Parents served by assertive community treatment: Parenting needs, services, and attitudes.

White, Laura M.; McGrew, John H.; Salyers, Michelle P.

doi:10.1037/h0094743

Cited by 15 publications

(20 citation statements)

References 14 publications

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“…Despite these high rates, few consumers reported having any custody of their children (23.2%), and most parents reported seeing their young children less than seven days per month. Consistent with previous research, few consumers with severe mental illness appear to have custody of their children, and those without custody may not see their children often (Gewurtz et al, 2004; Hearle et al., 1999; Joseph et al, 1999; White et al, 2013). …”

Section: Discussionsupporting

confidence: 82%

“…Because parents reported lower preferences for autonomy and less activation in treatment, parents may need additional assistance with regard to parenting-specific issues and unmet needs (Brunette & Dean, 2002; Nicholson & Biebel, 2002; Nicholson et al, 2001; White et al., 2013), but may also need greater support in managing mental health conditions on top of the demands of being a parent. For example, it may be helpful to integrate illness management training with parenting programs.…”

Section: Discussionmentioning

confidence: 99%

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Parenthood and severe mental illness: Relationships with recovery.

Bonfils¹,

Adams²,

Firmin³

et al. 2014

Psychiatric Rehabilitation Journal

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Objective Parenting is an important life domain for many people, but little research examines the parenting experience and its role in recovery for those with a severe mental illness. The current study provides preliminary evidence of how these concepts are related in a sample of individuals living with severe mental illness attending a community mental health center. We also explored potential differences between mothers and fathers, which could help better tailor services to meet the needs of parents with severe mental illness. Methods Data were obtained during baseline interviews for a study testing an intervention designed to increase shared decision-making in psychiatric treatment. Participants (N = 167) were administered measures of patient activation, recovery, autonomy preference, hope, and trust in providers. We compared parents and non-parents and compared mothers and fathers using chi-square, t-tests, and, where appropriate, analysis of covariance. Results Parents had a significantly higher level of trust in their psychiatric care provider than non-parents. Contrary to hypotheses, parents were less active in their treatment and preferred less information-seeking autonomy than did non-parents, but did not differ on other recovery-related indices. No differences on recovery-related indices were detected between mothers and fathers. Secondary analyses revealed parents with minor children had more hope than parents of older children. Conclusions and Implications for Practice Although parents may have higher levels of trust in their physicians, our preliminary findings suggest that parents with severe mental illness may benefit from increased efforts to help them be more active and interested in information about their illnesses.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Parenthood and severe mental illness: Relationships with recovery.

Bonfils¹,

Adams²,

Firmin³

et al. 2014

Psychiatric Rehabilitation Journal

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“…, White et al . , Cook & Mueser ). Most recently Aldersey & Whitley () conducted a study on the role of family members on recovery and found that, apart from practical support, the family also may give moral support and functions as a motivation for recovery.…”

Section: Discussionmentioning

confidence: 98%

“…), assessment of their needs (Howard & Underdown ), and the development and evaluation of programmes (White et al . ). However, not much is known about the way these mothers and fathers come to grips with challenges in their parental role or about the meaning of parenting in their recovery processes.…”

Section: Introductionmentioning

confidence: 97%

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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“…Reports on the help-seeking behaviour among seriously ill parents regarding parental problems indicate that parents with substance abuse problems and mental illness are reluctant to seek such help. For some, this is because they are afraid of losing their parental rights [6, 7]. Studies from the UK and Norway have found that parents with serious mental health problems often do not receive help in order to support their children [1, 8, 9].…”

Section: Introductionmentioning

confidence: 99%

Ill and substance-abusing parents: how can the general practitioner help their children? A qualitative study

et al. 2016

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BackgroundSevere illness among parents may interfere with their parenting. Children having ill or substance-abusing parents are at risk of own health problems and psychosocial difficulties. The health care system should identify families in need of help and provide the help needed. For ill parents, it can be difficult to seek help and advices for their parenting. The aim of this study was to identify important factors for the general practitioner (GP) to bear in mind during encounters with ill and substance-abusing parents, to enable the GP to provide appropriate support for the children.MethodA qualitative approach was chosen and the data material was semi-structured individual interviews with 12 parents with mental illness, substance abuse or severe somatic illness. The participants were recruited through GPs in Norway, and the interviews were performed in 2014. We used systematic text condensation for analysis.ResultsIt was important for the participants that the GP was oriented about their family and children’s situation. They wanted to be regarded as competent parents in ordinary families; however, they were aware that their illness affected their parenting. They expressed a need for advice about how to inform the children of their illness and talk to them about their challenges, and, if necessary, utilize helpers who could inform the children and talk to them directly. There were often many agencies involved, and it was important that the helpers cooperated and shared information. In addition, the parents were in need of information about support services.ConclusionIll parents in this study conveyed a double message to their helpers. They wanted to be considered as responsible and well-intended parents who wished the best for their children. At the same time they needed support in parenting. The GP should take the time to listen to the parents’ first spontaneous description about an ordinary daily life (while realising that it may not necessarily be an accurate report), then explore their worries and needs of support.

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Parents served by assertive community treatment: Parenting needs, services, and attitudes.

Cited by 15 publications

References 14 publications

Parenthood and severe mental illness: Relationships with recovery.

Parenthood and severe mental illness: Relationships with recovery.

Strategies for parenting by mothers and fathers with a mental illness

Ill and substance-abusing parents: how can the general practitioner help their children? A qualitative study

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