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Do maternal and paternal mental illness and substance abuse predict treatment outcomes for children exposed to violence?
- Authors:
- RISSER Heather J., et al
- Journal article citation:
- Child Care in Practice, 19(3), 2013, pp.217-220.
- Publisher:
- Taylor and Francis
This study examined whether having a parent with a mental illness or a parent who abuses substances predicts treatment outcomes for children receiving community-based services for exposure to violence. From 2001 to 2011, data were collected from 492 children from one-and-a-half to seven years old and their primary caregivers enrolled in Safe From the Start services. Results indicated significant improvements pre-intervention to post-intervention in child emotional and behavioural problems, as measured by the Child Behavior Checklist (CBCL). One-way bivariate analyses indicated that children of mothers or fathers with a mental illness and children of mothers who abused substances had higher CBCL scores at intake. Repeated-measures analyses of variance revealed a main effect such that maternal and paternal mental illness and maternal substance abuse were associated with poorer CBCL scores. The only parental risk factor to moderate the association between treatment and CBCL scores was paternal mental illness. Treatment was associated with greater improvement in CBCL scores for children of fathers with, relative to those without, mental illness, and the effect was due to higher CBCL scores at intake for children of fathers with mental illness rather than lower outcome scores. Results suggest that Safe From the Start services which provide early intervention can be effective in improving children's emotional and behavioural functioning. Additionally, the effectiveness of services appears to be robust to parental risk factors such as mental illness and substance abuse.
Mentally ill parents in psychiatric outpatient care: results of the study ‘HELP-S for Children’
- Authors:
- BOENISCH-ALERT S., et al
- Journal article citation:
- International Journal of Mental Health Promotion, 15(5), 2013, pp.254-262.
- Publisher:
- Taylor and Francis
Knowledge about mentally ill parents, particularly in psychiatric outpatient care is scarce. The study presented here aims to investigate the characteristics of mentally ill parents with minor children in psychiatric outpatient care. All outpatients with minor children, who came to a psychiatrist's practice in Saxony, Germany, at an appointed date filled out a questionnaire (including diagnosis, sociodemographic data, perceived needs and usage of health care system). Data were analysed using SPSS 18.0. The study sample (n = 128) was characterised by a high percentage of women (75%), and high rates of depression (53.1%), anxiety disorder (19.5%) and addiction (10.9%). The main difference between mothers and fathers was the significantly higher rate of custody in mothers. Of the sample, 21.2% of the children of the mentally ill parents (n = 41) had already received treatment because of psychological or behavioural problems. Mentally ill mothers are more likely to retain a caretaking role in their children's lives. Mentally ill fathers are more likely to have an inpatient stay after the birth of the first child. Treatment rates of 21.2% of children of mentally ill parents concerning psychological or behavioural difficulties are alarmingly high. Therefore, psychiatric outpatient care as the biggest part of psychiatric standard care in Germany should get more attention in research and care for mentally ill parents and their children. (Edited publisher abstract)
Mentally ill parents in psychiatric outpatient care: results of the study ‘HELP-S for Children’
- Authors:
- BOENISCH-ALERT S., et al
- Journal article citation:
- International Journal of Mental Health Promotion, 15(2), 2013, pp.254-262.
- Publisher:
- Taylor and Francis
Knowledge about mentally ill parents, particularly in psychiatric outpatient care is scarce. The study presented here aims to investigate the characteristics of mentally ill parents with minor children in psychiatric outpatient care. All outpatients with minor children, who came to a psychiatrist's practice in Saxony, Germany, at an appointed date filled out a questionnaire (including diagnosis, sociodemographic data, perceived needs and usage of health care system). Data were analysed using SPSS 18.0. The study sample (n = 128) was characterized by a high percentage of women (75%), and high rates of depression (53.1%), anxiety disorder (19.5%) and addiction (10.9%). The main difference between mothers and fathers was the significantly higher rate of custody in mothers. Of the sample, 21.2% of the children of the mentally ill parents (n = 41) had already received treatment because of psychological or behavioural problems. Mentally ill mothers are more likely to retain a caretaking role in their children's lives. Mentally ill fathers are more likely to have an inpatient stay after the birth of the first child. Treatment rates of 21.2% of children of mentally ill parents concerning psychological or behavioural difficulties are alarmingly high. Therefore, psychiatric outpatient care as the biggest part of psychiatric standard care in Germany should get more attention in research and care for mentally ill parents and their children. (Publisher abstract)
Out of the mainstream: helping the children of parents with a mental illness
- Authors:
- LOSHAK Rosemary, (ed.)
- Publisher:
- Routledge
- Publication year:
- 2013
- Pagination:
- 224p.
- Place of publication:
- Abingdon
At least 25% of service users in community mental health teams are parents of dependent children. Serious parental mental illness is likely to have an impact on children’s emotional, social and physical wellbeing and development. Despite this, the organisation of services for children and adults has remained very separate, contributing to the difficulties of identifying and providing for the needs of these children and their families. This book identifies those aspects of mental illness which can compromise parenting and affect children’s development. It considers how the diverse groups of agencies, specialist teams and groups in the community can work together to intervene effectively. It outlines different theoretical approaches which may be in use alongside each other, including: a systems theory approach to work with families and with agencies; the psychoanalytic understanding of mental illness and its impact on family relationships and organisations; an educational approach to supporting staff, children and parents; and a psychiatric or bio-medical model of work. The book also describes an early intervention project in an inner London borough, the Children and Adult Mental Health Project (CHAMP), which brings mental health and children’s services staff together to provide a direct service to families.
Children of mentally ill or addicted parents participating in preventive support groups
- Authors:
- SANTVOORT Floor van, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 15(4), 2013, pp.198-213.
- Publisher:
- Taylor and Francis
The large number of children with mentally ill or addicted parents calls for efficient provision of preventive support: interventions should be offered to children most at risk and attune to their risk levels and needs. This study provided insight in the (heterogeneous) needs of children participating in preventive support groups. Questionnaires were filled out by 170 children (8–12 years) and their ill parent on children's psychosocial problems, parental illness-related cognitions and various risk factors. Outcomes show that 55.7% of the children had clinical psychosocial problems, 13.3% had subclinical problems and 31% functioned relatively well. Eighty-three percent experienced multiple risk factors. A linear cumulative relation was found between the number of risk factors and intensity of child problems. Children were classified into four risk profiles according to their own functioning and family risk level. The heterogeneity in the support group participants might call for interventions of different intensity and content. (Publisher abstract)