Search results for ‘Subject term:"mental health problems"’ Sort:
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Prevalence and change in psychiatric disorders among perinatally HIV-infected and HIV-exposed youth
- Authors:
- MELLINS Claude A., et al
- Journal article citation:
- AIDS Care, 24(7-8), July 2012, pp.953-962.
- Publisher:
- Taylor and Francis
As the paediatric HIV epidemic in resource-rich countries evolves into an adolescent epidemic, there is a need for studies examining mental health needs of perinatally HIV infected (PHIV+ ) youth as they transition through adolescence. This paper examines the role of perinatal HIV infection in influencing mental health by comparing the changes in psychiatric disorders and substance use disorders (SUD) in PHIV+ and perinatally HIV exposed, but uninfected (PHIV- ) youth over time. Participants were recruited from four medical centres in New York City. Individual interviews were administered at baseline and 18-month follow-up to 166 PHIV+ and 114 PHIV- youth. Over two-thirds of participants met criteria for at least one psychiatric disorder at either baseline or follow-up. Among PHIV+ youth, there was a significant decrease in the prevalence of any psychiatric disorder, as well as anxiety disorders specifically over time, whereas the prevalence of any psychiatric disorder among PHIV- youth remained the same and mood disorders increased. Rates of SUD were low in both groups. PHIV+ youth reported more use of mental health services at follow-up. In conclusion, the rates of psychiatric disorder were high, even compared to other vulnerable populations, suggesting that factors other than perinatal HIV infection may be important determinants of mental health.
Connecting up the care: supporting London's children exposed to domestic abuse, parental mental ill-health and parental substance abuse
- Author:
- LONDON ASSEMBLY. Health Committee
- Publisher:
- London Assembly
- Publication year:
- 2020
- Pagination:
- 11
- Place of publication:
- London
Early neglect and trauma on children can have substantial negative outcomes later on in life. These potentially traumatic events are called Adverse Childhood Experiences (ACEs). This report from the London Assembly Health Committee examines three commonly co-occurring ACEs to assess their prevalence in London and how access to and support from services could be improved. The co-occurring ACEs are: domestic violence and abuse, parental mental ill-health and parental alcohol and drug misuse. Key findings of highlight the importance of: information sharing and data collection; multi-agency working; and the adoption of a trauma-informed approach to improve outcomes. (Edited publisher abstract)
Children in families at risk: local area maps
- Author:
- CHILDREN'S COMMISSIONER FOR ENGLAND
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2019
- Place of publication:
- London
Local area maps illustrating projected percentages of children living in households in England where an adult has any of the 'toxic trio' factors present, which are: alcohol or substance misuse; domestic abuse; and mental health problems. These factors have been shown to put children at greater risk of immediate harm as well as having a detrimental impact on their later life outcomes. The maps cover both local authority areas and Parliamentary constituency areas. These figures are not actual data collected from each local area, but are projections from a national survey combined with additional predictive modelling. (Edited publisher abstract)
The relationship of psychological distress and living with children and adolescents for adult non-medical prescription opioid users
- Authors:
- CHAN Keith Tsz-Kit, TRANT Jeffrey
- Journal article citation:
- Child and Adolescent Social Work Journal, 35(4), 2018, pp.391-405.
- Publisher:
- Springer
This study examines the relationship of adult non-medical prescription opioid substance use with psychological distress for families with children and adolescents. This study used data from the 2015 National Survey on Drug Use and Health (NSDUH). The sample in this analysis included 38,775 adults 18 and older. Multivariate regression analysis using survey design weights was used to examine the effect of past year non-medical prescription opioid use on psychological distress, measured by the Kessler Psychological Distress Scale (K6). Results indicated that adult opioid misuse was associated with increased psychological distress. Subgroup analysis revealed that for adult opioid users, having children or adolescents in the household was associated with higher psychological distress, while for non-users, it was associated with lower psychological distress. Public policies targeting this health crisis must consider how resources should address opioid use within family systems. Social workers are on the front-line among providers that serve adults who live with children and adolescents affected by this crisis, and can play a critical role in screening, assessing, and delivering mental health services for this at-risk population. (Edited publisher abstract)
Helping children with the Steps to Cope intervention
- Authors:
- TEMPLETON Lorna, SIPLER Ed
- Journal article citation:
- Drugs and Alcohol Today, 14(3), 2014, pp.126-136.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to summarise the findings from two projects in Northern Ireland which investigated the feasibility of adapting an existing adult intervention, the 5-Step Method, for children affected by parental substance misuse and/or parental mental illness. The structured brief psychosocial intervention is called Steps to Cope and can be delivered as an individual or group intervention. Design/methodology/approach: The two projects recruited and trained 57 practitioners from across Northern Ireland, 20 of whom went on to use the Steps to Cope intervention with a total of 43 children. Findings: It appears possible to adapt the intervention for children; to train practitioners, some of whom are able to use the intervention with one or more children; and for the intervention to benefit children in line with the five steps of the intervention targeting areas such as health, feelings, information, coping, support, and resilience. However, there are organisational and practical barriers to delivery which need to be overcome for the intervention to be more widely implemented. Originality/value: Steps to Cope is a unique intervention for this population and the findings discussed here suggest that the model has potential in an area where support for children in their own right is lacking. (Publisher abstract)
Thematic review of family therapy journals 2011
- Author:
- CARR Alan
- Journal article citation:
- Journal of Family Therapy, 34(4), November 2012, pp.431-451.
- Publisher:
- Wiley
In 2011 there was some expansion of the evidence base for systemic practice with child-focused and adult-focused problems, couples problems and family therapy conducted in medical and military contexts. There were important developments in the areas of integrative systemic practice models, competency-based training and real world research on the cost effectiveness and comparative effectiveness of family therapy. In this article the contents of the principal English-language family therapy journals published in 2011 are reviewed under these headings: child-focused problems, adult-focused problems, couples therapy, medical family therapy, military family therapy, theory, research, training, the new Journal of Couple and Family Psychology and Human Systems twenty-first anniversary.
Children's needs - parenting capacity: the impact of parental mental illness, problem alcohol and drug use, and domestic violence on children's development
- Authors:
- CLEAVER Hedy, UNELL Ira, ALDGATE Jane
- Publisher:
- Stationery Office
- Publication year:
- 1999
- Pagination:
- 138p.,bibliog.
- Place of publication:
- London
Explores the research literature relating to the effects parental mental health problems and or substance misuse, as well as domestic violence, have on child development. Shows that potential problems affect children differently depending on their age and individual circumstances. While some children grow up apparently unscathed, others exhibit emotional and behavioural disorders.
Families that have alcohol and mental health problems: a template for partnership working
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, KEARNEY Patricia, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2003
- Pagination:
- 32p.
- Place of publication:
- London
This report is about delivering high quality co-ordinated services to families where children live with parents who misuse alcohol or have mental health problems. In line with government policy, it recognises that promoting the well-being of children and keeping them safe should be achieved, wherever possible, by providing support for parents in bringing up their children and by ensuring children do not take on excessive or inappropriate caring roles in their families. It promotes the use of collaborative protocols to further good practice and offers a template for agencies to use when developing local initiatives. (Previously published as SCIE Resource Guide no. 1).
A trio of risk factors for childhood sexual abuse: investigating exposure to parental domestic violence, parental addiction, and parental mental illness as correlates of childhood sexual abuse
- Authors:
- FULLER-THOMSON Esme, AGBEYAKA Senyo
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 65(3), 2020, pp.266-277.
- Publisher:
- Oxford University Press
Targeted screening for sexual abuse is needed for social workers to accurately identify those at risk. Drawing on a cumulative disadvantage framework, this study investigates how parental addictions, parental mental illness, and exposure to domestic violence, both individually and cumulatively, are associated with childhood sexual abuse (CSA). Two waves of regionally representative data were analyzed. Bivariate and logistic regression analyses were conducted using the 2010 Brief Risk Factor Surveillance Survey (BRFSS) (n = 9,241 men, n = 13,627 women) and replicated using the 2012 BRFSS (n = 11,656 men, n = 18,145 women). The 2010 data indicated that 8.5 percent of men who had endured all three childhood adversities reported that they had experienced CSA, compared with 0.6 percent of men who did not experience any of these adversities. Levels of CSA for women in 2010 were 28.7 percent for those experiencing all three risk indicators, and 2.1 percent for women with no risk indicators. Results were similar in the BRFSS 2012. Those with two or more risk factors had between five- and eight-fold higher odds of CSA. Social workers may be able to decrease false positives if they screen for CSA based on the presence of two or more risk factors. (Edited publisher abstract)
Outcomes for children who care for a parent with a severe illness or substance abuse
- Authors:
- KALLANDER Ellen Katrine, et al
- Journal article citation:
- Child and Youth Services, 39(4), 2018, pp.228-249.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study investigates whether the children have different outcomes when the parent has a severe physical illness, mental illness, or substance abuse and whether any factors are associated with the positive and negative outcomes of the children’s caregiving. This was a cross-sectional, multicenter study. The study recruited parents who were out- or inpatients in five public hospitals in Norway as well as their children. The sample included 246 children ages 8–18 and 238 of their parents with a severe physical illness, mental illness, or substance abuse. Ten percent reported negative outcomes at a clinical level of concern, and nearly half of the children reported stress. However, the outcomes were not significantly different across parental illness groups. Positive and negative outcomes were associated with the nature of caring activities (e.g., personal care, financial and practical management, household management), social skills, and perceived external locus of control. Health professionals must provide a more comprehensive and overall assessment of both the parents’ and the children’s needs. To recognise the role taken by the child, an assessment of children’s caring activities and their need for adequate information should be performed. In particular, should the children’s need for follow-up regarding caring activities, respite, and emotional support be assessed to secure their necessary skills and feeling of mastery. (Edited publisher abstract)