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Family Involvement in Services for Individuals With Mental Illness

Worldwide there has been increasing recognition and acceptance of the beneficial effects of including families and other significant persons in the treatment and services for consenting clients with mental illness. In the U.S., this position has been articulated in a number of recent reports issued by the federal government such as the New Freedom Commission (2003) and the Surgeon General’s Report on Mental Health (DHHS, 1999), whereas in other countries, like Australia, legislation has mandated family inclusion, as they believe such inclusion is a right, not a privilege (Hayman & Fahey, 2007; Lakeman, 2008; Llyod & King, 2003; Goodwin & Happell, 2007). However, too often family involvement in services has been merely an ideology that is given lip service but with limited reality in mental health practice due frequently to excuses made as to why it can’t been done. For example, of the six widely accepted evidenced-based practices for persons with severe mental illness, family psychoeducation has been the least implemented (CMHS, 2009). Therefore, there was a pressing need to bring together in one collection a diversity of family inclusion efforts and initiatives that have been occurring at the practice, organizational, state, county, and health care system levels over a number of years.