Search results for ‘Subject term:"parental mental health"’ Sort:
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Risk of maltreatment for siblings: factors associated with similar and different childhood experiences in a dyadic sample of adult siblings
- Authors:
- WITTE Susanne, FEGERT Jorg M., WALPER Sabine
- Journal article citation:
- Child Abuse and Neglect, 76, 2018, pp.321-333.
- Publisher:
- Elsevier
Siblings share the same environment and thus potentially a substantial number of risk factors for child maltreatment. Furthermore, the number of siblings and the sibling constellation itself might pose a risk for child maltreatment. Little is known about the likelihood that more than one child in a family is maltreated and which factors increase the risk. This study sought to investigate similarities and differences in maltreatment in siblings and risk factors associated with the maltreatment of more than one child from the same family. Data on maltreatment during childhood and adolescence, family background, and sibling constellation were collected from 870 pairs of siblings. In the dyadic analyses, siblings reported similar maltreatment experiences, especially when any type of maltreatment was considered. Parents’ mental health problems were significant predictors for maltreatment of at least one sibling. Father’s mental health problems were predictive of maltreatment of both or only the younger sibling, mother’s mental health problems of both or only the older sibling. Closeness in age and same gender of siblings did not emerge as a consistent predictor. The increasing number of siblings was a risk factor for any type of maltreatment of both siblings. The results highlight the need for preventive measures for families with a large number of children and with parents with mental health problems as well as a repeated risk assessment of all siblings in a family when one sibling was maltreated. (Publisher abstract)
Child F serious case review: overview report: services provided for Child F and Child G and members of their family from January 2009 - October 2011
- Author:
- IBBETSON Keith
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2014
- Pagination:
- 73
- Place of publication:
- London
Child G was aged 2 and Child F was an infant in late 2011, when Child F was stabbed by her father. He was suffering from what has been described in psychiatric reports as a ‘severe psychotic episode’ and had received a four year prison sentence for a serious violent crime prior to the birth of Child G. Child F suffered a number of stab wounds before her father could be arrested by police officers who had been sent to the family home following a 999 call. He was detained in custody after the incident but subsequently received psychiatric care in a secure setting. The review found that while the professionals who were in contact with the mother and the children and those who were working with the father did not communicate with one another, there was no cause for concern about the children and no cause for professionals to be in touch with one another. In addition, the review found no indication that the injuries to Child F could have been anticipated or prevented. However, it highlighted opportunities for better information sharing between the prison and criminal justice system and community based health professionals, both through the sharing of prison health records and court reports and through greater engagement of health agencies in the multi-agency risk assessment arrangements. The report makes a number of recommendations in relations to GP services, family health assessment, accident and emergency services and probation services. (Edited publisher abstract)
Child D: a serious case review
- Author:
- ANONYMOUS
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2014
- Pagination:
- 69
A serious case review of Child D, who was just under three weeks old when admitted to hospital with multiple serious injuries in October 2012. Medical advice was that these injuries had been inflicted. Child D’s mother, a woman in her early twenties, was arrested. She was known to adults’ and children’s social care services and to a range of health services, before and during her pregnancy and following the birth of Child D. The review found that the agencies had a great deal of information about Ms E. There were numerous indications that she would find it difficult to cope with the responsibilities of being a new parent. Those signs can be found in her childhood, when she had been abused and exploited, her mental health, her learning disability and her continuing isolation and lack of reliable support. The review highlights that the fundamental failing was that agencies did not work together and despite the number of services involved there was never any inter-agency meeting. Maternity services had the greatest amount of direct contact with Ms E but made little positive use of that contact. Given that the assessment of her learning disabilities was inconclusive, no agency gave adequate weight to the implications of her pregnancy. The report concludes that while the consequences of this in this case were extreme it will not be unusual that vulnerable young people fall between various sets of eligibility criteria and are denied critical support and services. (Edited publisher abstract)
The 'toxic trio': how good is the evidence base?: summary
- Authors:
- SKINNER Guy C. M., et al
- Publishers:
- National Children's Bureau, University of Cambridge, University of Kent
- Publication year:
- 2020
- Pagination:
- 4
The term ‘toxic trio’ was coined to describe the risk of child abuse and neglect stemming from a child’s exposure to i) domestic violence, ii) parental mental health issues and/or iii) learning disability, and iv) parental alcohol and/ or v) drug misuse. The concept emerged from research commissioned by the DfE, including the analyses of Serious Case Reviews. Capturing policy makers’ and professionals’ imaginations, the ‘toxic trio’ became a shorthand for identifying risk in child protection practice and embedded in assessment processes, national data collection and the family justice system. Despite the term’s currency, this review found little quality evidence of the incidence of the ‘trio’ factors in child maltreatment, little consideration of intersectionality and minimal attempts to build models explaining the supposed relationships. Parental mental ill-health, domestic violence, drug or alcohol use, and parental learning disability are undoubtedly important factors in children’s lives. However, they are not the only significant factors and the social and economic context in which these issues are experienced have a major impact on their consequences for children. The focus on the ‘trio’ has crowded out other factors which would lead to a different orientation to practice, one that recognises that securing and maintaining trust between parents and services is a key issue, underpinned by an understanding that good parenting requires resources as well as skills. (Edited publisher abstract)
Entering out-of-home care during childhood: cumulative incidence study in Canada and Australia
- Author:
- O’DONNELL Melissa
- Journal article citation:
- Child Abuse and Neglect, 59, 2016, pp.78-87.
- Publisher:
- Elsevier
Cumulative incidence provides a more accurate indicator than annual incidence rates of the number of children who experience out-of-home care during childhood. The study utilises a cohort of all children born in Western Australia (WA) 1994–2005 and Manitoba 1998–2008 using de-identified linked data. Life tables were used to calculate the age-specific cumulative incidence over time and for at-risk groups. Cox regression was used to compare risk factors for entry to care. Manitoba had a larger proportion of children entering care compared to WA (9.4% vs 1.5% by age 12). Over time children entered care at a younger age in both WA (HR = 1.5, CI:1.4–1.5) and Manitoba (HR = 1.5, CI:1.5–1.6). Similar factors were associated with earlier age care entries in both countries including: socioeconomic disadvantage, young maternal age, maternal hospital admissions for mental health issues, substance misuse and assault. Supplementary analysis for WA showed a time trend with young children (<3 years of age) who entered care spending an increasing proportion of their early years in care. Whilst Manitoba had a larger proportion of children entering care, over time in Western Australia children have been entering care at a younger age and spending more time in care. These latter factors contribute to an increased burden on the out-of-home care system. Manitoba had over five times greater cumulative incidence than WA, however risk factors for entry to out-of-home care were consistent in both countries. Knowledge of the risk factors for entry to out-of-home care can inform targeted support and prevention programmes. (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)
Serious case review: redacted overview report: services provided for EY and OY and members of their families during the period 1 July 2008 - 18 March 2011
- Author:
- IBBETSON Keith
- Publisher:
- Windsor and Maidenhead Local Safeguarding Children Board
- Publication year:
- 2014
- Pagination:
- 185
- Place of publication:
- Maidenhead
The review concerns two children: EY was aged 11 months when he died on 20 March 2011 and his older brother OY was aged 23 months. On the morning of 18 March 2011 EY was taken to hospital by ambulance. He had suffered a very serious head injury, which caused his death two days later. The post-mortem examination revealed that EY had suffered bruises and fractures at different ages and determined that it was virtually impossible to explain the head injury other than as the result of non-accidental injury. There was evidence that the mother’s denied or concealed her two pregnancies and that she showed little positive interest in EY; professionals missed opportunities to protect EY on several occasions when they identified suspicious bruises but failed to take action. The conclusions of the SCR were that 1) over the long term the risks to EY were underestimated 2) when he moved to live with his mother he should have been closely monitored because of the concerns about the circumstances of his birth and his mother’s failure to visit him for long periods when he had been looked after 3) in the two weeks before his death professionals missed opportunities to intervene which, if they had been taken, are very likely to have led to the detection of serious injuries and would probably have prevented his death. The report makes a number of recommendations, including: the LSCB should oversee the production of a ‘pathway’ for the management by health professionals of bruising so as to ensure that it is consistent with sound multi-agency child protection practice; all health visiting teams should be briefed about action take in the event of observed bruising on an infant; and children’s social care services should develop local good practice guidance for the staff, including the provision of training on concealed pregnancy and birth. (Edited publisher abstract)
Serious case review CN08
- Authors:
- KASPRZYK Maria, et al
- Publisher:
- Devon Safeguarding Children Board
- Publication year:
- 2014
- Pagination:
- 45
- Place of publication:
- Exeter
A serious case review of the death of Child A, a 2 years old boy who lived with his mother and had experienced incidents of domestic violence involving his father throughout his life. In March 2011, the child’s mother had been detained under Section 2 of the Mental Health Act 1983 and later in the year had been briefly in contact with the Crisis Resolution Home Treatment Team following further mental health deterioration. She was charged with murder on 20 January 2013 and later convicted of manslaughter and received a hospital order. The review, which applied the learning together principle of the SCIE methodology, outlines the following findings: there is currently no system in place in Devon to assess current or future risks to any children, whose parents had the adult mental health services withdrawn from them due to a lack of engagement; professionals are making assessments based on presenting information only and are not considering the wider implications for child safety; the system used to triage cases does not adopt a clear risk assessment based process and is therefore susceptible to inconsistent application of thresholds; and the multi-agency risk assessment conference process focuses on adult, rather than child. (Edited publisher abstract)
Overview report on the serious case review relating to Child S: executive summary and overview report
- Author:
- WONNACOTT Jane
- Publisher:
- Surrey Safeguarding Children Board
- Publication year:
- 2014
- Pagination:
- 82
- Place of publication:
- Kingston upon Thames
A serious case review of a two month old baby, Child S, and his one year old half sibling (Half Sibling 2), who were found home alone. Child S was seen to have a bruise on his forehead and was subsequently found to have serious injuries including fractures and brain injury. Both children and their half sibling age four (Half Sibling 1) were subject of child protection plans at this time. Their mother, who lived alone with the children, was charged with grievous bodily harm and neglect. She pleaded guilty to wilful cruelty and three counts under section 20 of grievous bodily harm and in September 2013 received a community sentence. The thematic analysis of professional practice focuses on: recognising risk; recognising the significance of history; the impact of alcohol use on parenting capacity; bruising and injuries in children who are not independently mobile; recognising the interface between child neglect and physical abuse; consideration of the potentially different meaning that each child may have for parents; assessing the impact of learning disability on parenting capacity; working with fathers; working with resistant parents; management and supervision; and working effectively together within and between organisations. (Edited publisher abstract)
Treatment implications based on measures of child abuse potential and parent mental health: are we missing an intervention opportunity?
- Authors:
- SOLOMON David A., et al
- Journal article citation:
- Children and Youth Services Review, 43, 2014, pp.153-159.
- Publisher:
- Elsevier
This paper discusses the results of MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2 Restructured Form) and Child Abuse Potential Inventory assessments in a sample of identified perpetrators of child maltreatment. Results indicated that child abuse potential (CAP) scores were most strongly correlated with internalizing symptoms (e.g., depression and anxiety) while correlations between abuse potential and externalizing symptoms (e.g., substance use and aggressive behaviour) and thought dysfunctions (e.g., delusions and hallucinations) were comparably weaker. Internalizing problems predicted elevations on the overall CAP Abuse Scale as well as certain CAP subscales, while other classes of problems did not. Because the results of this study indicate a clear relationship between internalizing symptoms and child abuse potential, it is suggested that psychotherapy and other interventions aimed at reducing such symptoms may be beneficial in the prevention of further maltreatment. (Edited publisher abstract)