Abstract The shift towards a family-focused approach to practice has been highly endorsed across child and adult mental health services, with increasing policy development and a growing evidence base. The aim of this review was to synthesize the qualitative evidence of professionals’ perspectives and experiences of implementing family-focused practice across these settings. Electronic databases were searched up to March 2018, with nine articles included. The synthesis produced two overarching challenges relating to the organizational and system issues of family-focused practice and clinicians’ attitudes, knowledge, and practice towards addressing the complexity of families’ needs. The findings point to a limited evidence of professionals viewing the benefits of family-focused practice and a lack of coherence relating to professionals’ investment in family-focused practice. These are discussed within policy and implementation factors.

中文翻译：

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心理健康专业人员对儿童和成人心理健康环境中以家庭为中心的实践的看法：定性综合

摘要 随着政策的发展和证据基础的不断增加，向以家庭为中心的实践方法的转变在儿童和成人心理健康服务中得到了高度认可。本综述的目的是综合专业人士在这些环境中实施以家庭为中心的实践的观点和经验的定性证据。电子数据库检索至 2018 年 3 月，共收录 9 篇文章。综合产生了两个总体挑战，涉及以家庭为中心的实践的组织和系统问题，以及临床医生在解决家庭需求的复杂性方面的态度、知识和实践。调查结果表明，专业人士看到以家庭为中心的实践的好处的证据有限，并且与专业人士对以家庭为中心的实践的投资缺乏连贯性。这些在政策和实施因素中进行了讨论。