Psrt 4271 the family role in rehabilitation week four
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The Family Crisis Moment The Impact of Mental Illness on Families PowerPoint PPT Presentation


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PSRT 4271: The Family Role in Rehabilitation Week Four . 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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Psrt 4271 the family role in rehabilitation week four

PSRT 4271: The Family Role in Rehabilitation

Week Four

The Family Crisis Moment The Impact of Mental Illness on Families


The family crisis moment

The Family Crisis Moment


What is a crisis roberts 2005

What is a crisis? (Roberts, 2005)

  • “…disruption of psychological homeostatis…”

  • “…usual coping mechanisms fail…”

  • “…distress and functional impairment…”


A perception bard and ellison 1974

A perception… (Bard and Ellison, 1974)

  • “…subjective reaction…”

  • “…to stressful life experience…”

  • Functioning “…seriously compromised...”


Characteristics of those in crisis

Characteristics of those in crisis

  • Threat

  • Incapacity

  • Fear

  • Discomfort

  • Disequilibrium


Crisis theory

Crisis Theory

There is such a thing…


Roberts crisis intervention model roberts 2000

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.


How people react to disability powers dell orto 2004

How people react to disability (Powers & Dell Orto, 2004)

5 determinants:

  • Triggering events

  • Severity of disability

  • Personal influences

  • Contextual influences

  • Stigma; societal reactions


Effects 8 themes power dell orto 2004

Effects: 8 “themes”(Power & Dell Orto, 2004)

  • Denial

  • Grief

  • Guilt

  • Isolation

  • Anger

  • Depression

  • Coping

  • Acceptance


Needs power dell orto 2004

Needs (Power & Dell Orto, 2004)

  • Meaning

  • Support

  • Validation

  • Information

  • Balance


Ways of coping

Ways of Coping


Providers how to help clarke windsor 2010

Providers: How to help? (Clarke & Windsor, 2010)

  • Acknowledge; connect; engage

  • Offer coping mechanisms

  • Comprehensive involvement at discharge

  • Instill hope


Impact on families

Impact on Families

(The Raft of Medusa, by Theodore Gericault, 1791–1824)


Mental illess decision elements

Mental Illess: Decision Elements

  • Medical

  • Cultural?...

  • Political?...


Stages of emotion management karp tanarugsachock 2000

Stages of “Emotion Management” (Karp & Tanarugsachock, 2000)


Overall milliken northcott 2003

Overall (Milliken & Northcott, 2003)

  • Disenfranchisement

    “When parents try to assume responsibility for an ill adult-child with schizophrenia, the law,

mental health prac-titioners, and often the ill person reject their right to do so.”


Mothers copeland heileman 2011

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


Fathers wiens daniluk 2009

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


Siblings lukens thorning lorher 2002

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


Grandparents seeman 2009

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


Redefining parental identity milliken northcott 2003

Redefining parental identity (Milliken & Northcott, 2003)

“Anticipating” Parent

Marginalization

Disenfranchised parent

“Embracing the collective”

Re-enfranchised parent

Evaluating my life

Emancipated parent


Our presentation topic

Our Presentation Topic…

Bellevue Inside Out Trailer

http://www.youtube.com/watch?v=Ojd_fsHbGl8


Our guest presenter

Our guest presenter…

Jim Romer, Monmouth County Crisis Screening Center

> 30 years of experience.

County Services Director for Monmouth Medical Center (Long Branch, NJ)

Former Director of Screening Services for Ocean County at Kimball Medical Center in Lakewood, NJ

President of the Mental Health Emergency Screening Association

NJ Certified Screener No. 1

Monmouth Youth Council.

Special interests: kids in crisis. youth suicide issues.

Bachelors of Arts from Seton Hall University.


Jim romer

Jim Romer

  • James Romer, Monmouth County Services Director, Monmouth Medical Center (Howell, Monmouth), Member, NJ SAFE Task Force

  • James Romer is a mental health professional with more than 30 years of experience. He currently serves as the Monmouth County Services Director for Monmouth Medical Center in Long Branch, New Jersey. He previously served for nearly 20 years as Director of Screening Services for Ocean County at Kimball Medical Center in Lakewood, between 1991 and 2009. Romer is President of the Mental Health Emergency Screening Association, was the first certified screener in New Jersey and serves on the Monmouth Youth Council. Romer has been proactive reaching out to law enforcement regarding issues of kids in crisis. His current work includes health screening for individuals, providing evaluations for the danger they pose to themselves or others, kids and adults alike. Romer has also experience working with school populations on youth suicide issues. He obtained his Bachelors of Arts from Seton Hall University.


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