How Effective are Current Joint Working Practices between Children and Family Social Workers and Mental Health Care Coordinators, in Supporting Families in which there is a Primary Care-giver, with a Diagnosis of Emotionally Unstable Personality Disorder?

IF 1.8 3区 社会学 Q1 SOCIAL WORK British Journal of Social Work Pub Date : 2023-01-09 DOI:10.1093/bjsw/bcac238
Lauren Martins, Laura A Tucker
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Abstract

Abstract Emotionally Unstable Personality Disorder (EUPD) is a complex and often stigmatising diagnosis. Although falling under the remit of mental health services, it is not always seen as a mental health need, and research suggests that if parents or carers are not provided with more holistic support, parental mental health will deteriorate with children likely to have poorer outcomes, placing them at an increased risk of harm. This likelihood of harm increases with compounding factors such as substance misuse and domestic abuse. One organisation alone cannot effectively address the complex difficulties that people with this diagnosis may experience, thus inter-agency working is necessary. This article explores the barriers and facilitators to inter-agency working to support parental care-givers with a diagnosis of EUPD between Children’s Social Care and a Community Mental Health Team within the same English area. Five mental health care coordinators and two children and families’ social workers who had experience working with this client group were interviewed. Participants identified the challenges and benefits of working with their partner agency around communication, knowledge, stigmatisation and resources. The research provides suggestions to develop current inter-agency working relationships and to enhance care and support available to people experiencing the diagnosis.
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目前儿童和家庭社会工作者和精神卫生保健协调员在支持有主要照顾者的诊断为情绪不稳定型人格障碍的家庭中的联合工作实践效果如何?
情绪不稳定型人格障碍(EUPD)是一种复杂且常被污名化的诊断。虽然属于心理健康服务的范畴,但它并不总是被视为一种心理健康需求,研究表明,如果不向父母或照顾者提供更全面的支持,父母的心理健康将恶化,儿童的结果可能更差,使他们面临更大的伤害风险。这种伤害的可能性随着药物滥用和家庭虐待等复合因素的增加而增加。一个组织不能单独有效地解决患有这种诊断的人可能遇到的复杂困难,因此需要跨机构合作。本文探讨了机构间工作的障碍和促进因素,以支持儿童社会护理和社区精神卫生团队在同一英语区域内诊断为EUPD的父母照顾者。采访了五名心理保健协调员和两名儿童和家庭社会工作者,他们都有与这一客户群体合作的经验。与会者确定了在沟通、知识、污名化和资源方面与其伙伴机构合作的挑战和好处。该研究为发展目前的机构间工作关系和加强对诊断患者的护理和支持提供了建议。
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来源期刊
CiteScore
3.00
自引率
22.20%
发文量
208
期刊介绍: Published for the British Association of Social Workers, this is the leading academic social work journal in the UK. It covers every aspect of social work, with papers reporting research, discussing practice, and examining principles and theories. It is read by social work educators, researchers, practitioners and managers who wish to keep up to date with theoretical and empirical developments in the field.
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