Abstract：
UNASSIGNED: The authors investigated barriers to practices that promote family involvement in mental health services, focusing on individuals with severe mental illness, their families, and mental health providers. Additionally, the authors sought to identify strategies to facilitate family involvement in mental health provision to highlight the engagement process in routine practice and propose future directions for organizations to establish a family-friendly environment.
UNASSIGNED: Systematic searches for literature published from January 1990 to March 2023 were conducted in PsycInfo, PubMed, CINAHL, Sociological Abstracts, and Scopus databases. Gray literature searches and backward and forward snowballing strategies were also used.
UNASSIGNED: Forty-six articles were reviewed, revealing contextual backgrounds and engagement practices that hindered family involvement. Inconsistencies in family involvement stemmed from organizational culture, societal attitudes, and providers\' negating of family expertise. Uncertainty regarding confidentiality policies and the absence of practice guidelines posed challenges for providers. Negative experiences of families within the mental health system along with variable commitment also hampered involvement. Some service users declined family involvement because of privacy concerns and differing expectations regarding the extent of involvement. Promoting a shared culture of family work, integrating practice standards, and engaging in professional development activities emerged as key strategies.
UNASSIGNED: A gap exists between implementing policies and practices for family involvement in mental health treatment. Without cultural and organizational shifts in support of working with families, the uptake of family involvement practices will remain inadequate. Each stakeholder has different perceptions of the barriers to family involvement, and family involvement will remain elusive without a shared agreement on its importance.
UNASSIGNED: Systematic searches for literature published from January 1990 to March 2023 were conducted in PsycInfo, PubMed, CINAHL, Sociological Abstracts, and Scopus databases. Gray literature searches and backward and forward snowballing strategies were also used.
UNASSIGNED: Forty-six articles were reviewed, revealing contextual backgrounds and engagement practices that hindered family involvement. Inconsistencies in family involvement stemmed from organizational culture, societal attitudes, and providers\' negating of family expertise. Uncertainty regarding confidentiality policies and the absence of practice guidelines posed challenges for providers. Negative experiences of families within the mental health system along with variable commitment also hampered involvement. Some service users declined family involvement because of privacy concerns and differing expectations regarding the extent of involvement. Promoting a shared culture of family work, integrating practice standards, and engaging in professional development activities emerged as key strategies.
UNASSIGNED: A gap exists between implementing policies and practices for family involvement in mental health treatment. Without cultural and organizational shifts in support of working with families, the uptake of family involvement practices will remain inadequate. Each stakeholder has different perceptions of the barriers to family involvement, and family involvement will remain elusive without a shared agreement on its importance.
摘要：
■作者调查了促进家庭参与精神卫生服务的实践障碍，专注于患有严重精神疾病的人，他们的家人,和心理健康提供者。此外,作者试图确定促进家庭参与精神卫生提供的策略,以突出日常实践中的参与过程,并为组织建立家庭友好型环境提出未来方向.
■在PsycInfo中对1990年1月至2023年3月发表的文献进行了系统搜索，PubMed,CINAHL,社会学文摘,和Scopus数据库。还使用了灰色文献搜索以及前后滚雪球策略。
■回顾了46篇文章，揭示阻碍家庭参与的背景和参与实践。家庭参与的不一致源于组织文化，社会态度，和提供者否定家庭专业知识。关于保密政策的不确定性和缺乏实践指南给提供者带来了挑战。精神卫生系统中家庭的负面经历以及可变的承诺也阻碍了参与。由于隐私问题和对参与程度的不同期望，一些服务用户拒绝了家庭参与。促进共同的家庭工作文化，整合实践标准，从事专业发展活动成为关键战略。
■在实施家庭参与心理健康治疗的政策和实践之间存在差距。如果没有支持与家庭合作的文化和组织转变，家庭参与做法的吸收仍将不足。每个利益相关者对家庭参与的障碍有不同的看法，如果没有就其重要性达成共识，家庭参与仍将难以捉摸。
■在PsycInfo中对1990年1月至2023年3月发表的文献进行了系统搜索，PubMed,CINAHL,社会学文摘,和Scopus数据库。还使用了灰色文献搜索以及前后滚雪球策略。
■回顾了46篇文章，揭示阻碍家庭参与的背景和参与实践。家庭参与的不一致源于组织文化，社会态度，和提供者否定家庭专业知识。关于保密政策的不确定性和缺乏实践指南给提供者带来了挑战。精神卫生系统中家庭的负面经历以及可变的承诺也阻碍了参与。由于隐私问题和对参与程度的不同期望，一些服务用户拒绝了家庭参与。促进共同的家庭工作文化，整合实践标准，从事专业发展活动成为关键战略。
■在实施家庭参与心理健康治疗的政策和实践之间存在差距。如果没有支持与家庭合作的文化和组织转变，家庭参与做法的吸收仍将不足。每个利益相关者对家庭参与的障碍有不同的看法，如果没有就其重要性达成共识，家庭参与仍将难以捉摸。
