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Gepubliceerd in: Journal of Child and Family Studies 1/2017

24-09-2016 | Original Paper

How Family Orientated are Primary Care Physicians?

Auteurs: Andrea Reupert, Caroline Williamson, Darryl Maybery

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 1/2017

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Abstract

Primary care physicians are often the first contact for people with mental health concerns. Moreover, many patients with mental health concerns are parents caring for dependent children. The aim of this study was to investigate the family focused practices of a group of primary care physicians when working with patients who are parents and experience mental health concerns. A sequential mixed method design (questionnaire followed by interviews) was employed, early 2015, in general medical settings across six Australian states. Twenty one primary care physicians (12 female, 9 male) across different medical settings completed the Family Focused Mental Health Practice Questionnaire; nine of these were interviewed. Participants reported a moderate amount of family focused practice when working with patients who are parents with mental health issues. Many acknowledged the importance of working with patients on family issues but reported barriers in doing so. Clear guidelines, including the recording of parenting status, need to be in place for primary care physicians working with patients who are parents.
Literatuur
go back to reference Bibou-Nakou, I. (2003). ‘Troubles talk’ among professionals working with families facing parental mental illness. Journal of Family Studies, 9, 248–266.CrossRef Bibou-Nakou, I. (2003). ‘Troubles talk’ among professionals working with families facing parental mental illness. Journal of Family Studies, 9, 248–266.CrossRef
go back to reference Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef
go back to reference Britt, H., Miller, G. C., Henderson, J., Charles, J., Valenti, L., & Harrison, C., et al. (2012). General practice activity in Australia 2011–12. General practice series no.31. Sydney: Sydney University Press. Britt, H., Miller, G. C., Henderson, J., Charles, J., Valenti, L., & Harrison, C., et al. (2012). General practice activity in Australia 2011–12. General practice series no.31. Sydney: Sydney University Press.
go back to reference Brockington, I., Chandra, P., Dubowitz, H., Jones, D., Moussa, S., Nakku, J., & Ferre, I. Q. (2011). WPA guidance on the protection and promotion of mental health in children of persons with severe mental disorders. World Psychiatry, 10(2), 93–102.CrossRefPubMedPubMedCentral Brockington, I., Chandra, P., Dubowitz, H., Jones, D., Moussa, S., Nakku, J., & Ferre, I. Q. (2011). WPA guidance on the protection and promotion of mental health in children of persons with severe mental disorders. World Psychiatry, 10(2), 93–102.CrossRefPubMedPubMedCentral
go back to reference Carlat, D. J. (1998). The psychiatric review of symptoms: a screening tool for family physicians. American Family Physician, 58(7), 1617–1624.PubMed Carlat, D. J. (1998). The psychiatric review of symptoms: a screening tool for family physicians. American Family Physician, 58(7), 1617–1624.PubMed
go back to reference Creswell, J. W. (2003). Research design. Qualitative, quantitative and mixed method approaches. London: Sage. Creswell, J. W. (2003). Research design. Qualitative, quantitative and mixed method approaches. London: Sage.
go back to reference Foster, K., Maybery, D., Reupert, A., Gladstone, B., Grant, A., Ruud, T., Falkov, A., & Kowalenko, N. (2016). Family-focused practice in mental health care: an integrative review. Child & Youth Services, 37(2), 129–155.CrossRef Foster, K., Maybery, D., Reupert, A., Gladstone, B., Grant, A., Ruud, T., Falkov, A., & Kowalenko, N. (2016). Family-focused practice in mental health care: an integrative review. Child & Youth Services, 37(2), 129–155.CrossRef
go back to reference Gullbrå, F., Smith-Sivertsen, T., Rortveit, G., Anderssen, N., & Hafting, M. (2014). To give the invisible child priority: Children as next of kin in general practice. Scandinavian Journal of Primary Health Care, 32, 17–23.CrossRefPubMedPubMedCentral Gullbrå, F., Smith-Sivertsen, T., Rortveit, G., Anderssen, N., & Hafting, M. (2014). To give the invisible child priority: Children as next of kin in general practice. Scandinavian Journal of Primary Health Care, 32, 17–23.CrossRefPubMedPubMedCentral
go back to reference Hooper, L., Tomek, S., & Newman, C. (2012). Using attachment theory in medical settings: Implications for primary care physicians. Journal of Mental Health, 21(1), 23–37.CrossRefPubMed Hooper, L., Tomek, S., & Newman, C. (2012). Using attachment theory in medical settings: Implications for primary care physicians. Journal of Mental Health, 21(1), 23–37.CrossRefPubMed
go back to reference Hosman, C., van Doesum, K., & van Santvoort, F. (2009). Prevention of emotional problems and psychiatric risks in children of parents with a mental illness in the Netherlands. Advances in Mental Health, 8, 250–263.CrossRef Hosman, C., van Doesum, K., & van Santvoort, F. (2009). Prevention of emotional problems and psychiatric risks in children of parents with a mental illness in the Netherlands. Advances in Mental Health, 8, 250–263.CrossRef
go back to reference Lid, T. G., & Malterud, K. (2012). General practitioners’ strategies to identify alcohol problems: A focus group study. Scandinavian Journal of Primary Health Care, 30, 64–69.CrossRefPubMedPubMedCentral Lid, T. G., & Malterud, K. (2012). General practitioners’ strategies to identify alcohol problems: A focus group study. Scandinavian Journal of Primary Health Care, 30, 64–69.CrossRefPubMedPubMedCentral
go back to reference Leinonen, J., Solantaus, T., & Runamäki, R. -L. (2003). Parental mental health and children’s adjustment: The quality of marital interaction and parenting as mediating factors. Journal of Child Psychology & Psychiatry, 44(2), 227–241.CrossRef Leinonen, J., Solantaus, T., & Runamäki, R. -L. (2003). Parental mental health and children’s adjustment: The quality of marital interaction and parenting as mediating factors. Journal of Child Psychology & Psychiatry, 44(2), 227–241.CrossRef
go back to reference Lucena, R. J., Lesage, A., Elie, R., Lamontagne, Y., & Corbière, M. (2002). Strategies of collaboration between general practitioners and psychiatrists: a survey of practitioners’ opinions and characteristics. Canadian Journal of Psychiatry, 47(8), 750–758.PubMed Lucena, R. J., Lesage, A., Elie, R., Lamontagne, Y., & Corbière, M. (2002). Strategies of collaboration between general practitioners and psychiatrists: a survey of practitioners’ opinions and characteristics. Canadian Journal of Psychiatry, 47(8), 750–758.PubMed
go back to reference Magliano, L., Fiorillo, A., Malangone, C., De Rosa, C., Favata, G., & Sasso, A., et al. (2006). Family psychoeducational interventions for schizophrenia in routine settings: impact on patients’ clinical status and social functioning and on relatives’ burden and resources. Epidemiologia e Psichiatria Sociale, 15, 219–227.CrossRefPubMed Magliano, L., Fiorillo, A., Malangone, C., De Rosa, C., Favata, G., & Sasso, A., et al. (2006). Family psychoeducational interventions for schizophrenia in routine settings: impact on patients’ clinical status and social functioning and on relatives’ burden and resources. Epidemiologia e Psichiatria Sociale, 15, 219–227.CrossRefPubMed
go back to reference Maybery, D., Goodyear, M., & Reupert, A. (2012). The family focused mental health practice questionnaire. Archives of Psychiatric Nursing, 26(2), 135–144.CrossRefPubMed Maybery, D., Goodyear, M., & Reupert, A. (2012). The family focused mental health practice questionnaire. Archives of Psychiatric Nursing, 26(2), 135–144.CrossRefPubMed
go back to reference Maybery, D., Reupert, A., Patrick, K., Goodyear, M., & Crase, L. (2009). Prevalence of children whose parents have a mental illness. Psychiatric Bulletin, 33(1), 22–26.CrossRef Maybery, D., Reupert, A., Patrick, K., Goodyear, M., & Crase, L. (2009). Prevalence of children whose parents have a mental illness. Psychiatric Bulletin, 33(1), 22–26.CrossRef
go back to reference Nicholson, J., Reupert, A. E., Grant, A., Lees, R., Maybery, D. J., Mordoch, E., Skogoy, B. E., Stavnes, K. A., & Diggins, M. (2015). The policy context and change for families living with parental mental illness. In A. Reupert, D. Maybery, J. Nicholson, M. Gopfert, M. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 354–364). Cambridge, UK: Cambridge University Press.CrossRef Nicholson, J., Reupert, A. E., Grant, A., Lees, R., Maybery, D. J., Mordoch, E., Skogoy, B. E., Stavnes, K. A., & Diggins, M. (2015). The policy context and change for families living with parental mental illness. In A. Reupert, D. Maybery, J. Nicholson, M. Gopfert, M. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 354–364). Cambridge, UK: Cambridge University Press.CrossRef
go back to reference Oldroyd, J., Proudfoot, J., Infante, F. A., Powell Davies, G., Bubner, T., Holton, C., Beilby, J. J., & Harris, M. (2003). Healthcare for people with chronic illness: the views of Australian GPs. Medical Journal of Australia, 179, 30–33.PubMed Oldroyd, J., Proudfoot, J., Infante, F. A., Powell Davies, G., Bubner, T., Holton, C., Beilby, J. J., & Harris, M. (2003). Healthcare for people with chronic illness: the views of Australian GPs. Medical Journal of Australia, 179, 30–33.PubMed
go back to reference Pincus, H. A., Tanielian, T. L., Marcus, S. C., Olfson, M., Zarin, D., Thompson, J., & Magno Zito, J. (1998). Prescribing trends in psychotropic medications: primary care, psychiatry, and other medical specialties. Journal of the American Association, 279(7), 526–531.CrossRef Pincus, H. A., Tanielian, T. L., Marcus, S. C., Olfson, M., Zarin, D., Thompson, J., & Magno Zito, J. (1998). Prescribing trends in psychotropic medications: primary care, psychiatry, and other medical specialties. Journal of the American Association, 279(7), 526–531.CrossRef
go back to reference Reupert, A., & Maybery, D. (2016). What do we know about families where a parent has a mental illness: A systematic review. Child & Youth Services, 37(2), 98–111.CrossRef Reupert, A., & Maybery, D. (2016). What do we know about families where a parent has a mental illness: A systematic review. Child & Youth Services, 37(2), 98–111.CrossRef
go back to reference Reupert, A., Morgan, B., & Maybery, D. (2015). The family focused practice of primary care clinicians: A case of missed opportunities. Journal of Mental Health, 24(6), 357–362.CrossRefPubMed Reupert, A., Morgan, B., & Maybery, D. (2015). The family focused practice of primary care clinicians: A case of missed opportunities. Journal of Mental Health, 24(6), 357–362.CrossRefPubMed
go back to reference Schwenk, T. L. (2000). Screening for depression in primary care. Journal of the American Medical Association, 284(11), 1379–1380.CrossRefPubMed Schwenk, T. L. (2000). Screening for depression in primary care. Journal of the American Medical Association, 284(11), 1379–1380.CrossRefPubMed
go back to reference Siegenthaler, E., Munder, T., & Egger, M. (2012). Effect of preventive interventions in mentally ill parents on the mental health of the offspring: Systematic review and meta-analysis. Journal of American Child & Adolescent Psychiatry, 51, 8–17.CrossRef Siegenthaler, E., Munder, T., & Egger, M. (2012). Effect of preventive interventions in mentally ill parents on the mental health of the offspring: Systematic review and meta-analysis. Journal of American Child & Adolescent Psychiatry, 51, 8–17.CrossRef
go back to reference Skirbekk, H., Middelthon, A. L., Hjortdahl, P., & Finset, A. (2011). Mandates of trust in the doctor-patient relationship. Qualitative Health Research, 21, 1182–1190.CrossRefPubMed Skirbekk, H., Middelthon, A. L., Hjortdahl, P., & Finset, A. (2011). Mandates of trust in the doctor-patient relationship. Qualitative Health Research, 21, 1182–1190.CrossRefPubMed
go back to reference Solantaus, T., Reupert, A., & Maybery, D. (2015). Working with parents who have a psychiatric disorder. In A. Reupert, D. Maybery, J. Nicholson, M. Göpfert, M. Seeman (Eds.), Parental psychiatric disorder: distressed parents and their families (pp. 238–247). London: Cambridge University Press.CrossRef Solantaus, T., Reupert, A., & Maybery, D. (2015). Working with parents who have a psychiatric disorder. In A. Reupert, D. Maybery, J. Nicholson, M. Göpfert, M. Seeman (Eds.), Parental psychiatric disorder: distressed parents and their families (pp. 238–247). London: Cambridge University Press.CrossRef
go back to reference Williams, J., & Hassett, B. (1996). Sharing the care. General practitioners and public mental health services. Melbourne, Victoria: Department of Human Services. Williams, J., & Hassett, B. (1996). Sharing the care. General practitioners and public mental health services. Melbourne, Victoria: Department of Human Services.
Metagegevens
Titel
How Family Orientated are Primary Care Physicians?
Auteurs
Andrea Reupert
Caroline Williamson
Darryl Maybery
Publicatiedatum
24-09-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 1/2017
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-016-0558-7

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