Children's Participation Rights: Voicing Opinions in Inpatient Care

LeFrançois, Brenda A.

doi:10.1111/j.1475-3588.2007.00439.x

Cited by 23 publications

(44 citation statements)

References 14 publications

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“…Creating space to allow children and young carers to express themselves is appreciated and may facilitate and build self-esteem. To be sure, it has been suggested that children and young people's participation and partnership working with services leads to increased confidence and self-belief (DfES, 2003;LeFrancois, 2007). What is required is to open up new ways of working and communicating with young people, including young carers, which perhaps would shift the focus from child protection to a new focus on children's voices and rights.…”

Section: R E T R a Cmentioning

confidence: 97%

“…These fears can adversely affect young carers' , parents' and family members' well-being and mental health status over time (Aldridge & Becker, 2003). Young carers feel marginalised by society and by professionals, and this is somewhat compounded by the propensity of services and professionals to instigate child protection responses instead of working closely with young carers in partnership, to give young carers more autonomy, information on coping strategies, a say in the services that are provided for them and a voice (Aldridge & Becker, 2003;LeFrancois, 2007).…”

Section: Fears Of Family Separation and Child Protectionmentioning

confidence: 98%

“…Child protection procedures carry with them feelings of loss, grief, guilt and chronic sorrow in young carers (Barnett & Parker, 1998). According to LeFrancois (2007), the denial of voice may occur for young people in many contexts of their lives. The encouragement of self-expression of young people in her study was often curtailed by practitioners.…”

Section: R E T R a Cmentioning

confidence: 98%

“…The aim is to give children a voice that allows them to express their needs, experiences and wants (Aldridge & Becker, 2003;LeFrancois, 2007). Successful strategies that give children and young carers a voice illustrate the power and cogency Child Care in Practice 103…”

Section: Examples Of Good Practice and Effective Working With Young Cmentioning

confidence: 99%

“…More recently, partnership working with children and young carers has been shown to provide more comprehensive, sensitive and holistic packages of support that take into account the lives of young carers, their strained circumstances, needs and voices (Butler & Astbury, 2005;Gray, 2002aGray, , 2002bGray, , 2003LeFrancois, 2007). The idea of enabling young people, including young carers, to voice their opinions is enshrined in the United Nations Convention on the Rights of the Child, the Children Act (2004), as well as the National Service Framework for Children (DoH, 2003(DoH, , 2004a(DoH, , 2004b(DoH, , 2004c.…”

Section: R E T R a Cmentioning

confidence: 99%

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Hidden Children: Perspectives of Professionals on Young Carers of People with Mental Health Problems

Gray¹,

Robinson

2009

Child Care in Practice

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Young carers of people with mental health problems are highly hidden, ostracised and vulnerable. To make matters worse, many professionals from the social, health and education sectors are not fully aware of the difficulties and central issues facing young carers of people with mental health problems. In order to make young carers of people with mental health problems more visible and to explore gaps in need and good practice from the perspectives of professionals, 65 participants were interviewed. The sample included professionals from the social, healthcare and voluntary sectors. Respondents were asked to discuss their understanding of young carers and appropriate interventions and methods to address young carers' needs. Findings highlight: young carers' isolation, stigma and restricted opportunities; fears involving family separation and child protection; and examples of good professional practice. New findings and examples of good professional practice that provide holistic, sensitive and effective support include: young carer groups and forums; young carer days; raising awareness of young carers in schools, especially via technology such as DVDs and the Internet; and having key workers to befriend young carers so as to advocate for better care, to provide emotional and psychological support and to facilitate young carer involvement.

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Section: R E T R a Cmentioning

confidence: 97%

Section: Fears Of Family Separation and Child Protectionmentioning

confidence: 98%

Section: R E T R a Cmentioning

confidence: 98%

Section: Examples Of Good Practice and Effective Working With Young Cmentioning

confidence: 99%

Section: R E T R a Cmentioning

confidence: 99%

See 3 more Smart Citations

Hidden Children: Perspectives of Professionals on Young Carers of People with Mental Health Problems

Gray¹,

Robinson

2009

Child Care in Practice

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User involvement in adolescents’ mental healthcare: a systematic review

Viksveen

Bjønness

Cardenas

et al. 2021

Eur Child Adolesc Psychiatry

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More than one out of ten adolescents suffer from mental illness at any given time. Still, there is limited knowledge about their involvement in mental healthcare. Adolescents have the right to be involved in decisions affecting their healthcare, but limited research focuses on their engagement and decision-making. Therefore, this systematic review aims to explore the existing experiences with, the effectiveness of, and safety issues associated with user involvement for adolescents’ mental healthcare at the individual and organizational level. A systematic literature review on user involvement in adolescents’ mental healthcare was carried out. A protocol pre-determined the eligibility criteria and search strategies, and established guidelines were used for data extraction, critical appraisal, and reporting of results. Quantitative studies were analysed individually due to heterogeneity of the studies, while qualitative studies were analysed using thematic synthesis. A total of 31 studies were included in the review. The experiences with user involvement were reported in 24 studies with three themes at the individual level: unilateral clinician control versus collaborative relationship, capacity and support for active involvement, the right to be involved; and two themes at the organizational level: involvement outcomes relevant to adolescents’ needs, conditions for optimal involvement. The effectiveness of user involvement was reported in seven studies documenting fragmented evidence related to different support structures to facilitate adolescents’ involvement. The safety associated with user involvement was not reported in any studies, yet a few examples related to potential risks associated with involvement of adolescents in decision-making and as consultants were mentioned.

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The ward as emotional ecology: Adolescent experiences of managing mental health and distress in psychiatric inpatient settings

et al. 2017

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Previous research on young people's satisfaction of inpatient services has often relied on the responses of carers and relevant practitioners. It is difficult to ascertain to what extent such reporting accurately represents the satisfaction levels of young people, with emerging research suggesting wide discrepancies. As part of a wider study evaluating the effectiveness of a Supported Discharge Service (SDS) operating within South London & Maudsley NHS Foundation Trust, this paper examines how young people experience inpatient services, on a social and emotional level. Twenty young people, (10 SDS and 10 TAU) participated in a semi-structured visual-interview study to examine their experiences of admission, ward-life and treatment. A thematic decomposition analysis was conducted on the data and specific themes relevant to satisfaction and engagement with inpatient services was examined in-depth. These include a) Behavioural surveillance as care surrogate and b) Managing the delicate emotional ecology of the ward: openness, triggering, sterility and relational engagements. Finally, we explore some of the implications of these inpatient experiences for supported discharge services.

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Children's Participation Rights: Voicing Opinions in Inpatient Care

Cited by 23 publications

References 14 publications

Hidden Children: Perspectives of Professionals on Young Carers of People with Mental Health Problems

Hidden Children: Perspectives of Professionals on Young Carers of People with Mental Health Problems

User involvement in adolescents’ mental healthcare: a systematic review

The ward as emotional ecology: Adolescent experiences of managing mental health and distress in psychiatric inpatient settings

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