“了解我们的家庭”:共同制作授权& &;在CAMHS住院部与家属的非责备故事

Romana Farooq, Chelsea Addy, Katie Burgess
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引用次数: 0

摘要

家庭对儿童和青少年心理健康和福祉的影响和重要性已得到充分记录(Kana 'Iaupuni等人,2005年)。因此,当儿童和年轻人遇到心理健康服务时,优先考虑以家庭为中心的观点是至关重要的(Gross &戈尔丁,2008)。然而,在儿童生活背景下考虑和探索家庭动态的努力往往被指责和过于专业(Dallos, 2019)。已经有一些尝试从对儿童痛苦的个人主义理解转向更多的家庭功能表述(Dallos等,2020)。尽管如此,关于以不责备、透明和授权的方式让家庭参与共同制定心理配方的文献和证据仍然很少,但这种稀缺性在住院儿童和青少年心理健康服务(CAMHS)中尤其明显。本文将概述由作者为住院CAMHS环境开发的以家庭为重点的“理解我们的家庭”公式。“理解我们的家庭”由权力威胁意义框架(Johnstone等人,2018)提供信息,为家庭接触住院环境提供另一种理解,并为受多重压力源和复杂系统影响的家庭提供去污名化和赋权叙事。本文讨论并批判性地探讨了在英格兰北部的CAMHS住院环境中发展、实施和嵌入这种方法的挑战和机遇。
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‘Understanding our family’: Co-producing empowering & non-blaming stories with families in a CAMHS inpatient unit
The influence and importance of a family on children and young people’s mental health and wellbeing has been well documented (Kana’Iaupuni et al., 2005). Therefore, when children and young people encounter mental health services it is vital that a family focused perspective is prioritised (Gross & Goldin, 2008). However, efforts to consider and explore family dynamics in the context of children’s lives have often been blaming and overly expert (Dallos, 2019). There have been some attempts to move away from individualistic understandings of children’s distress to more family functional formulations (Dallos, et al., 2020). Nonetheless, there remains very little literature and evidence around involving families in co-producing psychological formulations in a non-blaming, transparent and empowering way, but in particular this scarcity is evident in inpatient child and adolescent mental health services (CAMHS). The present paper will outline a co-produced family focused formulation called ‘Understanding Our Family’ developed for inpatient CAMHS settings by the authors. ‘Understanding Our Family’ is informed by the Power Threat Meaning Framework (Johnstone, et al., 2018) to provide an alternative understanding to what brings families into contact with inpatient settings and to offer a de-stigmatising and empowering narrative to families subject to multiple stressors and complex systems. The present article discusses and critically interrogates the challenges and opportunities of developing, implementing, and embedding this approach within a CAMHS inpatient setting in the North of England.
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