Search results for ‘Subject term:"mental health problems"’ Sort:
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Addressing the most damaged adolescents in the child protection system: an analysis of the profiles of young people in therapeutic residential care
- Authors:
- AGUILA-OTERO A., et al
- Journal article citation:
- Children and Youth Services Review, 112, 2020, p.104923.
- Publisher:
- Elsevier
In many countries, adolescents in the child protection system present with serious emotional and behavioral problems. In order to address their specific needs, therapeutic residential care (TRC) programs have been created. The goal of this study is to analyze the profile of 353 adolescents in TRC in Spain. Data on family history, high-risk behaviors and their process of intervention in the child welfare system were collected, as well as the clinical profile through the Youth Self-Report (YSR). Results showed a high frequency of high-risk behaviours, especially violent behaviours, substance abuse, running away and suicidal behaviors. About 90% of the sample had a history of continuous mental health treatments starting at an average of 10 years old. About 70% of the sample scored above the clinical threshold of the YSR. Girls exhibited a specific pattern of risk behaviors and mental health needs, showing greater psychological distress and a more complex profile. (Edited publisher abstract)
Risk factors for child neglect: A meta-analytic review
- Authors:
- MULDER Tim M., et al
- Journal article citation:
- Child Abuse and Neglect, 77, 2018, pp.198-210.
- Publisher:
- Elsevier
Knowledge of risk factors and their effects is vital for successfully preventing and reducing child neglect. This study provides a meta-analytic update of research on risk factors for child neglect. A total of 315 effect sizes were extracted from 36 primary studies and classified into 24 risk domains. Effects of 15 risk domains were significant and ranged from small (r = .110) to large (r = .372) in magnitude. Most risks were found at the parental level, such as having a history of antisocial behaviour/criminal offending (r = .372); having a history of mental/psychiatric problems (r = . 259); having mental/physical problems (r = .207); and experiences of abuse in own childhood (r = .182). The effect of mother-related risk factors was not significantly different from the effect of father-related risk factors. It is concluded that child neglect is determined by multiple risk domains and that especially parent-related risk factors are important in preventing and reducing child neglect. Implications of the results for clinical practice are discussed. (Edited publisher abstract)
'My mother threatens my sister with a knife'
- Author:
- -
- Journal article citation:
- Community Care, 19.11.09, 2009, pp.22-23.
- Publisher:
- Reed Business Information
Practitioners and experts comment on a case in which a young man has alerted the NSPCC to his mother's paranoid and potentially dangerous behaviour.
Partnership in mental health and child welfare: social work responses to children living with parental mental illness
- Author:
- SHEEHAN Rosemary
- Journal article citation:
- Social Work in Health Care, 39(3/4), 2004, pp.309-323.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Mental illness is an issue for a number of families reported to child protection agencies. Parents with mental health problems are more vulnerable, as are their children, to having parenting and child welfare concerns. A recent study undertaken in the Melbourne Children's Court (Victoria, Australia) found that the children of parents with mental health problems comprised just under thirty percent of all new child protection applications brought to the Court and referred to alternative dispute resolution, during the first half of 1998. This paper reports on the study findings, which are drawn from a descriptive survey of 228 Pre-Hearing Conferences. A data collection schedule was completed for each case, gathering information about the child welfare concerns, the parents' problems, including mental health problems, and the contribution by mental health professionals to resolving child welfare concerns. The study found that the lack of involvement by mental health social workers in the child protection system meant the Children's Court was given little appreciation of either a child's emotional or a parent's mental health functioning. The lack of effective cooperation between the adult mental health and child protection services also meant decisions made about these children were made without full information about the needs and the likely outcomes for these children and their parents. This lack of interagency cooperation between mental health social work and child welfare also emerged in the findings of the Icarus project, a cross-national project, led by Brunel University, in England. This project compared the views and responses of mental health and child welfare social workers to the dependent children of mentally ill parents, when there were child protection concerns. It is proposed that adult mental health social workers involve themselves in the assessment of, and interventions in, child welfare cases when appropriate, and share essential information about their adult, parent clients. Children at risk of abuse and neglect are the responsibility of all members of the community, and relevant professional groups must accept this responsibility. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Adult psychiatry - a missing link in child protection network: comments on Falkov's 'fatal child abuse and parental psychiatric disorder' (DOH, 1996)
- Authors:
- REDER Peter, DUNCAN Sylvia
- Journal article citation:
- Child Abuse Review, 6(1), March 1997, pp.35-40.
- Publisher:
- Wiley
Discusses the Falkov report, the work of Falkov a child psychiatrist, which is primarily a statistical review of 'Part 8 Review' cases with the aim of identifying the prevalence of mental health problems in parents who abuse their children.
Factors associated with Type II trauma in occupational groups working with traumatised children: a systematic review
- Authors:
- SAGE Clara A.M., BROOKS Samantha K., GREENBERG Neil
- Journal article citation:
- Journal of Mental Health, 27(5), 2018, pp.457-467.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: There is evidence that “Type II trauma” (TTT) - repeated exposure to traumatic events - can lead to the development of post-traumatic stress disorder (PTSD). TTT frequently occurs in occupational groups working with children who are themselves victims of trauma. Aim: To conduct a systematic review identifying risk factors for/protective factors against TTT-associated mental ill-health in employees working with traumatised children and explore how this type of work impacts upon social functioning. Method: Databases were searched for relevant studies and supplemented by hand searches. Results: 836 papers were found and 13 were included in the review. The key themes identified were coping mechanisms; social support; personality; demographics; occupational support; work-related stressors; traumatic exposure; organisational satisfaction; training/experience and impact on life. Conclusion: Unhelpful coping strategies (e.g. denial) appeared to increase the risk of TTT. Training and strong support may be protective and work-related stressors (e.g. excessive workload) appeared detrimental. Despite some positive impacts of the work (e.g. becoming more appreciative of life) many negative impacts were identified, demonstrating the importance of minimising risk factors and maximising protective factors for staff at risk of TTT. (Publisher abstract)
Factors associated with mental health services referrals for children investigated by child welfare
- Authors:
- FONG Hiu-fai, et al
- Journal article citation:
- Child Abuse and Neglect, 79, 2018, pp.401-412.
- Publisher:
- Elsevier
Although child welfare caseworkers are responsible for facilitating mental health services access for maltreated children, little is known about caseworkers’ decisions to refer children to services. We aimed to identify factors associated with caseworker referral of children to mental health services after a maltreatment investigation. We analyzed data from 1956 children 2–17 years old from the Second National Survey of Child and Adolescent Well-being. We examined associations of children’s predisposing, enabling, and need-related factors and caseworkers’ work environment characteristics with referral to mental health services. Caseworkers referred 21.0% of children to mental health services. In multivariable analyses controlling for potential covariates, factors associated with increased odds of caseworker referral included: older child age; child sexual abuse (versus neglect); child out-of-home placement; caregiver mental health problems; prior maltreatment reports; clinically significant child behavioral problems; and child welfare agency collaborative ties with mental health providers (all p < .05). Factors associated with decreased odds of caseworker referral included child Black race (versus White race) and lack of insurance (versus Private insurance) (all p < .05). In summary, children’s need for mental health services was positively associated with caseworker referral to services but certain predisposing and enabling factors and caseworker work environment characteristics also correlated with services referral. Interventions to reduce disparities in services referral by race and insurance type are critically needed. These may include child welfare agency implementation of policies for mental health screening, assessment, and services referral based on clinical need and establishment of child welfare-mental health agency collaborative ties. (Edited publisher abstract)
Factors promoting mental health of adolescents who have a parent with mental illness: a longitudinal study
- Authors:
- LOON L.M A.van, et al
- Journal article citation:
- Child and Youth Care Forum, 44(6), 2015, pp.777-799.
- Publisher:
- Springer
Background: Children of parents with mental illness have an elevated risk of developing a range of mental health and psychosocial problems. Yet many of these children remain mentally healthy. Objective: The present study aimed to get insight into factors that protect these children from developing internalising and externalising problems. Methods: Several possible individual, parent–child, and family protective factors were examined cross-sectionally and longitudinally in a sample of 112 adolescents. A control group of 122 adolescents whose parents have no mental illness was included to explore whether the protective factors were different between adolescents with and without a parent with mental illness. Results: Cross-sectional analyses revealed that high self-esteem and low use of passive coping strategies were related to fewer internalising and externalising problems. Greater self-disclosure was related to fewer internalising problems and more parental monitoring was related to fewer externalising problems. Active coping strategies, parental support, and family factors such as cohesion were unrelated to adolescent problem behaviour. Longitudinal analyses showed that active coping, parental monitoring, and self-disclosure were protective against developing internalising problems 2 years later. The authors found no protective factors for externalising problems. Moderation analyses showed that the relationships between possible protective factors and adolescent problem behaviour were not different for adolescents with and without a parent with mental illness. Conclusions: The findings suggest that adolescents’ active coping strategies and parent–child communication may be promising factors to focus on in interventions aimed at preventing the development of internalising problems by adolescents who have a parent with mental illness. (Edited publisher abstract)
Parents with a mental health problem: learning from case reviews
- Author:
- NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
- Publisher:
- NSPCC
- Publication year:
- 2015
- Place of publication:
- London
This briefing highlights risk factors and key learning for improved practice from case reviews where the mental health problems of parents was a key factor. It is based on case reviews published from since 2013. The briefing identifies the following risk factors for practitioners to be aware of: disclosure of suicidal feelings; threats to kill; stress factors; domestic abuse; drug or alcohol misuse; and lack of engagement with services. Pointers to improve practice include: giving better consideration of the impact of mental health issues on parenting capacity; the need for children's services and adult services to work together and think of the whole family; listening to parents; having the confidence to question and challenge; and ensuring assessment is a shared task between children's social workers and adult mental health. (Edited publisher abstract)
Child protection and cross-sector practice: an analysis of child death reviews to inform practice when multiple parental risk factors are present
- Authors:
- FREDERICO Margarita, JACKSON Annette, DWYER Jenny
- Journal article citation:
- Child Abuse Review, 23(2), 2014, pp.104-115.
- Publisher:
- Wiley
This paper draws upon the findings of an analysis of 16 child death reviews of children known to child protection services in Victoria, Australia. The purpose of the research was to assist in understanding the impact on children of the coexistence of the parental risk factors of mental health problems, family violence and substance abuse. The common coexistence of the three risk factors was identified by the Victorian Child Death Review Committee in its analysis of child death reviews conducted by the Office of the Child Safety Commissioner. The researchers analysed a group of review reports and interviewed and surveyed practitioners in a range of fields. Lessons from filicide research have been integrated into the findings identifying lessons for policy and practice, and the importance of multi-service collaboration. A framework for understanding different elements of sharing knowledge is presented. Key Practitioner Messages:Research on filicide and child death reviews can contribute to understanding risk to children and informing practice; The need to pay increased attention when parental substance abuse, mental health problems and family violence coexist; A gender analysis contributes to understanding families and informing systems responses; A multi-service collaborative framework can support sharing of knowledge when parental risk factors coexist. (Edited publisher abstract)