Background and aims: This article discusses a collaborative approach to assisting parents with a mental illness who have children aged 5 years and under and explores themes found in the literature, focus groups with consumers and workshops with clinicians working with parents who have a mental illness.
Method: Focus groups and workshops were held for consumers and clinicians. The workshops included information about a proposed group intervention and discussions about themes found in the literature review and previous focus groups.
Results: Using thematic analysis, the gaps identified in the focus groups and workshops were classified into five main categories — namely, interagency collaboration, a need for accessible support groups, a need for information and resources about mental illness, and parenting issues related to mental illness and independence. This information informed the development of a treatment package.
Conclusion: The content of the proposed treatment package has been informed by the findings of the literature review, focus groups and workshops. The sessions focus on topics about parenting and managing mental health and consumers are actively involved at the outset in their own care and the care of their child. The intervention will be trailed in clinical settings to establish efficacy and effectiveness.
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References
1.
Absler, D. (1999) Talking with children about their parents' mental illness or mental health problem. In Children of Parents with Mental Illness (ed. V. Cowling). Melbourne: ACER Press.
2.
Alakus, C. (2004) Learning together about the needs of parents with a mental illness and their children: the implementation of the Mums' and Dads' Practice Research Project. Children Australia, 29, 34—40.
3.
Australian Infant, Child, Adolescent And Family Mental Health Association (Aicafmha) (2003) Children of Parents with a Mental Illness. Principles and Actions for Services and People Working with Children of Parents with a Mental Illness. Stepney , South Australia: Report prepared for Commonwealth Department for Health and Ageing.
4.
Basset, H., Lampe, J. & Lloyd, C. (1999) Parenting: experiences and feelings of parents with a mental illness. Journal of Mental Health, 8, 597—604.
5.
Buist, A. (2002) Mental health in pregnancy: the sleeping giant . Australasian Psychiatry, 10, 203—206.
6.
Cowling, V. (1996) Meeting the support needs of families with dependent children where the parent has a mental illness. Family Matters , 45, 22—25.
7.
Cowling, V., ed. (1999) Children of Parents with Mental Illness. Melbourne: The Australian Council for Educational Research.
8.
Cowling, V., Luk, E.S.L. & Mileshkin, C. (2004) Children of adults with severe mental illness: mental health, help seeking and service use. Psychiatric Bulletin , 28, 43—46.
9.
Cuff, R. & Wragg, S. (1999) Champs' camps: camps for young people aged 9—13 who have a parent with a mental illness. In Children of Parents with Mental Illness (ed. V. Cowling), pp. 159—165. Melbourne: The Australian Council for Educational Research .
10.
Falkov, A. (2004) Talking with children whose parents experience mental illness. In Children of Parents with Mental Illness (ed. V. Cowling). Melbourne: ACER Press.
11.
Fudge, E. & Mason, P. (2004) Consulting young people about service guidelines relating to parental mental illness. Australian e-journal for the advancement of mental health (AeJAMH), 3(2).
12.
Gilbert, M., Miller, K., BERK, L., HO, V. & CASTLE, D. (2003) Scope for psychosocial treatments in psychosis: an overview of collaborative therapy. Australasian Psychiatry, 11, 220—224.
13.
Göpfert, M., Webster, J., Pollard, J. & Nelki, J.S. (1996) The assessment and prediction of parenting capacity . In Parental Psychiatric Disorder — Distressed Parents and their Families (eds M. Göpfert, J. Webster & M. Seeman), pp. 271—310. Cambridge: Cambridge University Press.
14.
Kelly, M. (1999) Approaching the last resort: a parent's view. In Children of Parents with Mental Illness (ed. V. Cowling), pp. 60—75. Melbourne: The Australian Council for Educational Research.
15.
Marlowe, J. (1996) Helpers, helplessness and self-help: `Shaping the silence': a personal account. In Parental Psychiatric Disorder — Distressed Parents and their Families (eds M. Göpfert, J. Webster & M. Seeman), pp. 99—107. Cambridge: Cambridge University Press.
16.
Mowbray, C., Oyserman, D., Bybee, D., Macfarlane, P. & Rueda-Riedle, A. (2001) Life circumstances of mothers with a serious mental illness. Psychiatric Rehabilitation Journal, 25, 114—123.
17.
Nicholson, J. & Biebel, K. (2002) Commentary on `Community mental health care for women with severe mental illness who are parents'. The tragedy of missed opportunities: what providers can do. Community Mental Health Journal, 38, 167—172.
18.
Nicholson, J. & Blanch, A. (1994) Rehabilitation for parenting roles for people with serious mental illness. Psychosocial Rehabilitation Journal , 18, 109—210.
19.
Nicholson, J., Sweeney, E.M. & Geller, J.L. (1998) Focus on women: mothers with mental illness: the competing demands of parenting living with a mental illness. Psychiatric Services, 49, 635—642.
20.
Oates, M. (1996) Postnatal mental illness: its importance and management . In Parental Psychiatric Disorder — Distressed Parents and their Families (eds M. Göpfert, J. Webster & M. Seeman ), pp. 63—81. Cambridge: Cambridge University Press.
21.
Pietsch, J. & Cuff, R. (1995) Hidden Children: Families Caught between Two Systems: The C.H.A.M.P. Project. Melbourne: Mental Health Research Institute.
22.
Plant, K., Byrne, L., Barkla, J., McLean, D., Hearle, J. & McGrath, J. (2002) Parents with psychosis: a pilot study examining self-report measures related to family functioning. Australian e-Journal for the Advancement of Mental Health (AeJAMH), 1: http://ausienet.flinders.edu.au/journal/vol1iss1.pdf
23.
Rimington, H., Forer, D., Walsh, B. & Sawyer, S. (1999) Paying attention to self: a peer support group for young people with parental mental health issues. In Children of Parents with Mental Illness (ed. V. Cowling ), p. 201. Melbourne: The Australian Council for Educational Research .
24.
Styron, T.H., Pruett, M.K., McMahon, T.J. & Davidson, L. (2002) Fathers with serious mental illness: a neglected group. Psychiatric Rehabilitation Journal, 25, 215—222.
25.
The Allen Consulting Group (2004) Final report for the Victorian Department of Human Services: The Child Protection Outcomes Project.
