RNQualitativeJournal of family nursing2020

Young Adults and Their Families Living With Mental Illness: Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings.

Lisbeth Kjelsrud Aass, Hege Skundberg-Kletthagen, Agneta Schrøder and 1 others

PMID 33095093

WHAT IT FOUND

Seven families living with a young adult's mental illness described three structured conversations as a chance to share beliefs and see each other's everyday struggles.

The format was unfamiliar, and families wanted continued conversations.

Key findings

01The conversations gave families a chance to share beliefs and see each other's everyday struggles from other angles.

02Patients used to talking alone with professionals described including family as strange, but the professional's presence helped them discuss difficult topics.

03Families wanted ongoing conversations, but they disagreed about who should decide when future meetings happened.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included seven families and 19 family members; 17 consented to interviews, so it is a small qualitative sample and not generalizable. Participants were young adults aged 18 to 25 who could speak and read Norwegian and were excluded for cognitive impairment, psychotic state, active alcohol or drug abuse, or living in a residential home, so it says little about more severe or complex presentations. The study asked about experiences after three conversations; it did not measure whether symptoms, function, or family support changed, and it had no comparison group. Interviews happened 1 to 2 months after the conversations, so recall and the ongoing relationship with community mental health professionals may have shaped what families reported. The first author conducted all interviews and was a psychiatric nurse, which may affect power balance and interpretation, although the authors reported steps to address trustworthiness. The intervention was delivered by professionals after a 2-day training in a specific Norwegian community mental health context, so transfer to other settings is uncertain. One patient and a partner did not take part in the research interview, and some families had not all members present, which may limit family-level findings.

Declared interests

The authors declared no potential conflicts of interest and received no financial support.

The easy way to misread this

Do not read this as evidence that family conversations improve mental illness outcomes or family functioning. It was a small qualitative study of seven families' experiences, with no comparison group or measured outcomes.

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The study

Participants
Seven families; the paper states 19 family members from seven families participated in the FCSC, and 17 consented to family research interviews.
Certainty of evidence
Very low

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Lisbeth Kjelsrud Aass, Hege Skundberg-Kletthagen, Agneta Schrøder, et al. Young Adults and Their Families Living With Mental Illness: Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings. Journal of family nursing. 2020.

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