ReFraming The FaPMI (Families Where a Parent Has a Mental Illness) Program: Using a Participatory Action Research Approach to Create Change
This paper documents a staged participatory action research process used to shift the underlying frames of the FaPMI (Families where a parent has a mental illness) Program. The FaPMI service development initiative in Victoria, Australia established in 2007 was built on a foundation emphasising these families as being vulnerable and at risk. While intentioned to promote action and compassion from policy makers and governments, researchers and programme developers, there has been growing awareness of the unintended consequences of these frames. In line with shifts in policy and social environment promoting context- and person-centred, strength-based views of people with Lived and Living Experience (LLE) of mental ill health, the FaPMI Program commenced a process to review and reframe its work. The participatory action research process with FaPMI Coordinators and people with LLE of mental health challenges used four phases to (i) establish direction for change, (ii) scope existing framing of parenting, mental health, child mental health and families, (iii) identify FaPMI's existing frames and (iv) build consensus for frames to avoid and advance in future. The resulting Avoid and Advance guidance document gives guidance to the programme and others in the field to support the framing shifts required.
Authors
- Vicki Sarikoudis
- Bronwyn Sanders (ORCID: https://orcid.org/0009-0008-1693-0671)
- Michelle Hegarty
- Dawn Foster
- Angela Chalmers
- Allira McCall
- Becca Allchin (ORCID: https://orcid.org/0000-0001-8249-4304)
- Kristen Henley
- Nicole Stephenson (ORCID: https://orcid.org/0000-0002-6266-0368)
- I. W. Forster
- Jessica Legge
- Cheree Cosgriff
- D D Cameron (ORCID: https://orcid.org/0000-0001-5563-5124)
- Lisa Tesoriero
- Hanna Jewell
- Elizabeth Fraser
- Carol Clark (ORCID: https://orcid.org/0000-0002-9296-7141)
- Alice Morgan
- Paige Harbor (ORCID: https://orcid.org/0009-0005-8366-6880)
- Anh‐Thu Nguyen
- Tim McGregor (ORCID: https://orcid.org/0009-0002-9664-2181)
- Jane Schinas (ORCID: https://orcid.org/0009-0000-2236-4022)
- Helen Mack
- Kirsten Rabbitt
- Fiona McCormack
- Amanda Creswick (ORCID: https://orcid.org/0009-0004-7499-1609)
- Melissa Stead (ORCID: https://orcid.org/0009-0009-3290-3056)
- Georgina Timmins
- Hannah Zinnack
- Sarah Dickenson (ORCID: https://orcid.org/0000-0002-4387-9145)
Institutions
- Goulburn Valley Health (AU)
- Barwon Health (AU)
- Mental Health Research Institute (AU)
- Northern Health (AU)
- La Trobe University (AU)
- Latrobe Regional Hospital (AU)
- St Vincent's Health (AU)
- Eastern Health (AU)
- Mental Health Australia (AU)
- Ballarat Health Services (AU)
- Albury Wodonga Health (AU)
- Peninsula Health (AU)
- Monash Health (AU)
- Alfred Health (AU)
- Monash University (AU)
Publication Details
- Journal
- International Journal of Mental Health Nursing
- Published
- 2026-09-14
- DOI
- https://doi.org/10.1111/inm.70351
- Primary Topic
- Maternal Mental Health During Pregnancy and Postpartum
- Type
- article
- Field-Weighted Citation Impact
- 0.00