Discrimination in relation to parenthood reported by community psychiatric service users in the UK: a framework analysis

Jeffery, Debra; Clément, Sarah; Corker, Elizabeth; Howard, Louise M.; Murray, Joanna; Thornicroft, Graham

doi:10.1186/1471-244x-13-120

Cited by 47 publications

(32 citation statements)

References 33 publications

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“…Previous qualitative studies have often identified the same groups and settings as the most common sources of discrimination: family members, healthcare professionals and employers . A small number of studies have looked at specific settings – for example hospitals – or circumstances – for example parenting . The range of behaviour types identified is also fairly consistent across the literature, including the expression of prejudicial views (such as dangerousness), overprotection, having views discounted or disbelieved, being avoided, structural discrimination and experiencing physical abuse or neglect .…”

Section: Introductionmentioning

confidence: 84%

Qualitative analysis of mental health service users’ reported experiences of discrimination

Hamilton

Pinfold

Cotney

et al. 2016

Acta Psychiatr Scand

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Objective To better understand mental health service users’ experiences of stigma and discrimination in different settings. Method An annual telephone survey of people with a mental health diagnosis conducted to evaluate the Time to Change antistigma campaign in England. Of 985 people who participated in 2013, 84 took part in a qualitative interview which was audio recorded. Of these, 50 interviews were transcribed and thematically analysed to explore accounts of discrimination. We analysed common types of behaviour; motivations ascribed to the discriminators; expectations of what fair treatment would have been; and the impact of discrimination on participants. Results Discrimination was most common in five contexts: welfare benefits, mental health care, physical health care, family and friends. Participants often found it hard to assess whether a behaviour was discriminatory or not. Lack of support, whether by public services or by friends and family, was often experienced as discrimination, reflecting an expectation that positive behaviours and reasonable adjustments should be offered in response to mental health needs. Conclusion The impact of discrimination across different settings was often perceived by participants as aggravating their mental health, and there is thus a need to treat discrimination as a health issue, not just a social justice issue.

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Section: Introductionmentioning

confidence: 84%

Qualitative analysis of mental health service users’ reported experiences of discrimination

Hamilton

Pinfold

Cotney

et al. 2016

Acta Psychiatr Scand

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“…Jeffery et al . () reported 23% of individuals receiving community‐based psychiatric services felt discriminated against for starting a family and 28% in their role as a parent.…”

Section: Introductionmentioning

confidence: 99%

“…If children stay in the family, parents may be confronted with prejudices and discrimination, given the stigma individuals with mental illness who are parents often face. Jeffery et al (2013) reported 23% of individuals receiving community-based psychiatric services felt discriminated against for starting a family and 28% in their role as a parent.…”

Section: Introductionmentioning

confidence: 99%

Strategies for parenting by mothers and fathers with a mental illness

Ende

Busschbach

Nicholson

et al. 2016

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? The combination of coping with their mental health problems and caring for children makes parents vulnerable. Family‐centred practice can help to maintain and strengthen important family relationships, and to identify and enhance the strengths of a parent with a mental illness, all contributing to the recovery of the person with the mental illness. What this paper adds to the existing knowledge? Taking the strength and the opportunities formulated by parents themselves as a starting point is fairly new. Parents with severe mental illness find strength for parenting in several ways. They feel responsible, and this helps them to stay alert while parenting, whereas parenthood also offers a basis for social participation through school contacts and the child's friendships. Dedication to the parent role provides a focus; parents develop strengths and skills as they find a balance between attending to their own lives and caring for their children; and parenting prompts them to find adequate sources of social support. In this study these strategies were found to be the fundamentals of recovery related to parenting. What are the implications for practice? Nurses can support and coach patients who are identified as parents, and self‐chosen parenting related goals are set and addressed. A family‐focused approach by nurses can be used to prevent problems for children and their families, identify their strengths as well as vulnerabilities, and address the challenges to build resilience. Abstract IntroductionUnderstanding of the problems of parents with mental illness is growing. Gaining insight into strategies for parenting, while taking the opportunities formulated by these parents themselves as a starting point is fairly new. QuestionWhat are the strategies of parents with a mental illness to be successful? MethodExperiences of 19 mothers and eight fathers with a mental illness were explored with in‐depth interviews. Data were content analysed, using qualitative methods. ResultsNext to feelings of inadequacy, interviewees also describe how children enrich and structure their lives and are not only a burden but serve as distraction from problems. Developing activities that interest both child and parent provides avenues for emerging strength. Mental illness constrains fathers, but also gives opportunities to develop a meaningful relation with their children. DiscussionStrategies like being fully dedicated to the parental role, finding a balance between attention for one's own life and parenting and finding adequate sources of support are found to be fundamental for recovery in the parent role. Implications for practicePeer groups can be of valuable help and mental health workers can support parents to set self‐chosen parenting related goals.

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“…The association between unmet accommodation needs and unmet childcare needs also requires special attention. Adult mental health services rarely consider that their clients could be parents and that their illness is likely to impact on their children's mental health (David, Styron, & Davidson, ; Diaz‐Caneja & Johnson, ; Jeffery et al, ). For instance, the perception of succeeding or failing as a mother can have a significant impact on her well‐being as well as her ability to recover (Nicholson, ).…”

Section: Discussionmentioning

confidence: 99%

Unmet needs of persons with a severe and persistent mental illness and their relationship to unmet accommodation needs

Isaacs

Beauchamp

Sutton

et al. 2019

Health Soc Care Community

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This is a cross-sectional study of unmet needs of persons enrolled in Australia's Partners in Recovery (PIR) initiative. It aimed to explore the unmet needs reported by persons with a severe and persistent mental illness (SPMI) and to examine the associations between unmet accommodation needs and other unmet needs. The study was undertaken in the Gippsland region of Victoria from February to May 2015. Data were collected from the administrative database for the PIR initiative in Gippsland, which was held by the Gippsland Primary Health Network. Data on unmet needs, as measured by the Camberwell Assessment of Needs Short Appraisal Schedule, were analysed using proportions and logistic regression. Psychological distress, daytime activities, company/someone to spend time with and employment and volunteeringwere the most commonly reported unmet needs. Participants with unmet accommodation needs were less likely to receive information on their condition or access other services. They also had unmet needs relating to food, money, transport, childcare, looking after home, physical health, psychological distress and self-care.Supported accommodation may not be enough for persons with SPMI who have poor functioning skills and are incapable of looking after themselves. Services such as Housing First that have shown promising results need to be part of a comprehensive strategy to care for persons with severe and enduring mental illness.

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Discrimination in relation to parenthood reported by community psychiatric service users in the UK: a framework analysis

Cited by 47 publications

References 33 publications

Qualitative analysis of mental health service users’ reported experiences of discrimination

Qualitative analysis of mental health service users’ reported experiences of discrimination

Strategies for parenting by mothers and fathers with a mental illness

Unmet needs of persons with a severe and persistent mental illness and their relationship to unmet accommodation needs

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