Effects of Role-Play and Mindfulness Training on Enhancing the Family Friendliness of the Admissions Treatment Team Process

This article describes two studies that evaluated training intended to improve the family friendliness of five components of the admissions treatment team process (Introduction, Meeting Management, Case Presentation and Discussion, Service Plans, and Tact and Technicalities) at an inpatient child and adolescent psychiatric hospital. In Study 1, we observed 18 case presentations and found that the ratings on family friendliness were low on Service Plans and Tact and Technicalities. Following three role-play training sessions, we found no statistically significant improvement. In Study 2, we used a multiple-baseline design across treatment team process components and enhanced the family friendliness of each component through mindfulness training. Follow-up observations at monthly intervals for 6 months showed continued high rates of family friendly services. Our study suggests that the mindful delivery of mental health services can produce long-term gains in the family friendliness of admissions treatment teams.

[1]  C. Schaefer,et al.  Handbook of parent training: Parents as co-therapists for children's behavior problems. , 1989 .

[2]  Nirbhay N. Singh,et al.  Family Friendliness of Inpatient Services for Children and Adolescents with EBD and Their Families: Observational Study of the Treatment Team Process , 2000 .

[3]  D. Wear,et al.  The spirit catches you and you fall down: a Hmong child, her American doctors, and the collision of two cultures. , 2001, Academic medicine : journal of the Association of American Medical Colleges.

[4]  Huston Smith,et al.  Zen Mind, Beginner's Mind , 1970 .

[5]  Thích Nhất Hạnh The Miracle of Mindfulness , 1975 .

[6]  Nirbhay N. Singh In search of unity: Some thoughts on family-professional relationships in service delivery systems , 1995 .

[7]  P. Koren,et al.  From paternalism to partnership: family and professional collaboration in children's mental health. , 1994, The American journal of orthopsychiatry.

[8]  N. Dechillo Collaboration between Social Workers and Families of Patients with Mental Illness , 1993 .

[9]  Henepola Gunaratana Mindfulness in Plain English , 1992 .

[10]  Jon R. Katzenbach,et al.  The Wisdom of Teams: Creating the High-Performance Organization , 1992 .

[11]  Nirbhay N. Singh,et al.  Family Friendliness of Community-Based Services for Children and Adolescents with Emotional and Behavioral Disorders and Their Families , 1997 .

[12]  K. Kutash,et al.  Outcomes for children and youth with emotional and behavioral disorders and their families : programs and evaluation best practices , 1998 .

[13]  Jon Kabat-Zinn,et al.  Wherever you go there you are , 1994 .

[14]  Jacob Cohen A Coefficient of Agreement for Nominal Scales , 1960 .

[15]  Michael T. Motley,et al.  Mindfulness in Solving Communicators' Dilemmas. , 1992 .

[16]  N. Dirubbo,et al.  Full Catastrophe Living , 1992 .

[17]  Nirbhay N. Singh,et al.  9.15 – Families of Children with Serious Emotional Disturbance , 1998 .

[18]  P. Koren,et al.  How parents view professional behaviors: A cross-professional analysis , 1992 .

[19]  Ellen J. Langer,et al.  Mindful Learning , 2000, Deep Learning in a Disorienting World.

[20]  T. Collins,et al.  Parent-professional relationships in the treatment of seriously emotionally disturbed children and adolescents. , 1990, Social work.

[21]  F. Vella,et al.  The power of mindful learning , 1997 .