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Think child, think parent, think family
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This At a Glance summary presents key recommendations from the SCIE guide 'Think child, think parent, think family: a guide to parental mental health and child welfare'. The summary outlines the current policy and organisational context. It then makes key recommendations to improve services for families where a parent has a mental health problem in the areas of: screening, assessment, care planning, and care plan reviews. Recommendations for strategic changes are then provided.
North Carolina Family Assessment Scale: measurement properties for youth mental health services
- Authors:
- LEE Bethany R., LINDSEY Michael A.
- Journal article citation:
- Research on Social Work Practice, 20(2), March 2010, pp.202-211.
- Publisher:
- Sage
Using data collected by child mental health intake workers with 158 families in Maryland, the purpose of this study was to assess the reliability and validity of the North Carolina Family Assessment Scale (NCFAS) among families involved with youth mental health services. The authors conclude that the NCFAS measure was designed for use with high-risk families involved with, or about to become involved with, child welfare services, and that the findings from this study suggest that this measure does not function equivalently in assessing families of young people involved with mental health services, and that while the NCFAS provides a good platform from which to consider family functioning, greater flexibility in child mental health service delivery is needed to accommodate a family assessment measure.
Mental health problems of homeless children and families: longitudinal study
- Authors:
- VOSTANIS Panos, GRATTAN Eleanor, CUMELLA Stuart
- Journal article citation:
- British Medical Journal, 21.3.98, 1998, pp.899-902.
- Publisher:
- British Medical Association
Presents the results of research aiming to establish the mental health needs of homeless children and families before and after rehousing. The main outcome measures used were children's mental health problems and social support one year after rehousing. Concludes that homeless families have a high level of complex needs that cannot be met by conventional health services and arrangements. Highlights an need for local strategies for rapid rehousing into permanent accommodation, effective social support and health care for parents and children, and protection from violence and intimidation to be developed and implemented.
Think child, think parent, think family: a guide to parental mental health and child welfare
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 90p., bibliog.
- Place of publication:
- London
This guide is about working with parents who have mental health problems and their children. It provides guidance on policy and practice and makes recommendations for key areas of professional education, workforce development and research. This guide identifies what needs to change and makes recommendations to improve service planning and delivery, and ultimately to improve outcomes for these families. The guide begins by highlighting the priority recommendations for adult mental health and children’s services. The next section describes current policy and organisational context, and the needs of parents with a mental health problem and their children. The approach which used to underpin the recommendations in the guide, ‘think child, think parent, think family’, is then described. The Family Model is then introduced as a useful conceptual tool to assist staff in thinking about different family members, their relationships with each other and the impact of external environmental factors. A description of the characteristics of a successful service is then provided which is drawn from the requirements of law and policy, and messages from research and practice. The concluding sections of the guide set out recommendations for what needs to change at every stage of the care pathway and the implications for frontline staff, organisations and managers. A list of additional resources and practice examples are also included.
Targeting services to reduce need after a child abuse investigation: examining complex needs, matched services, and meaningful change
- Authors:
- SIMON James David, BROOKS David
- Journal article citation:
- Children and Youth Services Review, 99, 2019, pp.386-394.
- Publisher:
- Elsevier
Background and purpose: Matching needs and services following a child protective services (CPS) investigation is important for families with complex needs (i.e. mental health, substance use, and domestic violence) because several studies indicate that a service match is associated with important child welfare outcomes including decreased substance abuse, lowered rates of maltreatment, and increased family reunification. However, few of these studies have examined whether matching services reduces the different areas of need that service matching targets. In response, this study examined the change in need among families with complex needs that received matched services in a community-based prevention programme following an initial CPS investigation. Methods: The sample consisted of 836 families with complex needs related to mental health, substance use, and domestic violence that had an unfounded or inconclusive CPS investigation between July 2006 and December 2010. Eligible families had a child five or younger that remained at home after an initial CPS investigation and were at moderate to high risk of future maltreatment. The Family Assessment Form (FAF) was used to indicate need in three areas (concrete, clinical, and educational/parenting) and families received an array of services including concrete, educational/parenting, and/or clinical services. A match occurred if a caregiver had an aforementioned need and received a corresponding service. Reduced need was indicated by a change from a mean score of >3 (problematic functioning) on the FAF to a mean score of <3 (adequate functioning). Paired sample t-tests and Pearson Chi-2 analyses were used to examine bivariate associations between matched services by area of need on reduced need. Multivariate logistic regressions were conducted to determine the impact of matched services on reduced need in targeted areas and overall while controlling for caregiver demographic characteristics including ethnicity, age, income, number of caregivers and children, and history of abuse. Findings: Bivariate analyses revealed that matched concrete and educational/parenting services was significantly associated with reduced need in targeted areas. For matched clinical services, this pattern was found for mental health and substance use but not for domestic violence. Multivariate analyses indicated that receiving matched concrete services was associated with an increased likelihood of overall reduced need (OR = 3.46; 95% CI = 1.84, 6.52) as was a match for educational/parenting need related to caregiver–child interactions (OR = 2.16; 95% CI = 1.15, 4.04). For clinical need, receiving matched clinical services for mental health (OR = 4.11; 95% CI = 2.39, 7.09) was associated with an overall reduction in need but not for substance use or domestic violence. Conclusion and implications: Matching needs and services for families with complex needs following a CPS investigation remains important considering the number of families with complex needs that come to the attention CPS. Findings from this study highlight that matching needs and services can reduce targeted areas of need, overall need, and may serve as a catalyst for change in multiple areas of need. (Edited publisher abstract)
Parental mental health and child welfare work. Volume 2
- Editor:
- DIGGINS Marie
- Publisher:
- Pavilion Publishing and Media
- Publication year:
- 2017
- Pagination:
- 117
- Place of publication:
- Hove
This publication is the second volume of Pavilion’s Learning from Success series, drawing together contributions from range of experts to explore the mental health of parents and its impact on child welfare. It includes perspectives from young people, parents, professionals and research about what works, and in what contexts. It is concerned with outcomes for parents, children and other family members as well as multi-agency staff and organisations. Section one looks at looks at integrating the family model into education and programmes. Section two look at the impacts and influences of mental health on recovery, parenting and children’s development and wellbeing. Section three describes five different assessment, intervention and service models. These include Inter-Act, which adopts a whole family approach to improving outcomes for children; and C-Change, which assesses parental capacity to change; and the Creative Families Arts Programme. Section four focuses on the effectiveness of two different specialist roles to improve family-focused practice across the service divide; the Northern Ireland Champions Initiative and the creation of the mental health safeguarding children’s manager role. The publication also includes a digest of recent research literature. (Edited publisher abstract)
The use of the Burden Assessment Scale with families of a pediatric population
- Authors:
- MURDOCH Douglas D., et al
- Journal article citation:
- Community Mental Health Journal, 50(6), 2014, pp.703-710.
- Publisher:
- Springer
The emotional, financial and social impact on caregivers of those with paediatric psychiatric, emotional and behavioural disorders has been poorly documented. This study investigates the utility of the Burden Assessment Scale (BAS) with this population. 300 parents seeking services within a major Canadian city were interviewed using the BAS and a follow up questionnaire on the clarity, comprehensiveness and acceptability of the BAS. The BAS was clear, acceptable and comprehensive for over 80 per cent of participants. Factor analysis revealed four factors compared to the original five factors found with adults. The BAS had a utility with this population and would be a valuable addition to standard information gathered but use of the total score only is recommended. (Edited publisher abstract)
Parental mental health and families: working together with professionals
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Place of publication:
- London
This e-learning module explores the benefits of multi-agency working with families who are affected by parental mental health problems. It demonstrates how to use the Family Model to strengthen professional working relationships and to consider how the 'team around the child' process can be used to reinforce a 'Think family approach'. Individual sections cover: Partnership with professionals; Multi-agency working; the Family Model and assessment; Professional relationships; and Resolving professional conflicts.
Assessing the family functioning of inner-city African-American families living with schizophrenia with the McMaster Family Assessment Device
- Authors:
- GUADA Joseph, et al
- Journal article citation:
- Social Work in Mental Health, 8(3), May 2010, pp.238-253.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The mental health literature has historically focused on the deficits of families, especially for those families with a family member with schizophrenia. This study assessed the family functioning of a group of inner-city African-American families who have a family member living with schizophrenia. This study analyses potential clinical problems for these families using a commonly used family functioning device – the McMaster Family Assessment Device (MFAD), a measure used to assess a broad range of family functioning domains that can be used with confidence across ethnic communities. Participants included 94 African-American families, from South Central Los Angeles, which is an economically challenged area with high rates of crime and unemployment. The families were assessed at baseline before any intervention began. The assessment was a 53 item self-administered questionnaire, used on conjunction with interviews. Findings indicate that the families showed no clinical problems on five of the seven sub-scales, implying that families with a family member with schizophrenia are not deficit-ridden. The authors conclude that the study provides preliminary quantitative evidence that social work research and practice models should avoid a deficit-oriented model when assessing and intervening with similar families.
Neglected children and their families
- Author:
- STEVENSON Olive
- Publisher:
- Blackwell
- Publication year:
- 2007
- Pagination:
- 182p., bibliog.
- Place of publication:
- Oxford
- Edition:
- 2nd ed.
Those who work with children and young people have a responsibility to safeguard and promote their welfare. Recognizing and detecting signs of emotional abuse and neglect is an important responsibility as well as a key skill. As well as ensuring that children and young people are free from harm, it is equally important to ensure their well-being and quality of life. This new edition is updated throughout to include the latest policy and research developments, and expanded to include greater consideration of topics such as the impact of parental mental health, substance abuse and alcoholism on parental capacity and the issue of parents with learning disabilities. Providing clear guidelines for the assessment and intervention of child neglect, Neglected Children and Their Families is an invaluable resource for all those studying and working in childcare, including social workers, health visitors and child nurses.