Family-inclusive approaches to reablement in mental health: models, mechanisms and outcomes
This paper reports on a national study of ‘whole-family’ models of practice—and how these may (or may not) contribute to the reablement of people with mental health difficulties. Using a capabilities-based perspective, it is argued that, within the context of mental health, reablement may best be de...
| Main Authors: | , , , |
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| Format: | Journal article |
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Oxford University Press
2016
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| _version_ | 1797094787876126720 |
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| author | Tew, J Nicholls, V Plumridge, G Clarke, H |
| author_facet | Tew, J Nicholls, V Plumridge, G Clarke, H |
| author_sort | Tew, J |
| collection | OXFORD |
| description | This paper reports on a national study of ‘whole-family’ models of practice—and how these may (or may not) contribute to the reablement of people with mental health difficulties. Using a capabilities-based perspective, it is argued that, within the context of mental health, reablement may best be defined in terms of empowerment and social participation. Framed within a realist evaluation methodology, the study employs a comparative case study design to explore the relationships between contexts of intervention, mechanisms of change and the achievement (or otherwise) of reablement outcomes. Four distinct practice approaches in current use were examined: Systemic Family Therapy, Behavioural Family Therapy, Family Group Conferencing and an Integrated Systemic/Behavioural approach. Using a sample of twenty-two families, separate interviews were undertaken with service users, family members and practitioners, and narrative accounts were triangulated with scaled responses to scorecard questions. From an analysis of these data, heuristic models of change are derived for each approach. From this, a composite schema is developed that charts how, with different starting points and routes, engaging with whole families may lead to the construction of a secure and empowering base from which service users may reconnect with wider social worlds. |
| first_indexed | 2024-03-07T04:18:50Z |
| format | Journal article |
| id | oxford-uuid:ca53d841-67c6-42f0-90d8-3fd6ee68cce4 |
| institution | University of Oxford |
| last_indexed | 2024-03-07T04:18:50Z |
| publishDate | 2016 |
| publisher | Oxford University Press |
| record_format | dspace |
| spelling | oxford-uuid:ca53d841-67c6-42f0-90d8-3fd6ee68cce42022-03-27T07:06:32ZFamily-inclusive approaches to reablement in mental health: models, mechanisms and outcomesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ca53d841-67c6-42f0-90d8-3fd6ee68cce4Symplectic Elements at OxfordOxford University Press2016Tew, JNicholls, VPlumridge, GClarke, HThis paper reports on a national study of ‘whole-family’ models of practice—and how these may (or may not) contribute to the reablement of people with mental health difficulties. Using a capabilities-based perspective, it is argued that, within the context of mental health, reablement may best be defined in terms of empowerment and social participation. Framed within a realist evaluation methodology, the study employs a comparative case study design to explore the relationships between contexts of intervention, mechanisms of change and the achievement (or otherwise) of reablement outcomes. Four distinct practice approaches in current use were examined: Systemic Family Therapy, Behavioural Family Therapy, Family Group Conferencing and an Integrated Systemic/Behavioural approach. Using a sample of twenty-two families, separate interviews were undertaken with service users, family members and practitioners, and narrative accounts were triangulated with scaled responses to scorecard questions. From an analysis of these data, heuristic models of change are derived for each approach. From this, a composite schema is developed that charts how, with different starting points and routes, engaging with whole families may lead to the construction of a secure and empowering base from which service users may reconnect with wider social worlds. |
| spellingShingle | Tew, J Nicholls, V Plumridge, G Clarke, H Family-inclusive approaches to reablement in mental health: models, mechanisms and outcomes |
| title | Family-inclusive approaches to reablement in mental health: models, mechanisms and outcomes |
| title_full | Family-inclusive approaches to reablement in mental health: models, mechanisms and outcomes |
| title_fullStr | Family-inclusive approaches to reablement in mental health: models, mechanisms and outcomes |
| title_full_unstemmed | Family-inclusive approaches to reablement in mental health: models, mechanisms and outcomes |
| title_short | Family-inclusive approaches to reablement in mental health: models, mechanisms and outcomes |
| title_sort | family inclusive approaches to reablement in mental health models mechanisms and outcomes |
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