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Effects of Restorative Family Circles on People with Mental Illness and Their Families

정신질환자와 가족을 위한 회복적 가족서클 프로그램의 효과

  • Received : 2022.09.28
  • Accepted : 2023.02.14
  • Published : 2023.04.30

Abstract

Purpose: This study aimed to investigate the effects of restorative family circles (RFCs) on empowerment and family support for people with mental illness, and the belief system and caring experience of their families. Methods: This study used a quasi-experiment with a non-equivalent control group pretest-posttest non-synchronized design. Ninety-two dyads of patient-family caregivers were recruited using convenience sampling and assigned to the experimental and control groups. The subjects of the experimental group participated in RFCs consisting of eight 90-minute sessions. Data were collected at three different times (pretest, posttest, follow-up test) and analyzed for the effects of RFC using the 𝑥2 test, Fisher's exact test, Mann-Whitney U test for homogeneity between groups, and generalized estimating equation models. Results: The findings of this study showed that there were significant differences in the family support for people with mental illness between the pretest and follow-up test, and also in the belief system and caring experience of the family between the pretest and posttest. Conclusion: This study revealed that family interventions based on restorative justice emphasizing community-driven conflict management could be used in psychiatric mental health nursing care for fostering a cohesive family relationship.

Keywords

Acknowledgement

이 성과는 2017년도 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No.2017R1A2B1010925).

References

  1. Aass, L. K., Skundberg-Kletthagen, H., Schroder, A., & Moen, O. L. (2020). Young adults and their families living with mental illness: Evaluation of the usefulness of family-centered support conversations in community mental health care settings. Journal of Family Nursing, 26(4), 302-314. https://doi.org/10.1177%2F1074840720964397 https://doi.org/10.1177%2F1074840720964397
  2. Bae, S., Kim, Y. Y., Hoe, M., Park, B., & Jin, H. (2013). The effectiveness of family psychoeducation program for the mentally ill and their relatives. Journal of Social Science, 24(4), 295-314.
  3. Baumann, A. E. (2010) Empowerment in mental health-A partnership project of the WHO regional office for Europe and the European commission [Fact sheet]. Retrieved April 10, 2022 from https://www.euro.who.int/_data/assets/pdf_file/0009/128088/Factsheet_MNH_Empowerment.pdf
  4. Bradstreet, S., Dodd, A., & Jones, S. (2018). Internalised stigma in mental health: an investigation of the role of attachment style. Psychiatry Research, 270, 1001-1009. https://doi.org/10.1016/j.psychres.2018.03.047
  5. Bredewold, F., & Tonkens, E. (2021). Understanding successes and failures of family group conferencing: An in-depth multiple case study. British Journal of Social Work, 51(6), 2173-2190. https://doi.org/10.1093/bjsw/bcab062
  6. Campos, L., Cardoso, C. M., & Marques-Teixeira, J. (2019) The paths to negative and positive experiences of informal caregiving in severe mental illness: A study of explanatory models. International Journal of Environmental Research and Public Health, 16(19), 3530. https://doi.org/10.3390/ijerph16193530
  7. Choi, M., Lee, K., & Eom, T. (2006). Differences in empowerment and the quality of life among the users of the mental health service settings in Korea. Mental Health & Social Work, 24, 94-124.
  8. de Jong, G., Schout, G., & Abma, T. (2018). Understanding the process of family group conferencing in public mental health care: A multiple case study. The British Journal of Social Work, 48(2), 353-370. https://doi.org/10.1093/bjsw/bcx037
  9. Evanovich, L. L., Martinez, S., Kern, L., & Haynes Jr, R. D. (2020). Proactive circles: A practical guide to the implementation of a restorative practice. Preventing School Failure: Alternative Education for Children and Youth, 64(1), 28-36. https://doi.org/10.1080/1045988X.2019.1639128
  10. Han, J. Y., & Park, E. J. (2020). The self-help group experiences of family members of an adult with a mental illness. Mental Health & Social Work, 48(2), 92-121. https://doi.org/10.24301/MHSW.2020.06.48.2.92
  11. Han, Y. R., Yang, S. J., Ham, O. K., Lee, G., Kim, S. H., & Ha, J. Y. (2020). Community care and visiting nursing services in Denmark, Sweden, the United States, and Japan. Journal of Korean Public Health Nursing, 34(1), 5-21. https://doi.org/10.5932/JKPHN.2020.34.1.5
  12. Johansen, S. (2014). Psycho-social processes and outcomes of family group conferences for long-term social assistance recipients. The British Journal of Social Work, 44(1), 145-162. https://doi.org/10.1093/bjsw/bcs100
  13. Kang, H. S. (1984). Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. Yonsei University. Doctoral dissertation.
  14. Kim, H., & Kim, S. (2019). The effect of Korean mindfulness-based stress reduction program on perceived stress and depression for mothers of children and adolescents with a mental disorder. Perspectives in Nursing Science, 16(2), 65-74. https://doi.org/10.16952/pns.2019.16.2.65
  15. Kim, N., Je, C., & Choi, K. (2020). Current status and future directions for community mental health services after the amended Mental Health Welfare Act in South Korea. Korean Journal of Psychology: General, 39(1), 1-26. https://doi.org/10.22257/kjp.2020.3.39.1.1
  16. Kwon, O. Y., Oh, H. S., Kim, M., Choi, H. S., Park, I. H., Kim, H. S., et al. (2019). Survey on the residence and treatment of community with mental disabilities, 2018. (No.11-1620000-000724-01), Seoul: National Human Rights Commission of Korea.
  17. Mercado, M., Fuss, A. A., Sawano, N., Gensemer, A., Brennan, W., McManus, K., Dixon, L. B., Haselden, M., & Cleek, A. F. (2016). Generalizability of the NAMI family-to-family education program: Evidence from an efficacy study. Psychiatric Services, 67(6), 591-593. https://doi.org/10.1176/appi.ps.201500519
  18. Paik, S. (2020). Review of group family psychoeducation for schizophrenia and recommendation of program applicable to Korean situation. Journal of Korean Neuropsychiatric Association, 59(3), 215-227. https://doi.org/10.4306/jknpa.2020.59.3.215
  19. Park, S. Y. (2018). A guidebook for restorative circles. Nonsan:Daejanggan.
  20. Ramon, S. (2021). Family group conferences as a shared decision-making strategy in adults mental health work. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2021.663288
  21. Reupert, A., Maybery, D., Cox, M., & Stokes, E. S. (2015). Place of family in recovery models for those with a mental illness. International Journal of Mental Health nursing, 24(6), 495-506. https://doi.org/10.1111/inm.12146
  22. Schout, G., van Dijk, M., Meijer, E., Landeweer, E., de Jong G. (2017). The use of family group conferences in mental health: Barriers for implementation. Journal of Social Work, 17(1), 52-70, https://doi.org/10.1177/1468017316637227
  23. Shin, M. S., & Kim, K. S. (2013). A study on the functional level of the mentally disabled and the satisfaction level of main supporting family members life. Journal of Family Relations, 18(3), 91-112.
  24. Son, G., Wykle, M. L., & Zausniewski, J. A. (2003). Korean adult child caregivers of older adults with dementia: Predictors of burden and satisfaction. Journal of Gerontological Nursing, 29(1), 19-28. https://doi.org/10.3928/0098-9134-20030101-09
  25. Thomas, E. C., Bilger, A., Wilson, A. B., & Draine, J. (2019). Conceptualizing restorative justice for people with mental illnesses leaving prison or jail. American Journal of Orthopsychiatry, 89(6), 693-703. https://doi.org/10.1037/ort0000316
  26. Wciorka, J., Switaj, P., & Anczewska, M. (2015). The stages of recovery in relation to the other subjective and objective aspects of psychosis. Psychiatry Research, 225(3), 613-618. https://doi.org/10.1016/j.psychres.2014.11.036
  27. Wong, Y. L. I., Kong, D., Tu, L., & Frasso, R. (2018). My bitterness is deeper than the ocean: Understanding internalized stigma from the perspectives of persons with schizophrenia and their family caregivers. International Journal of Mental Health Systems, 12(1), 1-15. https://doi.org/10.1186/s13033-018-0192-4
  28. Ye, J. G. (2018). A study on the effectiveness of program for psychological emotional empowering on mental disabled's families. Journal of Social Work Counseling, 2(1), 53-70.
  29. Yi, J. (2021). Definition of 'Person with mental illness' in Mental Health Policy since 1995: Connotative meaning and denotative changes. Society and History, 132, 289-331. https://doi.org/10.37743/SAH.132.8
  30. Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42(1), 121-130. https://doi.org/10.2307/2531248