MASTER Conference PowerPoint slides Final.pptx

Whole Family Mental Health and Recovery:
Building Practice, Policy and Research
in the Community Conference Dublin 3rd September 2024

1. Whole Family Mental Health and Recovery: Building Practice, Policy and Research in the Community

2. Shauna Diamond National Programme Lead Head of Operations Family Resource Centre National Forum Fergal Landy CEO of the Family Resource Centre National Forum Your MCs for the Day

3. # FamilyMentalHealth Network: CAI Public Username: caiguest Password: S3cur3K3y$

4. Conference Steering Committee Kerry Cuskelly Professor Sinéad McGilloway Michael John Norton Gina Delaney Mary O’Connell Gannon Sushil Teji Dr Christine Mulligan Sharon Maher

5. Michael Ryan Director, HSE Office of Mental Health Engagement and Recovery (MHER) Professor Linda Connolly Director of the Maynooth University Social Sciences Institute Opening Speakers

6. Professor Sinéad McGilloway Founder Director, Centre for Mental Health and Community Research, Maynooth University Department of Psychology & Social Sciences Institute Brief introduction to the PRIMERA Project: A focus on lived experience

7. Background to the PRIMERA Project

8. WORK PCKAGES Explore current service provision and supports in Ireland (2017-2018) Identify, help to implement and evaluate a family-focused intervention for families where a parent has mental health challenges Help to promote a whole-family care delivery agenda in Ireland Project Aims

9. Evidence-based 6-8 week programme (1-hour sessions) Strengths-based, psycho-educational Whole-family approach Suitable for all mental health challenges Free online training (10-hrs) and resources ( https://learning.emergingminds.com.au/course/family-talk ) Adopted as part of state/national initiatives in US, Australia, Scandinavia Family Talk Early Intervention Foundation Guidebook https://guidebook.eif.org.uk/files/pdfs/programmes-programme-4.pdf

10. What we did

11. Significant improvements in family relationships Improved child behaviour Better parent & child mental health Very good VfM -> €415 per family (non-recurring) Reduced stigma Giving children and partners a voice Family experiences (RCT and Process Evaluation) “ I felt like the course has helped quite a lot. Family life has got a lot easier. We're not arguing as much, we're not shouting. It's just easier to talk to people now.” (16 year-old child) “There was nobody out there for me or the kids… I can't compliment it enough. It's just the best thing that happened.”  (Partner) “ I did not realise my eldest was being bullied for two years. He kept it to himself because he worried about me killing myself.” (Parent)

12. Thank you [email protected] https://cmhcr.eu

13. Professor Camilla Lauritzen Professor of Educational Science, Arctic University of Norway (UiT) A Family-Focused Approach in Mental Health Services: The Norway Experience

14. Family focus in mental health services – experiences from Norway. Camilla Lauritzen Professor UiT – Arctic University of Norway

15. § 10 a - The modified Health Personnel Act Mandatory for health professionals to identify if patients have children and to provide information and necessary support for children under 18 years who have parents that receive health care for mental illness, substance abuse disorders or serious somatic illness or injury.

16. Transgenerational transmission of mental health It runs in the family Children of parens with mental health disorders are likely to develop problems themselves. Lorem ipsum dolor sit amet, nibh est. A magna maecenas, quam.

17. Powerful risk-factor with a potential of serious impact for the children. Parental mental illness as a risk factor Lorem ipsum dolor sit amet, nibh est. A magna maecenas, quam. Parental mental illness is associated with many adversities for children

18. Transgenerational transmission of mental health Parental mental disorders Child mental health issues

19. Breaking the cycle: 3 areas of interest 01 02 03 Prevention

20. Prevention framework Indicated prevention . symptoms of mental disorder, however not defined as treatment. 03 Selective prevention . high-risk groups. 02 Universal prevention the general population. . 01 Mrazek and Haggerty; “Reducing risks for mental disorders”.

21. Breaking the cycle: 3 areas of interest 01 02 03 Strengthening parenting

22. Breaking the cycle: 3 areas of interest 01 02 03 Family oriented services

23. Family focused approach to break the cycle 01 02 Family oriented services Strengthening parenting Prevention

24. What about the genetics of mental disorders?

25. Break the stigma

26. Talk about parenting

27. Knowledge is essential!

28. Child Talks intervention

29. Tha aims of the Child Talks+

30. Manual Child Talks+ is available here: UiT_RKBU-Nord_A4_manual_ENG_web.pdf

31. Building the evidence-base Effect study in the Check republic, showing an increase in parental sense of competence and improved outcomes for children. Effect study in Norway, currently recruiting new hospitals and families for participation.

32. 4 main areas of interest from our research 1 Policy and resources Facilitators and barriers 2 Implementing new routines Interventions and tools 3 Knowledge transfer Training and education 4 sustainability Monitoring and building evidence

33. 1 Policy and resources Facilitators and barriers 2 Stigma, lack of resources, and insufficient training for professionals. barriers 1 Effective communication, family involvement, and supportive policies. Facilitators

34. 2 Implementing new routines Interventions and tools 3 Resistance, need for interprofessional collaboration challenges 2 Tailored support interventions 1 Importance of early identification identification

35. 3 Knowledge transfer Training and education 2 Improved outcomes for children, increased awareness among professionals Indicators of success 1 Training programs, workshops, continuous education Effective strategies

36. 4 sustainability Monitoring and building evidence 1 Regular follow-ups, monitor fidelity. evaluate 2 Are the interventions effective and feasible? evidence

37. Key areas for creating family focused services 1 Policy and resources Facilitators: Effective communication, family involvement, and supportive policies. Hindrances: Stigma, lack of resources, and insufficient training for professionals. Facilitators and barriers 2 Implementing new routines Interventions and tools Identification and Support: Importance of early identification and tailored support for children. Challenges: Resistance to change, need for inter-professional collaboration. 3 Knowledge transfer Training and education Effective Strategies: Training programs, workshops, and continuous education. Indicators of Success: Improved outcomes for children, increased awareness among professionals. 4 sustainability Monitoring and building evidence Five-Year Follow-Up Study: Positive impact of sustained support on children’s well-being. Recommendations: Regular follow-ups, integrated care models.

38. Development takes time Prepare Management and policies, structures new practice Identify essential staff

39. Development takes time Prepare Management and policies, structures new practice Identify essential staff Planning Distribute roles Budgets Make timelines Recruit Educate/train Inform Plan eveluations

40. Development takes time Prepare Management and policies, structures new practice Identify essential staff Planning Distribute roles Budgets Make timelines Recruit Educate/train Inform Plan eveluations Implement Start new practice Intervention Carry out plans

41. Development takes time Prepare Management and policies, structures new practice Identify essential staff Planning Distribute roles Budgets Make timelines Recruit Educate/train Inform Plan eveluations Implement Start new practice Intervention Carry out plans Keep going Monitor how it’s going Adjust if necessary

42. 5 tips for family focused services Identify facilitators and barriers for practice change Choose interventions according to population and organization needs Invest in education and training for practirioners Monitor process of change and look to implementation science for successful strategies Build evidence-base: are we doing what is best for the families.

43. A family-focused practice can facilitate better child outcomes Parental mental illness is considered a powerful risk factor with the potential for serious impact on children Camilla Lauritzen [email protected]

44. References Kristensen, Kjersti Bergum.  Family focus in mental health and social services for adults: Supporting minor children of parents in challenging life situations.   Doctoral thesis . 2023-11-30. Kristensen, K.B., Lauritzen, C., Handegård, B.H., Reedtz, C. (2023). Parents with a mental illness and their sense of parenting competence. Advances in mental health. Farářová, A., Papezova , H., Gricová, J., Štěpánková, T., Čapek, V., Reedtz, C., Lauritzen, C., & van Doesum, K. (2022). ChildTalks +: a study protocol of a pre-post controlled, paired design study on the use of preventive intervention for children of parents with a mental illness with focus on eating disorders. BMC Psychiatry 2022 ; Volum 22.(1) Kjersti Bergum Kristensen   , Camilla Lauritzen   , Charlotte Reedtz Support for Children of Parents With Mental Illness: An Analysis of Patients' Health Records , Front Psychiatry. 2022 Mar 9;13:778236. doi : 10.3389/fpsyt.2022.778236. eCollection 2022. Reedtz C, Jensaas E, Storjord T, Kristensen KB, Lauritzen C. Front Psychiatry.  Identification of Children of Mentally Ill Patients and Provision of Support According to the Norwegian Health Legislation: A 11-Year Review. Vis, S.A., Lauritzen, C., Christiansen, Ø., Reedtz, C. (2021). Do the child welfare and protection services involve children in cases with parental mental health problems? A Norwegian case-file study . Frontiers in Psychiatry 2022 ;Volum 12:784022. Vis, S.A., Lauritzen, C., Havnen, K.J.S., Reedtz, C., Handegård, B.H. (2022). Concerns of Parental Substance Abuse and Mental Health Problems Reported to Child Welfare Services—Testing a Moderated Mediation Model for Paths From Reports to Substantiated Concern and Service Provision. Frontiers in Psychiatry. Kristensen, K.B., Lauritzen, C., & Reedtz, C. (2021). Child-focused practice in social services for adults in Norway. Journal of Social Work Reedtz, C., Jensaas , E., Storjord , T., Kristensen, K.B., Lauritzen, C. (2021). Identification of Children of Mentally Ill Patients and Provision of Support According to the Norwegian Health Legislation: A 11-Year Review. Frontiers in Psychiatry 2021 ;Volum 12. s. 1-9

45. References continued … Reedtz, C., Lauritzen, C., van Doesum, K. (2021). Child Talks+: A New Intervention to Support Families Affected by Parental Mental Illness. Journal of Parent and Family Mental Health 2021 Reupert , A., Bee, P., Hosman , C.M.H., van Doesum, K. Drost, L.M., Falkov , A., Foster, K., Gatsou , L., Gladstone , B., Goodyear, M., Grant, A., Grove, C., Isobel , S., Kowalenko , N., Lauritzen, C., Maybery , D., Mordoch , E., Nicholson, J., Reedtz, C., Solantaus , T., Stavnes, K.A., Weimand , B.M., Yates , S., Ruud, T. (2021). Editorial Perspective: Prato Research Collaborative for change in parent and child mental health – principles and recommendations for working with children and parents living with parental mental illness. Journal of Child Psychology and Psychiatry. Van Doesum, K., Maia, T., Pereira, C., Loureiro, M., Marau , J., Toscano, L., Lauritzen, C., Reedtz, C. (2019). The Impact of the “ Semente ” Program on the Family-Focused Practice of Mental Health Professionals in Portugal. Frontiers in Psychiatry 2019 ;Volum 10. Reedtz, C., van Doesum, K., Signorini , G. Lauritzen, C., van Amelsvoort , T., van Santvoort , F., Young, A.H., Conus , P., Musil, R., Schulze , T., Berk , M., Stringaris , A., Piché, G., de Girolamo , G. (2019). Promotion of Wellbeing for Children of Parents With Mental Illness: A Model Protocol for Research and Intervention. Frontiers in Psychiatry 2019 ;Volum 10. Reedtz, C., Lauritzen, C., Støver, Y.V., Freili , J., & Rognmo, K. (2019). Identification of Children of Parents With Mental Illness: A Necessity to Provide Relevant Support. Frontiers in Psychiatry 2019 ;Volum 9.

46. References continued … Lauritzen, C., Kolmannskog , A.B., Iversen, A.C. (2018). Family assessment conversations as a tool to support families affected by parental mental illness: a retrospective review of electronic patient journals. International Journal of Mental Health Systems 2018 ;Volum 12:18. s. 1-9 Lauritzen, C., Reedtz, C., Rognmo, K., Nilsen, M.A., Walstad, A. (2018). Identification of and Support for Children of Mentally Ill Parents: A 5 Year Follow-Up Study of Adult Mental Health Services. Frontiers in Psychiatry 2018 ;Volum 9. Van Doesum, K., Riebschleger , J., Carroll, J., Grove, C., Lauritzen C., Mordoch , E., & Skerfving , A. (2016). Successful recruitment strategies for prevention programs targeting children of parents with mental health challenges: An international study'.  Child and Youth Services. Lauritzen, C., & Reedtz, C. (2016). Child responsible personnel in adult mental health services. International Journal of Mental Health Systems 2016 Lauritzen, C., & Reedtz, C. (2016). Adult mental health services and the collaboration with child protection services. Journal of Hospital Administration 2016 ;Volum 5.(5) s. 72-78 Lauritzen, Camilla; Reedtz, Charlotte. Knowledge transfer in the field of parental mental illness: objectives, effective strategies, indicators of success, and sustainability. International Journal of Mental Health Systems 2015; Volum 9 (1). ISSN 1752-4458.s doi :  10.1186/1752-4458-9-6 . Lauritzen, C. (2014). Implementing interventions in adult mental health services to identify and support children of mentally ill parents. A dissertation for the degree of philosophiae doctor. Tromsø , Norge: UiT - Norges Arktiske Universitet (ISBN 978-82-7589-430-2) 120 s. Lauritzen, Camilla; Reedtz, Charlotte; van Doesum, Karin; Martinussen, Monica. Factors that may Facilitate or Hinder a Family-focus in the Treatment of Parents With a Mental Illness. Journal of Child and Family Studies 2014. ISSN 1062-1024.s doi :  10.1007/s10826-013-9895-y . Lauritzen, Camilla; Reedtz, Charlotte; van Doesum, Karin; Martinussen, Monica. Implementing new routines in adult mental health care to identify and support children of mentally ill parents. BMC Health Services Research 2014; Volum 14. ISSN 1472-6963.s doi :  10.1186/1472-6963-14-58 .

47. A family-focused practice can facilitate better child outcomes Parental mental illness is considered a powerful risk factor with the potential for serious impact on children Camilla Lauritzen [email protected]

48. Mary Butler Minister for Mental Health and Older People Opening Address

49. Tea & Coffee are now being served on Level One 11.20 – 11.30am

50. Mary Donaghy Dr Gráinne Fadden Ger Brophy Robert Dervin Nicola Byrne Dr Anne Cullen Ber Grogan Mary G Killion Panel Discussants

51. Paula Callaghan The L ived Experience of Family Mental Health and Recovery Person, parent, family member, ‘accidental’ advocate

52. Include families so that they can support their loved ones

53. Real Interagency working No more “them and us”

54. Acknowledge and address the lack (Non-Existence) of services for Neurodivergent people

55. “NO WRONG DOOR” Inclusion of family throughout all stages of a person’s journey Peer Networks / Encourage connections across systems KEY TAKEAWAY

56. 13.00 – 14.00pm Lunch is now being served on Level One

57. David McDaid Associate Professorial Research Fellow in Health Policy and Health Economics London School of Economics. The Economic Case for Implementing Family-Focused Practice and Promoting Family Recovery in Mental Health Services

58. Mary O’Connell Gannon Mayo Mental Health Family Peer Support Service Family Peer Support Video : An Introduction

59. Family Peer Support

60. W ORKSHOP 1: Family Recovery - with policy in ‘MIND’ Mary Donaghy & Sharon Maher  The Valencia WORKSHOP 2 : ‘ The challenges of implementing family-focused practice in Adult Mental Health Services’ Mary G Killion, Professor Sinéad McGilloway & Fran MacKiever The Lambay WORKSHOP 3: ‘ Providing peer support for families to promote recovery’ Michael Norton & Mary O’Connell Gannon The Tory WORKSHOP 4: ‘ The use & understanding of language in the context of family mental health and recovery’ Gina Delaney & Kerry Cuskelly The Rathlan WORKSHOP 5 : ‘ The importance of perinatal mental health in a whole-family context’ Dr Gráinne Fadden & Cherly O’Hara The Aran

61. Dervila Eyres Assistant National Director Head of Operations, HSE Mental Health Closing Remarks

62. We want to hear from you!

63. Whole Family Mental Health & Recovery: Building Practice, Policy and Research in the Community