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12 - Working with families and social networks

from Section 3 - Current practice

Published online by Cambridge University Press:  13 August 2009

Christopher Bridgett
Affiliation:
The Royal College of Psychiatrists and the Sainsbury Centre for Mental Health
Harm Gijsman
Affiliation:
Clinical and Research Director of the Early Psychosis Program of University Medical Centre Nijmegen
Sonia Johnson
Affiliation:
University College London
Justin Needle
Affiliation:
City University London
Jonathan P. Bindman
Affiliation:
South London and Maudsley NHS Foundation Trust
Graham Thornicroft
Affiliation:
King's College London
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Summary

In this chapter, we will use the term ‘social network’ to describe those people and groups with whom an individual has significant social contact. We will first examine the nature and importance of social networks, and will then go on to provide an account of what crisis resolution and home treatment teams (CRTs) can do to maximise the benefits to patients of support from key social relationships, both within the family and across their wider social networks.

The nature and importance of social networks

While for some the most important social relationships are within the family, for others they include a peer group, friends and acquaintances, neighbours or work colleagues. For most people there is a mix of all of these, varying perhaps with place of residence and state of health, and over time. Human beings are innately social in their behaviour, but it is important to remember that social relationships are not always supportive. For the mental health service user, relationships with and between informal and formal carers, and the relationships within the service between professionals and between the component teams, can have special importance (Chapter 7).

Bridgett and Polak (2003a) defined a social network as ‘a series of overlapping social systems: sets of human relationships that vary in size, formality, function and permanence’. At the less-intimate end of the social spectrum, there is an unclear boundary, with a more general social cohesiveness referred to as the social capital of a community.

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Publisher: Cambridge University Press
Print publication year: 2008

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References

Bridgett, C. (2006a). The social systems approach. In Crisis Resolution and Home Treatment: A Practical Guide, ed. McGlynn, P.. London: Sainsbury Centre for Mental Health, pp. 41–52.
Bridgett, C. (2006b). Alternatives to Acute Admission: Crisis Resolution and Home Treatment. London: Royal College of Psychiatrists. http://www.psychiatrycpd.org/learningmodules/alternativestoacuteadmissio.aspx.
Bridgett, C. and Polak, P. (2003a). Social systems intervention and crisis resolution. Part 1: assessment. Advances in Psychiatric Treatment, 9, 424–31.Google Scholar
Bridgett, C. and Polak, P. (2003b). Social systems intervention and crisis resolution. Part 2: intervention. Advances in Psychiatric Treatment, 9, 432–8.Google Scholar
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Department of Health (2001). Mental Health Policy Implementation Guide: Crisis Resolution/Home Treatment Teams. London: Department of Health.
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Falloon, I. R. H., Boyd, J. L. and Macgill, C. W. (1984). Family Care of Schizophrenia. New York: Guilford Press.
Fish, L. (1971). Using social-systems techniques on a crisis unit. Hospital and Community Psychiatry, 47, 1–19.Google Scholar
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McFarlane, W. R., Dixon, L., Lukens, E. and Lucksted, A. (2003). Family psychoeducation and schizophrenia: a review of the literature. Journal of Marital and Family Therapy, 29, 223–45.Google Scholar
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