Factors that influence family-focused practice in Chinese mental health workers: A cross-sectional survey

J Psychiatr Ment Health Nurs. 2023 Dec;30(6):1216-1230. doi: 10.1111/jpm.12950. Epub 2023 Jul 4.

Abstract

Introduction: Family-focused practice has become an emerging paradigm in mental health services. However, little is known about family-focused practice and associated factors in Chinese mental health workers.

Aim: To examine family-focused practice and associated factors in Chinese mental health workers.

Method: A cross-sectional survey was conducted in a convenience sample of mental health workers (n = 515) in Beijing, China. The Family-Focused Mental Health Practice Questionnaire was used to measure family-focused practice, as well as worker, workplace and client factors that might influence family-focused practice. Multiple linear regression analysis was performed to investigate the factors associated with family-focused practice.

Results: On average, the participants exhibited a moderate level of engagement in family-focused practice. The factors that most significantly influenced family-focused practice in Chinese mental health workers were skill and knowledge, worker confidence and time and workload. Moreover, psychiatrists were found to engage more in family-focused practice than psychiatric nurses, and community mental health workers were more active in family-focused practice than hospital-based ones.

Discussion: This study provided important data concerning family-focused practice and associated factors in Chinese mental health workers.

Implications for practice: The varying level of Chinese mental health workers to engage in family-focused practice has advocacy, training, research and organizational implications for mental health services in China and elsewhere.

Keywords: China; children of parents with mental illness; family-focused practice; mental health service; parenting.

MeSH terms

  • Cross-Sectional Studies
  • East Asian People
  • Humans
  • Mental Disorders* / psychology
  • Mental Health
  • Mental Health Services*