The Family Options Project reflects a productive partnership between researchers and providers at the UMMS Center for Mental Health Services Research and Employment Options, Inc., Marlborough, MA The Family Options Intervention is an evidence-informed psychiatric rehabilitation intervention, developed and tested within the context of a community-based agency setting

Aaker, Elizabeth A.

Albert, Karen

Biebel, Kathleen

Gershenson, Bernice

Nicholson, Joanne

Warren, Brenda

Williams, Valerie F.

Woolsey, Katherine

English

eScholarship@UMMS

University of Massachusetts Medical School eScholarship@UMMS Implementation Science and Practice Advances Research Center Publications Psychiatry 2007 The Family Options Project: Implementing an Innovative Intervention for Parents with Mental Illnesses and Their Families Joanne Nicholson University of Massachusetts Medical School Et al. Let us know how access to this document benefits you. Follow this and additional works at: https://escholarship.umassmed.edu/psych_cmhsr  Part of the Community Health and Preventive Medicine Commons, Health Services Research Commons, Psychiatric and Mental Health Commons, Psychiatry Commons, and the Psychiatry and Psychology Commons Repository Citation Nicholson J, Biebel K, Williams VF, Aaker EA, Albert K, Gershenson B, Warren B, Woolsey K. (2007). The Family Options Project: Implementing an Innovative Intervention for Parents with Mental Illnesses and Their Families. Implementation Science and Practice Advances Research Center Publications. Retrieved from https://escholarship.umassmed.edu/psych_cmhsr/638 This material is brought to you by eScholarship@UMMS. It has been accepted for inclusion in Implementation Science and Practice Advances Research Center Publications by an authorized administrator of eScholarship@UMMS. For more information, please contact Lisa.Palmer@umassmed.edu. THE FAMILY OPTIONS PROJECTJoanne Nicholson, PhD, Kathleen Biebel, PhD,Valerie Williams, MA, MS, Elizabeth Aaker, BA, Karen Albert, MS, Bernice Gershenson, MPH, Brenda Warren, & Katherine Woolsey, BAImplementing an Innovative Intervention for Parents with Mental Illnesses and Their Families Creating the Organizational Capacity:u  Coordinating Logistics & Operations u  Coordinating Communication & Meetingsu  Standardizing Methods of Operation u  Attending to Staff Performanceu  Allocating Internal ResourcesCreating the Work Force Capacity:u Finding & Hiring Staffu Educating, Training, & Coaching Staff u Considering Background & Experiences of Staffu Identifying Staff Characteristics & Skill Setsu Identifying Supervisor Characteristics & Skill SetsCreating the Community Capacity:u Identifying Community Resourcesu Identifying & Pursuing Opportunities for Sustainability      with Community Partners u Engaging & Collaborating with Community Partners u Strengthening Relationships with Community Partners u Recruiting Families in the CommunityTranslating Science to Service: u Understanding what the Family Options Intervention       looks like on a daily basis u Identifying Families’ Needs, principles of working with      Families, u Orienting Providers & Consumers to FO Intervention      Modelu Shifting Paradigm from Working with Adults to        Working with Familiesu Developing, Clarifying, & Modifying the Family Options      Intervention by Integrating FeedbackTHE PARTNERSHIP The Family Options Project reflects a productive partnership between researchers and providers at the UMMS Center for Mental Health Services Research and Employment Options, Inc., Marlborough, MA.THE INTERvENTIONThe Family Options Intervention is an evidence-informed psychiatric rehabilitation intervention, developed and tested within the context of a community-based agency setting.     Key Intervention Concepts & Processes:• Family-Centered         • Engagement & Relationship                     Building • Strengths-Based              • Empowerment  • Family-Driven & Self-Determined   • Availability & Access• Recovery & Resilience       • Liaison & AdvocacyImplementing the Family Options InterventionImplementation &  RefinementThe implementation process has involved: —  collaboration with community agency providers; —  integration of adult & child services; and —  3 Family Coaches, a Family Options Director, & Clinical Consultant,     who partner with 26 families, i.e., 26 parents with mental illnesses, 13      partners, & 56 childrenRefinement of the intervention is an iterative process involving: —  feedback from collaborating agencies; —  Continuous Quality Improvement; —  feedback of research findings; and —  program adaptationThe Implementation StudyInvolves describing the key domains of activity crucial to intervention installation, initial implementation, and full operation stages.u 100 open-ended, ethnographic interviews conducted over a 2-year period   with 19 key informants, including agency Board members, staff, & club   house members;u Nine focus groups with 3 distinct Family Options stakeholder groups including agency Board members, management team, staff, & club    house member, conducted at 3 implementation stages; andu Multiple interviews with local community providers to assess existing    services & resource gaps.The Implementation Study: Preliminary findings suggest four key domains of interest to support the Family Options Intervention:u Creating the Organizational Capacity;u Creating the Work Force Capacity:u Creating the Community Capacity; andu Translating Science to Service.The Outcomes StudyInvolves studying the experiences and outcomes of parents and children in intervention and comparison groups (“services as usual”), using maximum individualized change score approach.u Qualitative & quantitative methods;u Interviews at enrollment, 3, 6, 9 & 12 months; andu include standardized measures & open-ended interview items.u Parent & Child Outcomes:   —  Well-being (e.g., BSI, BERS-2)   —  Functioning (e.g., SF-8)   —  Supports &  Resources (e.g., MOS-SSS)u Family Outcomes:   —  Empowerment (e.g., FES)   —  Supports & Resources (e.g., FRS, FSS) Family Options Intervention Mothers (n = 22):Data at enrollment paint a picture of the multiple, complex challenges faced by families participating in the intervention.Mothers:u average age is 37.4 yearsu 77% are Whiteu 41% are married or living with a partneru 23% are employedu average education completed is 13 yearsu report an average of 2.6 children living in the homeFamily Options Intervention Mothers Report Past Experiences:u 45% ever forced to have sexu 45% ever homeless   u 55% ever witnessed family violenceu 64% ever stalkedu 77% ever emotionally abusedu 77% ever physically abusedFamily Options Intervention Mothers’ Reports of Children’s Experiences:u 24% of mothers report a child  ever being involved with police or probation u 43% of mothers report a child   ever having a psychiatric hospitalizationu 48% of mothers report a child   taking psychiatric medication in past 3 monthsu 71% of mothers report a child   ever having emotional or behavioral problemsu 81% of mothers report a child   ever having an Individualized Education PlanNext Stepsu Enhance and solidify the Family Options intervention in a well-     articulated, comprehensive standard operating procedures document     that will facilitate replication and further testing of the intervention. u Continue to collect and analyze data through 2007 and, potentially,      into 2008.u Disseminate research findings.Family Options Intervention Mothers Report:u first mental health problems at an average age of 17.5 yearsu their primary diagnosis:    —  46%  Major Affective Disorder    —  41%  Posttraumatic Stress Disorder      —  9%  Generalized Anxiety Disorder      —  4%  Psychotic Disorderu 76% ever had a psychiatric hospitalization

The Family Options Project: Implementing an Innovative Intervention for Parents with Mental Illnesses and Their Families

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The Family Options Project: Implementing an Innovative Intervention for Parents with Mental Illnesses and Their Families

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