Role of Family in Mental Health welbeing.pptx

2. Family And Mental health
wellbeing

16. • MENTAL ILLNESS AND THE FAMILY
Most people believe that mental disorders are rare and “happen to
someone else." Most families are not prepared to cope with learning
their loved one has a mental illness.
• It can be physically and emotionally trying, and can make us feel
vulnerable to the opinions and judgments of others.

17. • Having a family member with a mental illness can be very stressful.
Whether the ill person is a son, daughter, husband, wife, brother or
sister, you will be affected by their illness too.
• A person with a psychiatric disorder often needs a lot love, help and
support.At the same time, the problems, fears and behavior of your ill
relative may strain your patience and your ability to cope.

18. • How are families affected?
Many forms of mental illness first appear when the person is in their
late teens or early twenties.Whether it’s depression, an anxiety
disorder, or a less common condition such as bipolar disorder or
schizophrenia, the first episode is likely to occur when the person is
still living with their family.

19. • Even if they have moved out of home or are older, the mental illness
may not only be distressing for them, it may affect others too.
• Mental illness often has a ‘ripple effect’ on families, creating tension,
uncertainty, troubled emotions and big changes in how people live
their lives.
• Different family members are likely to be affected in different ways.
• These effects on the family are sometimes not acknowledged by
health professionals.

20. • Families may also take on the role of day-to-day care
Families may also take on the role of day-to-day care.
• This often happens with little training or support, or acknowledgment
of their own needs and mental health.
• When families are accepted as partners in care and do receive
training and support, there is strong evidence that this leads to better
outcomes for everyone involved.

21. • Sometimes families are not listened to by health professionals
Sometimes families are not listened to by health professionals. ‘Patient
confidentiality’ may be given inappropriately as a reason for this.Yet
families are often the main support for people affected by mental
illness, and have a right to be treated as ‘partners in care’.
• They need information about the illness and treatment provided, and
about training and support to help themselves as well as the person
who is ill.

22. Understanding Denial
• When mental illness first strikes, family members may deny the
person has a continuing illness.
During the acute episode family members will be alarmed by what is
happening to their loved one.
• When the episode is over and the family member returns home,
everyone will feel a tremendous sense of relief.
• Many times, particularly when the illness is a new phenomenon in the
family, everyone may believe that since the person is now doing very
well that symptomatic behavior will never return.

23. • They may also look for other answers, hoping that the symptoms were
caused by some other physical problem or external stressors that can
be removed.
• For example, some families move thinking that a "fresh start" in a new
environment will alleviate the problem.
• Sometimes, even after some family members do understand the reality
of the illness, others do not.
• Those who do accept the truth find that they must protect the ill
person from those who do not and who blame and denigrate the ill
person for unacceptable behavior and lack of achievement.

24. • This leads to tension within the family, and isolation and loss of
meaningful relationships with those who are not supportive of the ill
person.
• Families may also have little knowledge about mental illnessWithout
information to help families learn to cope with mental illness,
families can become very pessimistic about the future.
• The illness seems to control their destiny rather than the family,
(including the ill member), gaining control by learning how to
manage the illness and to plan for the future

25. Understanding Stigma
• Families are often reluctant to discuss their ill family members with
others because they do not know how people will react. After all,
myths and misconception surround mental illness.
• Family members may become reluctant to invite anyone to the home
because the ill person can be unpredictable or is unable to handle the
disruption and heightened stimulation of a number of people in the
house.
• Family members may be anxious about leaving the ill person at home
alone. They are concerned about what can happen.

26. • Understanding Frustration, Helplessness and Anxiety
It is difficult for anyone to deal with strange thinking and bizarre and
unpredictable behavior.
• It is bewildering, frightening and exhausting.Even when the person is
stabilized on medication, the apathy and lack of motivation can be
frustrating.
• Family members may have trouble understanding any difficulties the
person is having, or they may tell themselves that the person will
"snap out of it" if given time, support and encouragement.

27. • Families may become angry and frustrated as they struggle to get
back to a routine that previously they have taken for grantedFamily
life can be unsettled and unpredictable.
• It becomes very difficult, often impossible, to plan for family outings
or vacations or to have even the simplest gathering at home.
• The needs of the ill member become paramount.
• At the same time there remains the needs of other family members
and the usual problems of everyday life.

28. • Understanding Exhaustion and Burnout
Often families become worn out and discouraged dealing with a loved
one who has a mental illness.
• Having gone down many dead-end streets in an attempt to find
assistance, they may be hesitant to try another approach for fear of
another failure.
• They may feel unable to cope with living with an ill person who must
be constantly cared for.
• They feel trapped and exhausted by the stress of the daily struggle,
especially if there is only one family member

29. Understanding Grief
• One of the greatest difficulties for families in accepting any life
altering illness of a loved one is dealing with a changed future and
expectations.
• Families struggle with accepting the realities of an illness that is
treatable, but not curable.
• Families may ask why mental illness has struck this family.
• They need to know that, just as with any serious illness, there may be
no good answer.
• It is no one's fault, it is simply an illness that has struck just as cancer,
diabetes, or heart disease can strike

30. • How to deal with Mental illness in the Family
Educate yourself about the illness.
• Seek out resources.
• Have realistic expectations.
• Reach out for support.
• Work closely with your loved one’s treatment team.
• Let your loved one have control.
• Encourage them to talk to their mental health professional.

31. • Set appropriate limits.
Establish equality.
• Realize that feelings of shame and guilt are normal.
• Recognize your loved one’s courage.
• Help yourself.Be calm.Convey hope.Be an activist for the mentally ill

32. • Develop Spiritual Resources
Understand that feelings of spiritual distress are a normal reaction to
having a family member or friend struck by a life altering illness.
• Realize that other people of faith have feelings of abandonment,
frustration, anger, anxiety, helplessness, isolation and hopelessness.
• Develop your spiritual identity and resources.
• Seek help from your pastor, a pastoral counselor, or a therapist who
affirms the importance of spiritual resources

33. • Avoid placing blame and guilt
Recognize that you are a loving family member and/or friend and not
a magician.
• None of us can change anyone else, we can only be supportive of
ourselves and our loved one as each of us attempts to find ways to
manage mental illness.
• Focus on the good things that happened during each day. Realize that
we all have physical and emotional limits.
• Do not blame yourself or others if that limit is reached.

34. Look for support
• Learn to give support, praise and encouragement and learn to accept
it in return. Use a support network regularly for empathy,
reassurance, affirmation and refocusing. Attend a support group
• Seek relief from stress
Find a pleasurable place to go each day. Find a place where you can
be alone. Use it whenever you need it.Be gentle with yourself. Spend
some time away from the person with mental illness.Avoid activities
that increase your levels of tension. Inject some humor in your life

35. • Learn to gain control of your life
Learn to set limits and to make choices.
• Learn to say "no" and mean it. If you can't say "no," what is your "yes"
worth?Use the expression "I choose to" rather than "I have to," or "I
should.
• " Learn to say "I won't" rather than "can't."Take care of your own
nutritional and sleep needs.
• Establish short term and long term goals for yourself.
• You may find it helpful to keep a journal

36. • Continue outside interests
Realize that you should continue your leisure activities, your church
activities, your relationships with others, your hobbies, etc.
• Remember to find times every day, however brief, to enjoy life.Get
plenty of physical exercise.
• Learn about the illness
Learn about resources. Learn what to do if a crisis occurs

37. Research Evidence

39. Indian J Psychol Med. 2017 Jul-Aug; 39(4): 457–463.
doi: 10.4103/0253-7176.211767
PMCID: PMC5559994
PMID: 28852240
Effects of Family Structure on Mental Health of Children: A Preliminary Study
• Effects of Family Structure on Mental Health of Children: A Preliminary Study
• Aniruddh Prakash Behere,1,2 Pravesh Basnet,3 and Pamela Campbell4Author information Copyright and License information PMC Disclaimer
• Abstract
• Background:
• To find any association between family structure and rates of hospitalization as an indicator for behavior problems in children.
• Methods:
• Retrospective chart review of 154 patients who were admitted to the preadolescent unit at Lincoln Prairie Behavioral Health Center between July and
December 2012.
• Results:
• We found that only 11% of children came from intact families living with biological parents while 89% had some kind of disruption in their family structure.
Two-third of the children in the study population had been exposed to trauma with physical abuse seen in 36% of cases. Seventy-one percent had reported
either a parent or a sibling with a psychiatric disorder. Children coming from biologically family were less likely to have been exposed to trauma. Children
coming from single/divorced families were less likely to have been exposed to sexual abuse but more likely to have a diagnosis of attention deficit hyperactivity
disorder (ADHD) compared to other types of families. Strong association was found between exposure to trauma and certain diagnoses in respect to
hospitalization. ADHD predicted a 4 times likelihood of having more than one previous hospitalization, with mood disorder, oppositional defiant disorder, and
physical abuse increasing the risk by more than twice.
• Conclusions:
• Significant differences in family structure were demonstrated in our study of children being admitted to inpatient psychiatric hospitalization. The presence of
trauma and family psychiatric history predicted higher rates of readmission. Our study highlighted the role of psychosocial factors, namely, family structure and
its adverse effects on the mental well-being of children.