Light and darkness in an Edwardian insitution for the insane poor - illuminating the material practices of the Asylum Age

Natural light and its provision within asylum and other buildings is a neglected aspect of the historical archaeology of institutions. An Edwardian asylum in the north of Ireland is analysed for the management of natural light through the siting of buildings, window design and placement of interior glazing. A close reading of selected contemporary literature relating to natural light is employed to assess the significance of light provision within institutions of this period and contemporary discourses are in turn illuminated by the material practices recorded in the case study.

Providing a ‘whole-of-family’ approach to care: family-focused practices in mental health services

Introduction: Family members including children are all impacted by a family member’s mental illness. Although mental health services are increasingly encouraged to engage in family-focused practice, this is not a well-understood concept or practice in mental health care. Methods: An integrative review using systematic methods was conducted with international literature, with the aim of identifying concepts and practices of family-focused practice in child and youth and adult mental health services. Results: Findings from 40 peer-reviewed literature identified a range of understandings and applications of family-focused practice, including who comprises the ‘family’, whether the focus is family of origin or family of procreation or choice, and whether the context of practice is child and youth or adult. ‘Family’ as defined by its members forms the foundation for practice that aims to provide a whole-of-family approach to care. Six core practices comprise a family focus to care: assessment; psychoeducation; family care planning and goal-setting; liaison between families and services; instrumental, emotional and social support; and a coordinated system of care between families and services. Conclusion: By incorporating key principles and the core family-focused practices into their care delivery, clinicians can facilitate a whole-of-family approach to care and strengthen family members’ wellbeing and resilience, and their individual and collective health outcomes.