Last week I was teaching in Oxford about improving the assessment and support of families. Part of the day was encouraging participants to think about the patient and the family (using the word family in the broadest sense) as one unit and then describing what was happening in the family in relation to:
- Family organisation and character
- Parenting
- Communication
- Emotional Life
- Alliances
- Identity
- Adaptability
Many struggled to separate the work they were doing with the families to what was happening in the family. There was much discussion and in trying to generate ideas we discussed how complex MDT meetings were and how threatened people felt. Many felt such meetings could be helped by:
- Displaying the family genogram
- Summarising the key issues for the family (not what their focus of intervention was)
- Asking the team to generate ideas about what was happening rather than give suggestions about what the clinician could do
It would be the responsibility of the team to come up with ideas rather than the critique what was already being done
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