Voices to be heard: Understanding family perspectives in forensic care trajectories
IntroductionDe-institutionalization of psychiatric care has greatly increased the role of family members in the recovery pathways of Persons labeled as Not Criminally Responsible (PNCR). However, the role of family members in supporting PNCR in forensic psychiatric care remains understudied. Scarce...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1022490/full |
| _version_ | 1811196872370421760 |
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| author | Sara Rowaert Marjolein De Pau Florian De Meyer Pablo Nicaise Freya Vander Laenen Wouter Vanderplasschen |
| author_facet | Sara Rowaert Marjolein De Pau Florian De Meyer Pablo Nicaise Freya Vander Laenen Wouter Vanderplasschen |
| author_sort | Sara Rowaert |
| collection | DOAJ |
| description | IntroductionDe-institutionalization of psychiatric care has greatly increased the role of family members in the recovery pathways of Persons labeled as Not Criminally Responsible (PNCR). However, the role of family members in supporting PNCR in forensic psychiatric care remains understudied. Scarce evidence indicates that PNCR have to deal with stigma and endure specific burdens (i.e., symptom-specific, financial, social, and emotional). Recovery-focused research showed that recovery in both persons with a severe mental illness and family members develop in parallel with each other and are characterized by similar helpful principles (e.g., hope and coping skills). As such, the recovery pathways of PNCR often goes hand in hand with the recovery pathway of their family members. During the family recovery process, family members often experience not being listened to or being empowered by professionals or not being involved in the decision-making process in the care trajectory of their relative. Therefore, the aim of this study is to capture how family members experience the care trajectories of their relatives, more specifically by looking at family recovery aspects and personal advocacy of family members.MethodsSemi-structured interviews were conducted with 21 family members of PNCR from 14 families. A thematic analysis confirms that family members suffer from stigma and worry significantly about the future of their relative.ResultsRegarding the care trajectory of PNCR, family members experienced barriers in multiple domains while trying to support their relative: involvement in care and information sharing, visiting procedures, transitions between wards, and the psychiatric and judicial reporting by professionals. In addition, family members emphasized the importance of (social) support for themselves during the forensic psychiatric care trajectories and of a shared partnership.DiscussionThese findings tie in with procedural justice theory as a precondition for family support and family recovery within forensic psychiatric care. |
| first_indexed | 2024-04-12T01:06:05Z |
| format | Article |
| id | doaj.art-de7f704ad1724e75843b833bd732b9e5 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-12T01:06:05Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-de7f704ad1724e75843b833bd732b9e52022-12-22T03:54:15ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-12-011310.3389/fpsyt.2022.10224901022490Voices to be heard: Understanding family perspectives in forensic care trajectoriesSara Rowaert0Marjolein De Pau1Florian De Meyer2Pablo Nicaise3Freya Vander Laenen4Wouter Vanderplasschen5Department of Special Needs Education, Ghent University, Ghent, BelgiumDepartment of Criminology, Criminal Law and Social Law, Institute for International Research on Criminal Policy (IRCP), Ghent University, Ghent, BelgiumDepartment of Special Needs Education, Ghent University, Ghent, BelgiumFaculty of Public Health, Institute of Health and Society (IRSS), Catholic University of Louvain, Brussels, BelgiumDepartment of Criminology, Criminal Law and Social Law, Institute for International Research on Criminal Policy (IRCP), Ghent University, Ghent, BelgiumDepartment of Special Needs Education, Ghent University, Ghent, BelgiumIntroductionDe-institutionalization of psychiatric care has greatly increased the role of family members in the recovery pathways of Persons labeled as Not Criminally Responsible (PNCR). However, the role of family members in supporting PNCR in forensic psychiatric care remains understudied. Scarce evidence indicates that PNCR have to deal with stigma and endure specific burdens (i.e., symptom-specific, financial, social, and emotional). Recovery-focused research showed that recovery in both persons with a severe mental illness and family members develop in parallel with each other and are characterized by similar helpful principles (e.g., hope and coping skills). As such, the recovery pathways of PNCR often goes hand in hand with the recovery pathway of their family members. During the family recovery process, family members often experience not being listened to or being empowered by professionals or not being involved in the decision-making process in the care trajectory of their relative. Therefore, the aim of this study is to capture how family members experience the care trajectories of their relatives, more specifically by looking at family recovery aspects and personal advocacy of family members.MethodsSemi-structured interviews were conducted with 21 family members of PNCR from 14 families. A thematic analysis confirms that family members suffer from stigma and worry significantly about the future of their relative.ResultsRegarding the care trajectory of PNCR, family members experienced barriers in multiple domains while trying to support their relative: involvement in care and information sharing, visiting procedures, transitions between wards, and the psychiatric and judicial reporting by professionals. In addition, family members emphasized the importance of (social) support for themselves during the forensic psychiatric care trajectories and of a shared partnership.DiscussionThese findings tie in with procedural justice theory as a precondition for family support and family recovery within forensic psychiatric care.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1022490/fullforensic psychiatryPersons labeled as Not Criminally Responsiblefamily recoverycare trajectoriesqualitative research |
| spellingShingle | Sara Rowaert Marjolein De Pau Florian De Meyer Pablo Nicaise Freya Vander Laenen Wouter Vanderplasschen Voices to be heard: Understanding family perspectives in forensic care trajectories Frontiers in Psychiatry forensic psychiatry Persons labeled as Not Criminally Responsible family recovery care trajectories qualitative research |
| title | Voices to be heard: Understanding family perspectives in forensic care trajectories |
| title_full | Voices to be heard: Understanding family perspectives in forensic care trajectories |
| title_fullStr | Voices to be heard: Understanding family perspectives in forensic care trajectories |
| title_full_unstemmed | Voices to be heard: Understanding family perspectives in forensic care trajectories |
| title_short | Voices to be heard: Understanding family perspectives in forensic care trajectories |
| title_sort | voices to be heard understanding family perspectives in forensic care trajectories |
| topic | forensic psychiatry Persons labeled as Not Criminally Responsible family recovery care trajectories qualitative research |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1022490/full |
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