Family members' experiences of local mental health services received by their relatives : a qualitative study.

Abstract

When providing comprehensive services to people with mental illness, the needs of their families, who are often the primary care providers, cannot be overlooked. For many family care givers of mentally ill people, the impact of their role is significant. The aim of this research project was to identify the perceptions and experiences of eight relatives of people with mental illness who have previously accessed mental health services locally. Through the use of a qualitative approach (semi-structured interviews), data were generated and through a process of thematic analysis, seven themes were developed that exposed gaps in current provision and approaches. These are: realization and reactions to the illness; obstacles to getting help; relative's experiences of the mental health services; burden and responsibility; stigma and negative effects on their lives; involvement and support for relatives; and coping mechanism. Moreover, three sub-themes emerged from these main themes: reactions to admission; discouragement and contact with multi-disciplinary team. This study described reactions and feelings experienced by the relatives upon the initial diagnosis and admission to mental health setting. It highlighted the importance of the provision of relative's support and education, as well as put into light the difficulties that carers caring for persons with mental illness face. It also revealed the relatives' views of different mental health settings and regarding diverse health care professionals, and pointed out perceived sources of support. In view of these findings, recommendations were devised.