WPA guidance on the protection and promotion of mental health in children of persons with severe mental disorders
PublisherBlackwell Publishing Ltd
MetadataShow full item record
AbstractThis guidance details the needs of children, and the qualities of parenting that meet those needs. Parental mental disorders can damage the foetus during pregnancy through the action of drugs, prescribed or abused. Pregnancy and the puerperium can exacerbate or initiate mental illness in susceptible women. After their birth, the children may suffer from the social disadvantage associated with severe mental illness. The parents (depending on the disorder, its severity and its persistence) may have intermittent or prolonged difficulties with parenting, which may sometimes result in childhood psychological disturbance or child maltreatment. This guidance considers ways of preventing, minimizing and remedying these effects. Our recommendations include: education of psychiatrists and related professions about the effect of parental mental illness on children; revision of psychiatric training to increase awareness of patients as caregivers, and to incorporate relevant assessment and intervention into their treatment and rehabilitation; the optimum use of pharmacological treatment during pregnancy; pre-birth planning when women with severe mental illness become pregnant; development of specialist services for pregnant and puerperal women, with assessment of their efficacy; community support for parenting by mothers and fathers with severe mental disorders; standards of good practice for the management of child maltreatment when parents suffer from mental illness; the importance of multi-disciplinary teamwork when helping these families, supporting their children and ensuring child protection; the development of child and adolescent mental health services worldwide.
KeywordChild and adolescent mental health services
Childhood mental disorders
Severe mental illness
Identifier to cite or link to this itemhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-80053139374&doi=10.1002%2fj.2051-5545.2011.tb00023.x&partnerID=40&md5=883267d9188b5e2a53893d582d1f87ab; http://hdl.handle.net/10713/11856
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Perspectives among mental health providers regarding rehospitalization of the chronically mentally illAnderson, Denise Lynn; Belcher, John R. (1995)Rehospitalization of persons diagnosed with chronic mental illnesses has been a problem since deinstitutionalization. While there has been little agreement among researchers, practitioners, families and consumers as to what is needed to improve this problem, it has been addressed frequently in mental health literature. The purpose of this qualitative 'grounded theory' field study was to explore perspectives of different levels of community mental health providers (i.e., directors, supervisors and direct service providers) (n = 15) from different community agencies regarding rehospitalization of persons diagnosed with chronic mental illnesses. Semi-structured interviews were conducted with each participant in three rounds of data collection. The data was coded and categories were collapsed into themes. As themes reached saturation, they were negotiated and refined into the working hypotheses. This method of constant comparative analysis allowed for negotiation of the final working hypotheses to develop 'grounded theory'. The results indicate there are differences and similarities among levels of community mental health providers regarding rehospitalization. Similar perspectives among participants included their view of needs for new and improved programs and increased education to decrease rehospitalizaton. Participants view multiple community mental health agencies as having strengths and limitations. Lack of perceived influence by persons in direct hierarchical line of authority was another commonalty. Differences were related to the scope of the providers' view, providers' perceived significance of impact on consumers, and level of openness regarding views and opinions. The results also reveal that different perspectives exist among agencies related to awareness of outside influences impact on their work with consumers. Implications of these findings include recommendations for both practice and research within this community mental health setting, as well as, to the social work profession. Recommendations for the setting in which the research was conducted include to further explore the findings of the study, specifically, the reported frustration regarding lack of team work among different agencies within the mental health system. Finally, social work research is encouraged to build knowledge and address problems from a social work perspective. It is recommended that further research be conducted from a social work perspective in the area of mental health.
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