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Caring for children of parents with mental health problems - a venture into historical and cultural processes in Europe
- Authors:
- SOLANTAUS Tytti, PURAS Dainius
- Journal article citation:
- International Journal of Mental Health Promotion, 12(4), November 2010, pp.27-36.
- Publisher:
- Taylor and Francis
This article discusses the European initiative Work Package 5 (WP5), a part of the CAMHEE programme, which was designed to bring children and families with parental mental illness onto the European agenda. Parental mental health problems are a major risk for children’s adverse development. Intergenerational mental health issues often leads to social marginalisation and exclusion, which constitutes a serious social problem. WP5 participants included Austria, Bulgaria, Finland, Lithuania, Norway and Romania. The WP5 emphasised that it is important for every country to learn what the legal, human rights, and service and life situation is for these children and families and to take preventive and promotion action. The paper suggests that, to avoid further stigmatisation, awareness campaigns and training of professionals should capitalise on resilience and support for children and parenting rather than on risks. Psychiatric services for adults should respond to the needs for care and support of the patients' children. Finally, changes in society are needed, including redirecting legislation from restrictive measures towards promotion and prevention.
The effective family programme: preventative services for the children of mentally ill parents in Finland
- Authors:
- SOLANTAUS Tytti, TOIKKA Sini
- Journal article citation:
- International Journal of Mental Health Promotion, 8(3), August 2006, pp.37-44.
- Publisher:
- Taylor and Francis
The Effective Family Programme was initiated in Finland in 2001 to provide methods for health and social services to support families and children of mentally ill parents. The methods are implemented and clinicians are trained in psychiatric services and primary health care. The methods include the Beardslee Preventive Family Intervention, a parent-focused Let's Talk about Children Discussion and the Network Meeting. This article describes the EF Programme with reference to the development of services in the national health care system.
Expert views of children's knowledge needs regarding parental mental illness
- Authors:
- GROVE Christine, et al
- Journal article citation:
- Children and Youth Services Review, 79, 2017, pp.249-255.
- Publisher:
- Elsevier
Children of parents with a mental illness are at significant risk of developing a mental illness. This risk may be reduced if appropriate interventions are provided that include information and knowledge about mental illness. While there are some interventions for children of parents with a mental illness, research is lacking about the type of mental health information children need and why they need that knowledge. This study presents the perspectives of a purposive sample of international research experts in the field of parental mental illness about the kind of mental health literacy information children with parents with a mental illness need. Twenty-three participants completed a self-constructed short answer questionnaire about the knowledge needs of children of parents with a mental illness. The qualitative data indicates that ‘identifying information’, ‘making sense of parents behaviour’, ‘coping better’ and ‘respecting safety’ are key knowledge needs of children. Given the views presented, these findings suggest that health care professionals should advocate for policies that support individual-, peer-, and family-focused programmes driven by strong evaluation and rigorous research. If this is done, children of parents with mental illness may experience ‘myth busting’ of incorrect information about mental illness. (Publisher abstract)
A framework for the prevention and mitigation of injury from family violence in children of parents with mental illness and substance use problems
- Authors:
- HARTNEY Elizabeth, BARNARD D .Kelly
- Journal article citation:
- Aggression and Violent Behavior, 25(Part B), 2015, p.354–362.
- Publisher:
- Elsevier
Recognising the need for a more comprehensive approach to preventing child homicides that result from family violence, the authors applied Haddon's three methods of injury prevention to the context of family violence: modification of the agent of injury; identification of control strategies to intervene in the process of injury; and application of the comprehensive Haddon matrix to explore pre-event, event, and post-event strategies addressing the child, parent, and the environment. Examples of evidence-based strategies were identified to support this approach, and innovative strategies were suggested which build on existing approaches applied to other contexts. Recommendations and implications for research and practice are discussed. (Edited publisher abstract)
The Effective Family Programme II: clinicians' experiences of training in promotive and preventative child mental health methods
- Authors:
- TOIKKA Sini, SOLANTAUS Tytti
- Journal article citation:
- International Journal of Mental Health Promotion, 8(4), November 2006, pp.4-10.
- Publisher:
- Taylor and Francis
For this programme, mental health clinicians in Finland were trained to master interventions and to become trainers for promotion of development and prevention of mental health problems in children with mentally ill parents. A multi-professional group of 45 clinicians were involved in the training, including eighteen nurses, nine social workers, six medical doctors, six psychologists and six public health nurses. The trainees' experiences of the impact of the training on their professional skills and work satisfaction, on one hand, and implementation of the methods, on the other, were examined. The data was collected by a questionnaire. The 30 respondents (response rate 83%) reported an increase in their professional skills as well as in work-related joy and motivation. Most of them had trained others, and implementation of the new working methods had started. The success factors of the Effective Family training for first phase of the implementation are discussed.
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)
Safeguarding children across services: messages from research on identifying and responding to child maltreatment: messages for adult services professionals working with parents: adult mental health, drug and alcohol misuse and domestic abuse...services
- Author:
- GREAT BRITAIN. Department for Education
- Publisher:
- Great Britain. Department for Education
- Publication year:
- 2011
- Pagination:
- 7p.
- Place of publication:
- London
Outlines key messages and practice implications for adult services professionals working with parents involved in the child safeguarding process. The briefing draws on 15 government-funded research projects on safeguarding children from neglect and abuse in England and Wales. Headline messages are presented in bullet point format. Other key messages are discussed under the headings: how to better protect children from maltreatment; acting decisively and confidently; effective parent-focused intervention; and working with other services and agencies.
All babies count: prevention and protection for vulnerable babies
- Authors:
- CUTHBERT Chris, RAYNS Gwynne, STANLEY Kate
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2011
- Pagination:
- 70p.
- Place of publication:
- London
This report looks at the evidence on the extent of abuse and neglect of babies in the first year of life and also highlights the importance of early intervention. It explains the rationale for focussing on babies in strategies for abuse and neglect and the increased risk of abuse facing infants under one years old. It then looks at the multi-level processes involved in child maltreatment, and identifies a number of risk factors. These include mental illness, domestic abuse and substance misuse. The third section of the report looks at the evidence of 'what works' and identifies examples of effective and innovative practice. The final section outlines NSPCC strategy and vision for the prevention of abuse in babies and infants. Four key building blocks are identified: clear accountability; integrated policy and integrated practice; world class commissioning, world class services; and professional capacity, professional capability.
All babies count: information for professionals
- Author:
- NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2011
- Pagination:
- 22p.
- Place of publication:
- London
Drawing on their full report 'All babies count', the NSPCC present key areas for professionals working with babies and infants at risk of child abuse or neglect. It highlights the increased risk babies face when parents are experiencing mental health problems, domestic abuse, substance misuse, or mental health problems. It also looks at the principles that enable services to be more effective in keeping babies safe. Four new NSPCC programmes for protecting babies are also briefly described.
Beardslee’s preventive family intervention for children of mentally ill parents: a Swedish national survey
- Authors:
- PIHKALA Helja, CEDERSTROM Anita, SANDLUND Mikael
- Journal article citation:
- International Journal of Mental Health Promotion, 12(1), February 2010, pp.29-38.
- Publisher:
- Taylor and Francis
Beardslee’s family intervention (FI) is a preventative method for children of depressed parents and included among evidence-based methods in the US. In Finland and Sweden the FI has been used in families with varying parental diagnoses, although research is lacking for parental diagnoses other than depression. FI consists of six or seven sessions with the family. The professionals’ role is to encourage and promote dialogue between the family members. The present study investigated the introduction and implementation of the FI in Sweden, its safety and its feasibility in clinical services. One hundred and three families who had participated in FI during 2007 who had children aged between 8 and 18 years were asked to complete the questionnaire. The overall response rate was 72%. Diagnoses included anxiety/depression, psychosis, bipolar disorder, personality disorder, and eating disorder. Parents and children were generally satisfied with FI and predominantly reported a positive impact of FI. No differences in responses were found between diagnostic groups. The authors conclude that this study lends support to the assumption that Beardslee’s preventive family intervention is safe and feasible in general psychiatric populations, not only in families with parental depression. It also indicates that the training programme is sufficient, providing an instrument for successful practice of the FI for the professionals.