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Original Article

The family-focused practice of primary care clinicians: a case of missed opportunities

, &
Pages 357-362 | Received 24 Nov 2013, Accepted 18 Nov 2014, Published online: 02 Feb 2015
 

Abstract

Background: Many patients who present to primary care settings with mental health concerns are parents with dependent children. However, little is known about the family-focused practices of these clinicians.

Aim: To identify the family-focused practices of a group of primary care clinicians.

Methods: A sequential mixed methodology was employed; 21 primary care clinicians completed the Family Focused Mental Health Practice Questionnaire and then participated in one of three focus groups.

Results: Primary care clinicians do not commonly engage with patients about family issues though many acknowledged that family-focused practice was important. Some questioned whether being family focused was part of their role with other barriers related to funding. Most expressed a need for training, though some indicated that they would not engage in a family-focused manner nor be trained in this approach, unless it was compulsory. The study highlights the missed opportunity for family-focused practices in primary care settings.

Conclusions: This study demonstrates the need for an “authorising” environment in which family-focused practices are not only supported but expected.

Declaration of interest

There is no conflict of interest within this study.

This study was supported by the Children of Parents with a Mental Illness national initiative which is funded by the Australian Government.

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