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The Family Crisis Moment The Impact of Mental Illness on Families

PSRT 4271: The Family Role in Rehabilitation Week Four (June 21, 2012). The Family Crisis Moment The Impact of Mental Illness on Families. The Family Crisis Moment. What is a crisis? (Roberts, 2005). “…disruption of psychological homeostatis …” “…usual coping mechanisms fail…”

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The Family Crisis Moment The Impact of Mental Illness on Families

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  1. PSRT 4271: The Family Role in Rehabilitation Week Four (June 21, 2012) The Family Crisis Moment The Impact of Mental Illness on Families

  2. The Family Crisis Moment

  3. What is a crisis? (Roberts, 2005) • “…disruption of psychological homeostatis…” • “…usual coping mechanisms fail…” • “…distress and functional impairment…”

  4. A perception… (Bard and Ellison, 1974) • “…subjective reaction…” • “…to stressful life experience…” • Functioning “…seriously compromised...”

  5. Characteristics of those in crisis • Threat • Incapacity • Fear • Discomfort • Disequilibrium

  6. Crisis Theory There is such a thing…

  7. Roberts’ Crisis Intervention Model(Roberts, 2000) 7. Follow up. 6. Make an action plan. 5. Explore alternatives. 4. Deal with feelings. 3. Identify major problems. 2. Establish rapport. 1. Assess lethality.

  8. How people react to disability (Power & Dell Orto, 2004) 5 determinants: • Triggering events • Severity of disability • Personal influences • Contextual influences • Stigma; societal reactions

  9. Effects: 8 “themes”(Power & Dell Orto, 2004) • Denial • Grief • Guilt • Isolation • Anger • Depression • Coping • Acceptance

  10. Needs (Power & Dell Orto, 2004) • Meaning • Support • Validation • Information • Balance

  11. Ways of Coping

  12. Providers: How to help? (Clarke & Windsor, 2010) • Acknowledge; connect; engage • Offer coping mechanisms • Comprehensive involvement at discharge • Instill hope

  13. Impact on Families (The Raft of Medusa, by Theodore Gericault, 1791–1824)

  14. Mothers (Copeland & Heileman, 2011) • Feelings • Powerless, voiceless, anxious, frustrated, isolated, tired, desperate, trapped, guilty, worried, scared, sad, grief, confused • “Internal factors” • Sense of safety • Perception of care ability • Contingencies and consequences • Maternal love and obligations

  15. Fathers (Wiens & Daniluk, 2009) • Reflection on roles • Devastation and vulnerability • Sadness and loss • Frustration with the system • Admiration for the child • Personal growth and learning

  16. Siblings (Lukens, Thorning & Lorher, 2002) One step removed… • Reactions to illness • Strategies for coping • Whether, how to intervene? • Setting limits? • Resentment, anger, hopeless? • Efforts to obtain services • Wish for validation • Efforts to help themselves

  17. Grandparents (Seeman, 2009) What happens when ill child has children? • Custodial, co-resident, nonresident… • Child’s exposure to mother’s illness • Financial impact • Isolation • Role conflicts • Divided loyalties

  18. Our Presentation Topic… Bellevue Inside Out Trailer http://www.youtube.com/watch?v=Ojd_fsHbGl8

  19. Our guest presenter… Ravi Maharahj, Middlesex County Crisis Screening Center

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