Mental Health Professionals’ Perspectives of Family-focused Practice across Child and Adult Mental Health Settings: A Qualitative Synthesis

Abstract

The shift towards a family-focused approach to practice has been highly endorsed across child and adult mental health services, with increasing policy development and a growing evidence base. The aim of this review was to synthesize the qualitative evidence of professionals’ perspectives and experiences of implementing family-focused practice across these settings. Electronic databases were searched up to March 2018, with nine articles included. The synthesis produced two overarching challenges relating to the organizational and system issues of family-focused practice and clinicians’ attitudes, knowledge, and practice towards addressing the complexity of families’ needs. The findings point to a limited evidence of professionals viewing the benefits of family-focused practice and a lack of coherence relating to professionals’ investment in family-focused practice. These are discussed within policy and implementation factors.     

The Nurturing Neighborhood: The Brownsville Boys Club and Jewish Community in Urban America, 1940–1990, by G. Sorin

Abstract

Corporal punishment (CP) refers to the deliberate infliction of physical pain on children in response to an apparent disobedience or disapproved behavior. It is still used in educational settings in numerous nations worldwide, including Bangladesh. Despite the government’s efforts to ban corporal punishment in Bangladesh, the practice is prevalent, with children routinely enduring various punishments in the school system. Questions remain related to how widespread this practice is and whether certain groups of children (e.g., low income or rural) are being affected more severely than others. This article explores the use of physical punishment in Bangladeshi elementary schools and the socioeconomic variables that may be predictors of its use. The primary research questions that guide this article are: (1) do socioeconomic characteristics (i.e., gender, age, education, school type, parental socio-economic status) predict physical punishment in the school system in Bangladesh? and (2) is there a statistically significant relation between poverty and physical punishment for elementary school children in Bangladesh? Findings indicate that of the 450 children included in the sample, more than 86.6% were subjected to at least one form of physical abuse (e.g., hit with a stick or slapped) and types of abuse varied by their demographics. Findings also show that poverty status is a strong predictor of physical punishment in the school within Bangladesh.