Families in which a parent has a mental illness Mental and Behavioural Disorders
Conditions
Interventions
Intervention: Family Talk
Family Talk (FT) is a manualised, strengths-based, 6-8 session programme (6-10 weeks) for families where a parent has mental health difficulties. Family Talk uses an individu
Sponsors
Maynooth University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Family participants: 1. Parent(s) aged over 18 – and with children aged 5-18 years - attending Adult Mental Health Services and who are under the care of a psychiatrist/multidisciplinary team (MDT) due to a formal (or working) diagnosis of mental difficulty Or 2. Parent(s) with a mental difficulty episode in the last 18 months who had been under the care of a psychiatrist or MDT Or 3. Parent(s) currently attending a GP for mental health issues (clinical responsibility will be provided by the GP and Family Talk clinician/service provider) In all of the above cases, the parents’ symptoms should be relatively well maintained (i.e. not in crisis). Staff participants: Clinicians, service providers, and managers will be identified in collaboration with the lead contact person in each site. There are no inclusion or exclusion criteria with regard to staff participation.
Exclusion criteria
Exclusion criteria: Family participants: 1. Parents/children with active psychosis 2. Parents with active substance misuse such that they cannot engage with the intervention 3. Parents or children who are in hospital 4. Families with acrimonious dispute over child custody 5. Urgent need for child protection services Depending on the level of resources available to staff, some sites may be able to support patients who have some level of active psychosis or substance misuse but it is key that families are able to engage with the intervention and agree to take part in the research. Where hospitalization or relapse occur during the delivery of Family Talk, the clinician must make a judgment whether the intervention can be merely postponed or would be better delivered at a later stage when the patient is more stable. Clinicians can discuss with families. There are no exclusion criteria for other participants (clinicians, service providers, managers).
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 06/08/2020: 1. Understanding and experience of parental mental health difficulties measured by the Understanding of Parental Mental Health questionnaire. Outcome will be reported by parents and children at baseline (pre-intervention), and 6 and 12 months later 2. Child internalising symptoms: anxiety using SCARED 5 (Screen for Child Anxiety Related Disorders) and depression using RCADS child depression subscale (Revised Children’s Anxiety and Depression Scale). Outcome will be reported by parents and children at baseline (pre-intervention), and 6 and 12 months later 3. Child coping/resilience measured by the Children and Youth Resilience Measure reported by children at baseline (pre-intervention), and 6 and 12 months later 4. Parental mental health measured by the BASIS 24 (Behaviour and Symptom Identification Scale) reported by parents at baseline (pre-intervention), and 6 and 12 months later 5. Parental coping/resilience measured by the Coping Self Efficacy questionnaire reported by parents at baseline (pre-intervention) and 6 and 12 months later 6. Partner wellbeing assessed using the Warwick-Edinburgh Mental Wellbeing Scale reported by the partner themselves at baseline (pre-intervention) and 6 and 12 months later 7. Service utilisation assessed using the Services Utilisation Questionnaire reported by parents at baseline (pre-intervention) and 6 and 12 months later Previous secondary outcome measures: 1. Understanding and experience of parental mental health difficulties measured by the Understanding of Parental Mental Health questionnaire. Outcome will be reported by parents and children at baseline (pre-intervention), and 6 and 12 months later. 2. Child coping/resilience measured by the Children and Youth Resilience Measure reported by children at baseline (pre-intervention), and 6 and 12 months later. 3. Parental mental health measured by the BASIS 24 (Behaviour and Symptom Identification Scale) reported by parents a | — |
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 06/08/2020: 1. Child psychosocial functioning - measured by Strengths and Difficulties questionnaire. Outcome will be reported by parents and children and measured at baseline (pre-intervention), and 6 and 12 months later 2. Family functioning - measured by SCORE 15 (Systematic Clinical Outcome and Routine Evaluation). Outcome will be reported by parents and children and measured at baseline (pre-intervention), and 6 and 12 months later Previous primary outcome measure: 1. Child psychosocial functioning - measured by Strengths and Difficulties questionnaire, SCARED 5 (Screen for Child Anxiety Related Disorders) and RCADS child depression scale (Revised Children’s Anxiety and Depression Scale). Outcomes will be reported by parents and children and measured at baseline (pre-intervention), and 6 and 12 months later 2. Family functioning - measured by SCORE 15 (Systematic Clinical Outcome and Routine Evaluation). Outcome will be reported by parents and children and measured at baseline (pre-intervention), and 6 and 12 months later | — |
Countries
Ireland
Outcome results
None listed