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Subject: search.filters.subject.Families of the mentally ill

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    "Becoming the spoke in the wheel" : Wraparound and the Theory of Change : an investigation into what promotes changes within Wraparound : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University, Wellington, New Zealand
    (Massey University, 2017) McNatty, Grace Ellexandra Dunnachie
    The aim of the present study was to explore the changes that young people with high and complex needs and their families’ experience through involvement with a Wraparound process. Also, to investigate if these changes aligned with those proposed by the Wraparound Theory of Change (WTOC; Walker, 2008). While there has been qualitative work done within the area of Wraparound, few studies have adopted Interpretative Phenomenological Analysis. Further, little Wraparound work has been done within the context of Aotearoa New Zealand. Finally, the WTOC is yet to be assessed and thus remains a theory. A fidelity measure was administered, and semi-structured interviews took place with five young people and six caregivers at the New Zealand Wraparound Program (NZWP) in the ‘plan implementation and refinement’ (third) phase of Wraparound. Analysis indicated NZWP families reported experiencing changes in the areas of family connectedness, psychological acceptance, self-efficacy, and supports. These findings were related to the pathways to change proposed by the WTOC which include (1) enhanced effectiveness of services and supports, individually and as a “package” leading to increased commitment to engage with services and (2) increased resources and capacity for coping, planning and problem-solving. Findings suggest the WTOC is accurate in its predictions for how changes come about for families involved in a Wraparound process. Such research supports future Wraparound refinement and evaluation. Additional international qualitative longitudinal research exploring change is required with young people and caregivers involved in Wraparound.
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    Exploring the relationship between mental health professionals and family caregivers, who care for 18-30 year olds, diagnosed with a serious mental illness, in two district healthe board areas of NZ : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Rehabilitation at Massey University
    (Massey University, 2004) Nicholls, Elizabeth A
    Despite compelling evidence of benefits for mentally ill family members when there is a working relationship between mental health professionals (MHPs) and family caregivers (FCGs), international and New Zealand literature has continued to reveal that the relationship is fraught with difficulties. Although there have been a number of international studies exploring the relationship from the family caregiver perspective there have been few international studies and no New Zealand studies conducted that have explored the MHPs perspective of this relationship. Therefore the purpose of this research was to explore this relationship from the FCG's perspective and the MHP's perspective. In-depth interviews were conducted with six FCGs and seven MHPs, one of whom was also a FCG, from two North Island District Health Board areas. Four MHP themes and five FCG themes were identified which highlight a significant chasm that exists between the MHP's intention to build a relationship with the FCG, and the FCG's experience of the nature of this relationship. These findings are discussed and recommendations are made to bridge this chasm for the benefit of FCGs and MHPs, but ultimately the person with the mental illness.