver Involvement In Forensic Mental Health Care - A Qualitative Study Of Healthcare Professionals' Perceptions.
  1. Home
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  9. Family Care
  11. Family Caregiver Involvement In Forensic Mental Health Care - A Qualitative Study Of Healthcare Professionals' Perceptions.

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Family caregiver involvement in forensic mental health care - A qualitative study of healthcare professionals' perceptions.

Tina Kirstine Vestphal1, Frederik A Gildberg1, Rikke Jørgensen2

  • 1Forensic Mental Health Research Unit Middelfart (RFM), Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Denmark; Psychiatric Department Middelfart, Mental Health Services in the Region of Southern Denmark, Denmark.

Archives of Psychiatric Nursing
|November 30, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Healthcare professionals (HCPs) in forensic mental health care see family caregivers as beneficial but face organizational barriers. HCPs prefer a one-way support dynamic, highlighting a need for improved collaboration strategies.

Keywords:
Family caregiverForensic mental health careHealthcare professionals' perceptionsQualitative inquiry

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Area of Science:

  • Mental Health Services Research
  • Qualitative Health Research
  • Forensic Psychiatry

Background:

  • Family caregiver involvement in mental healthcare is a policy objective, aiming to support service user recovery.
  • Service users in forensic mental health care (FMHC) and their families face unique burdens, including mental illness, offenses, and challenging professional collaboration.
  • Understanding healthcare professionals' perspectives is crucial for optimizing support for both service users and family caregivers in FMHC.

Purpose of the Study:

  • To explore healthcare professionals' (HCPs) perceptions of facilitators and barriers to collaboration with family caregivers in forensic mental health care (FMHC).

Main Methods:

  • Qualitative study employing thematic analysis.
  • Exploration of HCPs' views on collaboration dynamics and influencing factors.

Main Results:

  • Two primary themes emerged: 'Organizational constraints' (including time, staffing, confidentiality, and external treatment) and 'Collaboration with family caregivers' (covering alliance and overinvolvement).
  • HCPs generally favor family caregiver support but prefer a unilateral direction of involvement.
  • Identified barriers include resource limitations and confidentiality concerns, while an 'alliance' was seen as positive but risked 'overinvolvement'.

Conclusions:

  • Organizational factors significantly impede effective collaboration between HCPs and family caregivers in FMHC.
  • While HCPs value family support, their preference for unilateral involvement suggests a need for enhanced communication and shared decision-making models.
  • Addressing identified barriers is essential to foster more integrated and effective family-centered care in forensic mental health settings.