Dissertations / Theses on the topic 'Children of parents with a mental illness (COPMI)'
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Carroll, Jessica Elizabeth-Rose. "Evaluating the Implications of Parental Mental Illness for Children Using an Ecological Perspective." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2921.
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Researchers have extensively studied the experiences and potential consequences of being a child whose parent has a mental illness (COPMI). However, there is no consensus on the best way to support these children, in general or in schools. The purpose of this quantitative study was to examine the effects of parental mental illness on children by using an ecological approach. Researchers have used ecological theory to illustrate the importance of internal characteristics, skills, and supports for children to enhance resiliency. This study looked at whether COPMI differed significantly from the children of parents of parents with no current or past mental illness (NonCOPMI) on the Developmental Assets Profile (DAP). The study also looked at whether there was a significant difference in the change in DAP scores for the COPMI compared to the NonCOPMI over time. A secondary data analysis of DAP survey results was performed and SPSS v.23.0 (IBM, 2015) software was used to complete one-way and two-way repeated measures ANOVA on DAP scores. COPMI reported lower DAP levels than NonCOPMI, and this difference was statistically significant in some areas of Internal Assets and Social and Community contexts. These findings suggest that COPMI may be challenged in these areas and are in line with previous findings regarding the challenges that COPMI may face and supports the continued use of ecological theory. By utilizing the DAP survey, specific areas where COPMI may benefit from additional supports can help professionals promote resilience among children. Proactive efforts like this, especially in schools, where increasing attention is being paid to mental health education, may contribute to positive social change.
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Gonzales, Sabrina Marie. "Parental Involvement in the Lives of Adult Children with Serious Mental Illness." Bowling Green State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1462536607.
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Raymond, Kathryn Y. "Parents Caring for Adult Children With Serious Mental Illness: A Qualitative Descriptive Study: A Dissertation." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsn_diss/40.
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The purpose of this study was to examine parents’ management styles when caring for adult children with serious mental illness (SMI), as well as parents’ perspectives on what type of community-based mental health interventions would support and/or enhance overall family functioning. This qualitative descriptive study was undergirded by Knafl and Deatrick’s Family Management Style Framework. Thirty parents (N = 30) caring for adult children with SMI over age 18 were recruited as participants. Demographic data included age, gender, ethnicity, educational level, annual income, and National Alliance on Mental Illness membership. Parents were interviewed in their homes or other private setting. Verbal informed consent was obtained. Audio-recorded, individual, semistructured interviews were conducted until redundancy was achieved. Data were analyzed using qualitative content analysis. Four major themes emerged from the data. These themes described prolonged, difficult, and confusing phases that parents and the family undergo in caring for an adult child with SMI. These phases have a progressive nature, moving from parents recognizing that their child has a SMI to redefining family life as a result of caring for an adult child with SMI. Successful management of these phases must include increasing access to mental health information, mental health screening, early interventions, violence prevention, and various treatment options for adult children and their families.
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Woodward, Debbie Louise. "(A) Views to autism held by parents and clinicians; (B) attitudes towards adults with mental illness." Thesis, University of Birmingham, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.341661.
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Aguirre, Rosa M. "PERSONAL LOSS AND MENTAL ILLNESS: CAN SOCIAL NETWORKS HELP YOUNG ADULTS AND PARENTS COPE?" Bowling Green, Ohio : Bowling Green State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1174922228.
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Bismar, Danna. "Mental Illness Stigma, Parent-Child Communication, and Help-Seeking of Young American Adults with Immigrant Parents." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1248426/.
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This study examined a mediational model of mental illness stigma, parent-child communication about mental health concerns, and help seeking attitudes/behaviors among young adults with at least one immigrant parent while considering the possible moderating effect of acculturation gap. The primary goal of this study was to examine whether the acculturation gap changed the relation between mental illness stigma and communication about personal mental health concerns with immigrant parents, which in turn could become a significant predictor of their help-seeking attitudes, as well as a barrier to seeking professional mental health services. Findings provided support to the direct and indirect effects of mental illness stigma through communication about mental health concerns on attitudes about help-seeking. The acculturation gap hypothesized to be a possible moderator for the stigma-communication about mental health concerns relationship among young adult ABCI was found to be significant for ABCI with a low mainstream culture acculturation gap. Discussion on the findings, limitations of the study, future research directions, and counseling implications are addressed.
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Bassett, Hazel. "Living with under fives : developing an observation tool for use with parents with a mental illness and their pre-school children /." [St. Lucia, Qld.], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18243.pdf.
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Axlund, Elin, and Ina Forslin. "Barns erfarenheter av att leva med förälder som har en psykisk sjukdom." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-25774.
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Background About 2 % of children aged 0-15 years have at least one parent diagnosed in a psychiatric facility with any mental illness. Three common mental illnesses are schizophrenia, depression and bipolar disorder. Schizophrenia is a common form of psychosis, depression affects human behavior, thoughts and emotional life and bipolar disorder involves symptoms such as depression and mania. Aim The aim of this literature study is to describe children's experiences of living with parent with a mental illness. The study also described the included articles data collection methods. Method This study is a descriptive literature study and the scientific articles were searched in the Cinahl and PsycInfo databases. Main results The result of the articles showed that the children felt different fears by living with the parent who has a mental illness. The fear was that the parent could commit suicide, if the illness was hereditary and that the mood was unstable. The children also felt ashamed of the parent so they found different ways that made them feel more “normal”. An adult responsibility was something the children occupied at an early age by taking care of households chores, their siblings and their sick parent. One wish that the children had was that they wanted more support from the environment, for example, adults from the health care. Conclusion Feelings such as fear, shame and heavy responsibility is common in children of parent with mental illness. Also lack of support and information about the parents illness is experienced by the children and it is therefore important in the nurses work to be able to support these children and accommodate their needs.
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Ahluwalia, Ekta. "Parental Cultural Mistrust, Background Variables, and Attitudes Toward Seeking Mental Health Services for Their Children." Thesis, University of North Texas, 1990. https://digital.library.unt.edu/ark:/67531/metadc330704/.
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Attitudes toward mental illness and the willingness to seek psychological treatment for their children among ethnic minority group parents were investigated. Participants consisted of black, Hispanic, Native American and Asian parents. All parents were given the Terrell and Terrell Cultural Mistrust Inventory, Cohen and Struening Opinions About Mental Illness Scale, Reid-Gundlach Social Services Satisfaction Scale, Fischer-Turner Attitudes Toward Seeking Professional Help Scale, and Ahluwalia Parents' Psychological Help-Seeking Inventory. A multiple regression model was used to explore the purpose of this study. Parental mistrust level, ethnicity, education, income level, and opinions about mental illness served as predictor variables. The criterion variables consisted of scores on the Social Services Satisfaction Scale and Attitudes Toward Seeking Professional Psychological Help Scale.
The results indicated that the most significant predictor of psychological help-seeking was parental cultural mistrust level. Parents with higher cultural mistrust levels were less likely to seek help. Education was also predictive of black and Native American parents' help-seeking attitude and willingness to seek psychological help for their children. Black and Native Americans with lower levels of education were less willing to seek treatment for their children than members of those ethnic groups with higher levels of education. Ethnicity was also related to parental willingness to seek help for their children. Hispanic and black parents expressed more willingness to seek help than Native American and Asian parents. Finally, parents' opinions about mental illness were found to be significantly related to help-seeking attitude. Parents with positive opinions about mental illness were more likely to utilize professional psychological help than those parents with negative opinions about mental illness. Some clinical and theoretical implications of these findings are discussed.
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Todorovac, Elizabeth, and Annika Lennartsson. "Handlingsutrymme : En kvalitativ studie - ur ett socialsekreterarperspektiv, gällande insatser för barn till föräldrar med psykisk sjukdom." Thesis, Växjö University, School of Health Sciences and Social Work, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-2540.
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How does a social welfare officer know when a parent with mental illness or behavioral symptoms is harmful to the children? As a social you are confronted with different ethical dilemmas on a daily basis. The social welfare officers have to follow their own authorities, laws, guidelines and regulations while at the same time do everything to satisfy their clients’ needs. This inconsistency can sometimes be difficult to handle. The purpose of this study was to gain knowledge and a better understanding of how social welfare officers handles their elbow room in the field of actions to support the children of parents with mental illness. We have conducted a qualitative study where we interviewed six social welfare officers using the “vinjett” method. All social welfare officers included in the study are working with children of parents with mental illness. By using Michael Lipsky’s theory of Street-Level Bureaucrats we intended to get an understanding of how social welfare officers would act in specific situations. Our study shows that social welfare officers’ first contact is with the parents for a judgment of their capacity as parents. The results shows that the social welfare officers, who we interviewed, felt that they had a wide elbow room with resources to determine and shape different actions for the children of parents with mental illness but at the same time they experienced different barriers which may limit the alternatives in their decision-making. The majority of the social welfare officers in our study felt that they were aware of the power and control they possesses, which also are defined in Lipsky’s theory.
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Munroe, Kathryn M. "The experiences of immigrant parents with a child with a developmental disorder." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/13754/.
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This study used Interpretative Phenomenological Analysis (IPA) to investigate the experiences of African immigrant mothers living in the UK with a child diagnosed with an Autism Spectrum Disorder (ASD). Six mothers took part in one-off semi-structured interviews. The results indicated five themes: caring for a child we didn’t expect, the pain of stigma and rejection, making sense of our child’s difficulties and diagnosis, negotiating conflicting belief systems and faith as “key”. Many aspects of the mothers’ experiences appear related to their position as immigrants from cultures with very different belief systems regarding child development and disability. Stigma, blame and social isolation appeared to compound the difficulties they experienced. Conflicts between African cultural beliefs and a western, medical understanding of ASD, appeared to create a feeling of cognitive dissonance for the mothers. The strategies they used to negotiate this appear to map onto Berry’s (2005) acculturation strategies, suggesting the experience of having a child with ASD impacts upon the acculturation process. Implications for clinical practice and policy are discussed, including the importance of raising awareness of ASD among immigrant communities, supporting parents to integrate conflicting belief systems and facilitating the development of peer-support groups within minority communities.
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Fredhage, Nina. "Perspektiv Vuxna barn med psykisk sjukdom : En kvalitativ intervjustudie." Thesis, Linnéuniversitetet, Institutionen för psykologi (PSY), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-84916.
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Psykisk ohälsa hos unga vuxna ökar och behovet av vårdinsatser blir större. Anhöriga ses numer som en resurs i dessa vårdinsatser. Trots detta visar tidigare forskning att samhällets insatser för att främja anhörigkontakterna delvis är undermålig. Kommunikation och samarbete mellan anhöriga och vårdpersonal är ett område som lyfts fram som ett av problemområdena. Syftet med denna studie var att undersöka och skapa en djupare förståelse om föräldraskap till barn med långvarig psykisk sjukdom. Detta genom att beskriva hur vårdpersonalen upplever mötet med föräldrar till barn med psykisk sjukdom. Studien utfördes med intervjuer av fyra personer som arbetade inom olika vårdinrättningar som kom i kontakt med föräldrar till vuxna barn med psykisk sjukdom och analyserades genom kvalitativ innehållsanalys. Resultaten redovisades med tre teman: Vårdpersonalens perspektiv, Förälders perspektiv och Framtid. Resultatet visade på problematiken kring föräldrarnas misstro gentemot vårdinsatser men jämfört med tidigare forskning framkom att alla fyra intervjupersoner upplevde till största delen bra möten med dessa föräldrar. Återkommande faktorer som skulle kunna förbättra eventuella problem framkommer där tid, information och kunskaper är viktiga komponenter. Resultaten visade även betydelsen av bra arbetsmiljö och vikten av en professionell chef.Abstract Mental illness amongst young adults is increasing and the need for care interventions becomes greater. Relatives are now seen as a resource in these care interventions. In spite of this, previous research shows that society's efforts to promote contacts with relatives are partly substandard. Communication and cooperation between relatives and healthcare professionals is an area highlighted as one of the problem areas. The purpose of this study was to investigate and create a deeper understanding about parenting to children with long-term mental illness. This is by describing how health professionals experience the meeting with parents of children with mental illness. The study was conducted with interviews of four people working in different health care institutions that met parents of adult children with mental illness and were analyzed through qualitative content analysis. The results were reported with three themes: Healthcare professionals ' perspective, Parent's perspective and future. The result showed the problem of parental distrust in care, but was in relation to previous research relatively positive, that all four respondents experienced mostly good meetings with these parents. Recurring factors that could improve potential problems arise where time, information and knowledge are important components. The results also showed the importance of a good working environment and the importance of a professional manager.
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Hodgson, Kelley. "“STANDING ON THE FRONT LINES AND DOWN IN THE TRENCHES WITH HER”: AN EXPLORATION OF THE DIALECTICAL TENSIONS AND COMPETING GOALS OF ADULT CHILDREN OF MENTALLY ILL PARENTS." UKnowledge, 2019. https://uknowledge.uky.edu/comm_etds/81.
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Mental illness is a pervasive health epidemic in the United States and worldwide, and available data suggest that mentally ill adults are statistically more likely to be parents than non-parents. The prevalence and continued growth of parental mental illness means that millions of children in the United States have a parent with some form of mental health issues.
This dissertation contributes to and extends existing literature on children of mentally ill parents by exploring 15 adult children’s subjective perspectives on how they navigate the tension-wrought experience of having a mentally ill parent, and how this has implications for the management of their identity, relational, and instrumental goals. Examined through the lens of relational dialectics theory (Baxter & Montgomery, 1996) and a multiple goals perspective, analysis revealed that adult children of mentally ill parents confront conflicting, contradictory forces in making sense of their parent’s illness and the role that it plays in their lives. Specifically, adult children reported feeling a strong sense of interdependence with their parent and a desire to have a closer relationship with them, but simultaneously expressed a strong need and desire for disconnection and maintenance of a life separate from their parent’s challenges. Additionally, adult children noted conflicting goals with regard to privacy management about their parent’s illness, acknowledging that an underlying, but pervasive societal stigma surrounding mental health keeps them from freely disclosing to others about their parent’s illness, but indicating that a certain strategic degree of openness was required in order to meet certain instrumental and relational goals. Finally, participants revealed many fears and anxieties that they had about the future as a result of the unstable nature of their parent’s mental illness, while at the same time expressing a sense of acceptance and stability with the predictably unpredictable nature of their lives.
After presenting an analysis of the data, the implications of the findings for children of mentally ill parents are explored, including, but not limited to, how the results of this exploratory study could be integrated into therapeutic and support interventions for families of those struggling with mental health issues. Finally, the limitations of the study are addressed.
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Sohlberg, Anna. "Att leva med förälder som har psykisk sjukdom : En litteraturöversikt över barnens upplevelse." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6988.
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Bakgrund: Barn påverkas redan i tidig ålder av deras förälders mående. Har ett barn en eller flera föräldrar med psykisk sjukdom räknas barnet som anhörig även om de inte får de resurser som de behöver. Deras behov och utveckling påverkas av olika faktorer. Insatser bör göras för att ge dem det stöd och hjälp de behöver för att främja en god hälsa. Oftast frågas föräldern om vad den anser att man ska berätta för barnet, men vad vill egentligen barnet själv? Syfte: Syftet med litteraturöversikten var att beskriva barnens upplevelser och behov av stöd i att leva med en eller flera föräldrar med psykisk sjukdom/störning. Metod: Litteraturöversikt baserad på åtta vetenskapliga artiklar publicerade mellan 2008-2018. Artiklarna har hittats genom sökningar i databaserna PsychInfo, PubMed och Nursing and Allied Health Database. Analysen och diskussionen utgår från Dorothea Orems egenvårdsteori. Resultat: Resultatet mynnade ut i sju teman (a) att behöva lära sig tecken på sjukdom (b) att anpassa sig efter och hantera föräldern (c) att ta ansvar för familjen (d) att känna sig utanför (e) att ha blandade känslor (f) att vara i behov av stöd och hjälp (g) att få kunskap och information. Barnen lärde sig att se tecken på förälderns sjukdom för att kunna anpassa sig efter och hantera den sjuke föräldern. Barnen i dessa familjer tog mer ansvar än andra barn då de ansåg att deras förälder inte alltid var kapabel till att själv ta ansvar. De kände sig utanför och ensamma. De kände sig även rädda, oroliga, skamfyllda och kärleksfulla. Barnen var i stort behov av stöd och att ha någon att prata med. De var även i stort behov av information för att kunna hantera situationen och de fick inte alltid det av sina föräldrar. Diskussion: Barnet behöver få information så att den förstår att föräldern inte alltid kan ta sitt ansvar för närståendeomsorg. Det är även viktigt att ge information och hjälp till föräldrarna så att de kan få ett större föräldraansvar. Dessa barn saknar flera av sina universella grundbehov, exempelvis en trygg omgivning. Det är viktigt med stödgrupper så att barnen får prata med någon och får vänner. Det är även viktigt att se barnen och deras känslor.Background: Children are affected by their parent’s wellness from early years. If the children have one or more parents with mental illness is the child counted as a relative even if it does not get the resources it needs. Their needs and development are affected by different factors. Efforts should be made to give them the support and help they need to promote good health. Most often the parent is asked what he/she consider is to be told to the child, but what does the child truly want. Aim: The aim of this study was to describe the children’s experiences and need of support in living with one of more parents who live with mental illness. Method: The litteratture review is based on eight scientific articles published between 2008-2018. The articles have been found through searches in the databases PsychInfo, PubMed och Nursing and Allied Health Database. The analysis and discussion is based on Dorothea Orems Self-care theory. Results: The result resulted in seven themes (a) to have to learn signs of illness (b) to adapt to and handle the parent (c) to take responsibility for the family (d) to feel left out (e) to have mixed emotions (f) to be in need of support and help (g) to gain knowledge and information. The children learned to see the signs of the parent’s disease to be able to adapt to and handle the sick parent. The children in these families took more responsibilities than other children because they felt that their parent was not always able to take the responsibility. They felt left out and alone. They also felt scared, worried, shamed and loving. The children were in great need of support and to have someone to talk to. They also needed information to be able to handle the situation and they did not always get it from their parents. Discussion: The child needs to get information so they can understand that the parent can nor always take responsibility for the relative care. It is also important to give information and help to the parents so they can get a greater parental responsibility. These children are lacking several of their universal basic needs, for example a safe environment. It is important with support groups for the children to talk to and to get friends. It is also important to notice the children and their feelings.
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Ferguson, Brooke. "Children of parents with mental illness: parental disclosure, children’s illness beliefs and the development of a shared understanding of mental illness in the family." Thesis, 2011. http://hdl.handle.net/2440/76649.
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There is widespread agreement that children should be educated about a parent‘s mental illness. For this to occur there are a number of areas which require further research. To date, little is known about what parents themselves think about the disclosure of mental illness to their children. It is also unclear how the process of disclosure occurs in families with mental illness. Children‘s own knowledge of parental mental illness has not been systematically explored and it is not known what children know about aspects of their parent‘s illness. This thesis explored how families, where a parent has mental illness, discuss or do not discuss a parent‘s mental illness. This was explored from the perspective of different family members, including children whose parent has mental illness, the parent with mental illness, the partner of a parent with mental illness, ex-partners of parents with mental illness and step parents of children who have a parent with mental illness. Study One was an explorative qualitative study which aimed to examine parental beliefs about the disclosure of mental illness. Semi-structured, face to face interviews were conducted with parents (n= 26) regarding their thoughts about disclosure to their children about the mental illness of a parent. Participants included parents with mental illness, partners of parents with mental illness, ex-partners of parents with mental illness and step parents of children whose parent has mental illness. Participants ranged in age from 27 to 50 years old (mean age of 39 years). Interviews were audio taped and interview data was analysed using thematic analysis. Analysis suggested that disclosure about mental illness is a difficult process and rarely are parents able or willing to provide their children with information about all aspects of their illness. Study two was an explorative study, utilising the Leventhal (1980) framework of illness understanding, which aimed to examine children‘s knowledge of their parent‘s illness. Children‘s ideas about the disclosure process were also examined. Semi-structured, face to face interviews were conducted with 40 children who had at least one parent with mental illness. Participants ranged in age from 7 to 17 years old (mean age of 11.9 years). Interviews were audio taped and subsequently analysed. Thematic analysis of the data suggested that children had varying degrees of understanding about their parent‘s mental illness and that this was not often associated with the age of the child. The data within the second study also highlighted that there are a number of children who would prefer not to know about their parent‘s illness. In order to provide a comprehensive view of the disclosure of mental illness within a family context, this thesis briefly examined the family view of disclosure as well as familial beliefs about mental illness. Study three was a secondary analysis of selected findings from both studies one and two which aimed to compare three families‘ views about familial communication regarding mental illness. Individual family member‘s accounts of their beliefs about aspects of mental illness were examined and compared with other family members‘ beliefs. The congruence and incongruence of family accounts was highlighted. This exploratory thesis provides a much needed insight into the experience of disclosure from both a parent and child perspective. It is also the first study to provide a structured examination of children‘s beliefs about parental mental illness. There are a number of key clinical implications which are informed by the findings of this thesis. The assumptions which underpin the claim that all children should be educated about a parent‘s mental illness need to be carefully considered. Parents have difficulty explaining aspects of mental illness to children and, importantly, some parents actively choose not to explain specific elements of mental illness to their children. Some children do want more information about their parent‘s mental illness, however others actively avoid talking about the illness or avoid seeking out further information. From a clinical perspective, people working with parents with mental illness or their children need to be mindful of the difficulties for both parents and children around the disclosure of mental illness to children.Thesis (Ph.D.) -- University of Adelaide, School of Psychology, 2011
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Bartsch, Dianna Ruth. "Parenting with a diagnosis of Borderline Personality Disorder: A case for targeted interventions." Thesis, 2019. http://hdl.handle.net/2440/124455.
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Parenting is a valued and rewarding role for many people. The nature of parenting is challenging, particularly if parents also struggle with mental illness. The persistent instability in affect, identity, cognition, relationships and behaviour characteristic of borderline personality disorder is likely to impact on parenting. This thesis aimed to extend the understanding of challenges experienced by parents with a diagnosis of BPD and to inform the development of targeted interventions for this population. Chapter one presents an overview of the clinical features, aetiology and treatment of BPD. This chapter provides context to understand the biological and environmental risk factors for families where a parent is diagnosed with BPD. Chapter two summarises concepts of parenting followed by a detailed examination of the literature related to parents with borderline symptoms and their children. This chapter considers gaps in knowledge and the thesis aims. Chapters three through six present a series of research papers examining the topic utilising a mixed methods approach. The first paper applied a qualitative research design drawing on clinician (n= 106) observations of parenting challenges among families where a parent had a diagnosis of BPD. Five themes emerged: disruption to empathic responsiveness, difficulties maintaining stable and/or safe environments, difficulty managing interpersonal boundaries, poor parental self-efficacy, and parenting skill deficits. Clinicians also provided their views on the effectiveness of current therapies and recommendations for the development of targeted interventions. Chapter four presents the second published paper, which explored clinicians (n = 64) observations of the impact of a parental diagnosis of BPD on offspring. Thematic analysis revealed that children were at risk of developing behaviour, emotional, and interpersonal difficulties as well as cognitive disturbances and self-dysfunction. Clinicians also reported protective factors for offspring. This paper considered the potential for transgenerational transmission of emotional dysregulation from parent to child. Chapter five comprises the third published paper, a qualitative analysis of responses from focus group/interviews with parents who had been diagnosed with BPD. Four main themes were identified, namely parenting challenges, parenting rewards, barriers to accessing support and recommendations for improving parenting experience. The parenting challenges identified were consistent with those reported by clinicians demonstrating convergence of perspectives. Furthermore, inadequate diagnosis and treatment of parental mental illness as well as unsuitable parenting services were barriers to accessing support. Chapter six contains the final paper, a quantitative analysis to verify the existence of relationships specified in previous papers. Analysis of parent responses (n = 64) identified negative associations between parental borderline symptom severity and parental empathy; and positive associations with maladaptive parenting styles. Specifically, parental borderline symptom severity was related to child psychopathology through two indirect pathways 1) authoritarian parenting style and 2) parental empathy‘s relationship with authoritarian parenting style. Chapter seven reviews the findings of the thesis, outlines clinical implications, future research opportunities and considers the strengths and limitations of the work. Overall, the mixed methods approach of the thesis adds depth of understanding to the topic utilising multiple viewpoints and methodologies. Specific targets and strategies for intervention are recommended.Thesis (Ph.D.) -- University of Adelaide, School of Psychology, 2020
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Wilson, Ashley. "Emotional Health of Parents and the Association of Mental Illness among Children." 2017. http://scholarworks.gsu.edu/iph_theses/510.
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INTRODUCTION: Mental illness is a major public health problem, and has been observed as early as infancy and persists throughout childhood into adulthood. Mental illness among children can severely impair a development, academic achievement, and the ability to live a productive life. Emotional dysregulation among parents may be a risk factor for mental illness among their children. The aim of this study was to evaluate aspects of poor emotional health of parents and mental health problems among children, aged 6-17 years old in the state of Georgia and nationally.
METHODS: Data on 66,920 children between the ages of 6-17 years from the 2011-2012 National Survey of Children’s Health (NSCH) were utilized. Poor emotional health in parents was defined as self-reported health status and stress levels. Adverse childhood experiences (ACEs) and substance abuse exposure were reported by parents, who served as proxy respondents for their children. Children’s mental health problems were defined as parents reporting that their child had depression, behavioral/conduct problems, and anxiety. State level weighted estimates of the prevalence of mental health problems among children from Georgia were compared to national estimates from the NSCH. Multiple logistic regression models were used to determine the weighted adjusted odds ratio (AOR) for the association between parents’ emotional health status with select mental disorders in children (using alpha level =0.05).
RESULTS: Estimates of mental health conditions of depression, anxiety, and behavioral problems among children 6 to 17 years in Georgia were 5.2%( 95% CI: 3.0-7.4) for males and 6.5 %( 95% CI: 3.5-9.5) for females; national estimates among children were (8.5%, 95% CI: 7.9-9.2) for males and 6.1% (95% CI: 5.5-6.7) for females. Results from the multiple logistic regression indicated that parents’ emotional dysfunction was significantly associated with mental health problems among children at the state and national levels. AORs at the state level for mental health conditions in children were 2.5 (95% CII: 0.6-10.1) for fathers who reported poor overall health and 0.2 (95% CI: 0.1-1.6) mothers who reported their poor overall health. At the national level there was an increased AOR for mental health conditions in children with reports of poor overall health from their mothers (AOR: 4.72 95% CI: 3.6-6.2) and fathers (AOR: 3.8 95% CII: 2.9-4.9). Parental stress also increased the likelihood of mental health problems among children at the states level, (AOR: 4.7 95% CII: 1.5-14.1); acknowledgment of substance abuse (AOR: 3.795% CII: 1.4-9.8); and reports of adverse childhood experiences (AOR: 1.8 95% CI 0.7-4.5). Similar findings were observed at the national level.
CONCLUSION: Given the results of this study, parental emotional health appears to be a factor that is strongly associated with mental health problems among children. Understanding that parental emotional health is a predictor of mental health problems in children can inform current parenting interventions and increase awareness of the need for family mental health services.
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Cowling, Vicki. "What are the special characteristics of families who provide long term care for children of parents with mental illness?" 2003. http://repository.unimelb.edu.au/10187/1896.
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This project investigated characteristics relating to family functioning and attitudes to mental illness, and caregiving, which distinguish families choosing to care for children of parents with mental illness (CPMI) from families who choose not to but do care for other children (NCPMI), and from families not involved in the adoptive care system (COMM). Welfare agencies seeking long term home based care for children of parents with mental illness (among other groups of children) report that potential caregivers are concerned about the child’s genetic risk, and the requirement that they facilitate access visits with the birth parent. Consequently it is more difficult to recruit caregivers to care for children of parents with mental illness. Previous studies found that families who adopt children with special needs had family systems that were flexible and able to adapt to changing needs, and in which family members felt close to one another. It was not known if the functioning of families who care for children of parents with mental illness would differ from other family groups. Nor was it known if these families would differ in motivation to be caregivers and attitudes to mental illness from other family groups.Forty four families completed a questionnaire providing background information, and a family functioning questionnaire which included the FACES II measure (Family Adaptability and Cohesion Evaluation Scale) and questions assessing level of altruism, and tendency to respond in a socially desirable manner. Data from the FACES II measure was used to classify families according to the Circumplex Model of Marital and Family Systems. Q-methodology was used to assess participants’ attitudes to eight issues related to the research question: mental illness, children of parents with mental illness, parents having a mental illness, family environment, motivation to be caregivers, ongoing contact between child in care and parent, approval of others when deciding to be a caregiver, and flexibility in deciding to accept a certain child for placement. The Q-method required participants to rate 42 statements (a Q-set), concerning these issues, according to a fixed distribution, from statements with which they strongly agreed to statements with which they strongly disagreed.
Participants could also give open-ended responses to questions addressing the same issues in a semi-structured interview. The CPMI group were found to have a lower level of income and education than the other two groups, and were more likely to be full time caregivers. Both caregiver groups were unlikely to have children of their own. The profiles of the three groups on the cohesion and flexibility sub-scales of FACES II were similar. The classification of the family groups on the Circumplex model showed that the CPMI group were located in the balanced and mid-range levels of the model more so than the other two groups. Responses to the Q-sort and interview questions suggested that the CPMI families were more understanding of mental illness, and of the needs of the children and capacity of their parents. It is suggested that future studies increase the number of participants, and investigate in more detail the factors which motivate families who provide long term care for children of parents with mental illness.
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KUO, SZU-HSIEN, and 郭思嫺. "A Nonstop Caring Journal: A Preliminary Study on the Experiences of Elderly Parents Caring for Adult Children with Mental Illness." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/jgp6zn.
Full textAbstract:
碩士國立臺北大學
社會工作學系
105
This study was conducted to discuss the difficulties encountered by aged parents while caring for their children with mental illness, exploring the dual challenges they have experienced during the process of aging and care provision. In addition, turning points in life courses, persistent attitude in life, and thoughts about the future among these parents were investigated. A qualitative method with semi-structured interviews was adopted to examine parents from seven families, incorporating a total of 9 interviewees. The results showed that during the care process, the parents responded to changes in their children’s disease conditions by adapting to changes in the internal family structure, bearing the burdens of caring, facing the problem of social exclusion, and demonstrating a persistent attitude in life. Factors that motivated the aged parents to continually care for their children with mental illness included the affection and sense of responsibility, family support, religious belief, and social welfare support (including interactions with other families, patients of similar circumstances, or relevant healthcare units) . However, limitations existed when the aged parents attempted to make arrangement for aging in place, revealing the question about the feasibility of care provision by older people. When developing plans for the future, the parents mostly focused on the acquisition of financial and living resources and the manual power for care provision. Specifically, the concept of a family was further summarized into three types: a well-arranged family—family serving as the foundation of their living; a swinging family—It is time for them to decide their future arrangement, but no enough resources can support their thoughts; a family of unclear planning—they still have expectation of their children. Accordingly, suggestions are proposed as follows: (a) Caregivers are encouraged to actively seek for help and make arrangement of future for their children as soon as possible. (b) Social workers are suggested to increase their sensitivity toward gender- and culture-related issues, increase the visibility and professionality of social work, and provide services on the basis of the empowerment theory. (c) Governmental policymakers are advised to promote the localization of mental healthcare services in the community, achieve interdisciplinary cooperation, integrate social welfare sources for parents of patients with mental illness, simplify applications for social welfare resources, and promote transparency in social welfare information and quality assessment among social welfare institutions. Finally, (d) the public are encouraged to cultivate adequate understanding of mental illness, create a friendly community environment, pay special attention to older people serving as the caregivers of their family members with mental illness, and provide them with emotion support.
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Madiba, Malesiba Naum. "Experiences of families caring for mentally handicapped children at the Bana ba Thari School in the Polokwane Municipality of the Limpopo Province, South Africa." Thesis, 2015. http://hdl.handle.net/10386/1666.
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Thesis (M. Cur.) -- University of Limpopo, 2015.Background:The experiences of families living with the mentally handicapped childrenwho attended the Bana Ba Thari School in the Polokwane Municipality of the Limpopo Province were never evaluated and, therefore, the experiences of families werenot known. Theaim:The aim of this study wasto describe the experiences of the families caring for the mentally handicapped children who attended theBana Ba Thari School in thePolokwane Municipality of theLimpopo Province, South Africa. Study methodology:A qualitative phenomenological research approach was used.Data was collected from 23 families who cared for their mentally handicapped children by conductingsemi-structured face-to-face interviews. Data wasaudio recorded and field notes were written down. Data was analysed using Tech’s open coding method forqualitative research.After the Medunsa Research and Ethics Committee had given ethic clearance for this study to be conducted, the Department of Education also gave permission for the study to be conducted.After the Medunsa Research and Ethics Committee had given ethic clearance for this study to be conducted, the Department of Education also gave permission for the study to be conducted.Ethical considerations and measures to ensure trustworthiness were observedand adhered to while conducting the study. The results:The results showed that the parents lackedadequateknowledge about mentally handicapped children which ledto poor interaction.The study also revealed a gap of knowledge from various professions likedoctors andeducators which ledto poor intervention and delay of therapy for the mentally handicapped children. The study also revealed the psychological impact on the parents and siblings.Parents worriedabout the future of their mentally handicapped children, which led to their denial andanxiety while the siblings became depressed. Parents also experienced a physiological impact, socio-economic problems, lack of resources at school like material for rehabilitation, and lack of transport to take their children to school every day. In addition,it was found that most of the parents and siblings didnot get continuing psychological support. vi Conclusion and recommendations:It is recommended that government and agencies should provide assessment and therapy facilities for mentally handicapped children and their parents. It is also recommended that professionals like doctors and educatorsstill need to undergoin-service training with regard to mentally handicapped learners to enable them to make proper decisions or to execute accurate interventions.
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Winbush, Victoria R. "Parent-created help-seeking pathways a narrative explanation of their development and role in facilitating treatment for adolescents with mental illness /." 2009. http://hdl.handle.net/10090/16010.
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Gladstone, Brenda McConnell. ""All in the Same Boat": An Analysis of a Support Group for Children of Parents with Mental Illnesses." Thesis, 2010. http://hdl.handle.net/1807/24755.
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The effectiveness of psychoeducation and peer support programs for children of mentally ill parents is frequently measured by demonstrating children’s ability to meet program goals according to pre-defined categories determined by adults. Little is known about how children respond to these goals, whether they share them, and how, or if, their needs are met. I conducted an ethnographic study of one such group for school-aged children. I examined how specific discourses framed the content of the program manual designed to educate and support children and I observed how children responded to the program. My study is rooted in Goffman’s (1959) dramaturgical analyses of the reciprocal influence individuals have on one another in face-to-face encounters. From a critical dramaturgical perspective the participants were expected to conform to behavioural expectations of the setting, itself framed by broader arenas of interaction in which shared institutionalized meanings govern (often idealized) presentations of self. Data collection included: 1. a critical discourse analysis of the program manual; 2. participant observation of interactions during the eight-week program; and 3. children’s evaluations of the program in a separate group interview.
Being identified as “as all in the same boat” was meaningful and consequential for children who were expected to learn mental health/illness information because, “knowledge is power”, and to express difficult feelings about being a child of a mentally ill parent. Children could be said to have achieved the goals of the program because they developed a mutual understanding about how to interpret and give meaning to their circumstances; “recognizing” unpredictable behaviours as signs of illness and becoming responsible for managing only how “their own story would go”. Children were not expected to care for ill parents, even when they wanted some responsibility, and were strongly discouraged from turning to friends for support. Children strategized to negotiate and resist group expectations and challenge assumptions about being “all in the same boat”. Suggestions are made for determining what constitutes “good” mental health literacy based on children’s preferences for explaining their circumstances in ways they find relevant and for supporting children’s competencies to manage relationships that are important to them.
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White, Laura Morgan. "Parents Served by Assertive Community Treatment: A Needs Based Assessment." Thesis, 2013. http://hdl.handle.net/1805/3487.
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Indiana University-Purdue University Indianapolis (IUPUI)Assertive Community Treatment (ACT) represents an effective treatment for individuals with severe mental illness. Though studies estimate that as many as half of all people with severe mental illness are parents, little is known about consumers receiving ACT services who are parents. Thus, the purpose of the present study was to 1) estimate the prevalence of parent ACT consumers, 2) identify current ACT team policies and practices for treating parent consumers, and 3) examine the perspective of parent consumers served by ACT teams. Quantitative and qualitative data were collected and analyzed via two separate studies. In study 1, eighty-two ACT providers from 76 teams across the United States and Canada were surveyed to determine the prevalence of parent ACT consumers, ACT team policies for identifying the parental status of consumers, treatment services available for parent consumers, and provider attitudes about parent consumers. Providers estimated roughly 21.6% of ACT consumers were parents. Less than half of providers (46.3%) reported formally asking about parental status during intake and only 20.7% providers belonged to ACT teams that provide special programs/services designed for parent consumers. The majority of providers (75.6%) reported negative or mixed attitudes about parents with severe mental illness. In study 2, seventeen parents with severe mental illness being served by ACT teams were interviewed about parenting, the relationship between parenting and severe mental illness, parenting needs, and suggestions for improved treatment services for parents. All parents were able to identify at least one positive aspect of parenting and most parents (76.5%) also identified negative aspects of parenting. Loss of custody emerged as a significant parenting problem, with the majority of parents (88.2%) experiencing loss of custody at least once. Given the difficulties of being a parent and having to manage a severe mental illness, parents expressed interest in several parent-focused treatment services, including family therapy, parenting skills, communication skills training, resources/finances for children, and social support groups with peers. When asked about overall satisfaction with ACT services, most participants with adult children (87.5%) reported having no unmet parent-related needs and high satisfaction (4.63 out of 5) with ACT services, whereas parents with young children (77.8%) reported having numerous unmet parenting needs and low satisfaction (3.78 out of 5) with ACT services. Thus, the age of participants’ children was a significant factor, indicating that the ACT treatment model may not be adequately serving parents of young, dependent children. Overall, findings suggest the need for more attention and focus on parent consumers, including formal identification of consumers’ parental status and improved parent-related treatment services and support
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Valli, Raeesah. "The experiences of daughters raised by a parent with bipolar disorder." Thesis, 2014.
Find full textAbstract:
This study seeks to explore the challenges and difficulties faced by children raised by a
parent with bipolar disorder, with a specific focus on the experiences and memories of
daughters of these individuals. Bipolar disorder, previously known as manic-depressive
illness, is characteristically referred to as an episodic, yet lifelong and clinically severe
affective (mood) disorder. Bipolar disorder is a severe mental illness, which is stressful
not only for patients, but also for family members. Very little work has been done to
define more precisely the family burden associated with the illness. Studies that do focus
on the impact of bipolar disorder on caregivers or families of the patient have looked at
the family as a whole. There seems to be a scarcity of research looking at the
experiences of children of parents with bipolar disorder. The children of individuals with
bipolar disorder are at high risk for developing a range of mental disorders. Overall,
parents with bipolar disorder tend to create a familial environment that is unstable and
lacking in structure. Therefore in addition to being at genetic risk for the development of
mental disorders, are exposed to a stressful familial environment that increases the risk
of psychopathology and difficulties. Despite the importance of assessing the impact
parental bipolar disorder can have on children, there is a lack of relevant literature.
A non-probability sample of eight female individuals raised by a parent with bipolar
disorder was selected from the student population at Wits University. Semi-structured
face-to-face interviews were used to gain in depth information regarding the memories
and experiences of these individuals. One interview was conducted per participant.
Once the data was collected, thematic content analysis was used in order to analyse
and draw conclusions from the data. From this method of analysis ten main themes were
found, as well as six sub themes.
The findings of this study suggest that bipolar disorder has a profound effect, not only on
the individual suffering from the illness, but on their children as well. Manic episodes
appear to be a particularly stressful time, featuring with great prominence in the
memories of respondents. Participants felt strongly that their family environment was
affected by their parent’s illness. In general it seemed as if participants with ill mothers
described a far more chaotic family environment as compared to those participants with
ill fathers. This study also found that knowledge and understanding help these
individuals make sense of their parent’s illness, seemingly providing a sense of power
and control. A number of participants mentioned the negative effects that stigma
associated with mental illness has on the families concerned, often leading to adverse
outcomes. In contrast to this, support and understanding by both healthcare
professionals as well as the broader community is considered indispensable. The
children of patients with bipolar disorder, in addition to being at genetic risk for the
development of mental disorders, are exposed to a stressful environment that increases
the risk of psychopathology and other difficulties. It is therefore imperative that further
research be conducted in this area, as relatively little is known about the long term
effects of the parent’s illness on their child.
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Cardoso, Ana Isabel Fraga. "As crianças de pais com vulnerabilidade de saúde mental: implicações e respostas centradas na família." Master's thesis, 2017. http://hdl.handle.net/1822/51132.
Full textAbstract:
Dissertação de mestrado em Educação Especial (área de especialização em Intervenção Precoce)Os dados existentes revelam que os sintomas de vulnerabilidade de saúde mental (VSM) na população mundial estão a aumentar. Este panorama também conduz ao surgimento de palavras como “invisíveis” e “esquecidas”, que, apesar de possuírem uma forte conotação, descrevem a situação de crianças que vivem em contextos de VSM parental. Em Portugal, a Intervenção Precoce na Infância (IPI), que assenta em práticas centradas na família (PCF), surge como o principal apoio capaz de dar resposta a estas crianças e famílias, ainda que, nem todas possam ter igual acesso a esta, devido aos critérios de elegibilidade para a IPI. Esta investigação tem como finalidade compreender o contexto familiar de crianças filhas de pais com VSM e conhecer as respostas existentes no apoio à parentalidade e desenvolvimento destas crianças. Com metodologia qualitativa de estudos de caso múltiplos, foram selecionadas três famílias com um progenitor com doença mental, tendo sido realizadas entrevistas semiestruturadas a três mães com depressão, bem como, aos profissionais de IPI que acompanham estas famílias. Os resultados deste estudo empírico revelam que a doença mental parental tem implicações não só nas mães, mas também nos filhos, e em todo o sistema familiar, na medida em que compromete o exercício da parentalidade, assim como, leva a uma incompreensão da doença mental parental, à expressão de sentimentos negativos e à parentificação por parte dos filhos, tornando-os vulneráveis à doença mental. O número de fatores de risco associados a estas famílias é significativamente maior do que os fatores de proteção. Existe uma necessidade de formação especializada em IPI e de sensibilização dos profissionais para esta problemática, pois verificam-se lacunas na intervenção com base em PCF, assim como, na adequação da intervenção à situação de VSM das famílias. Este estudo sugere, por fim, a pertinência e necessidade da articulação entre os serviços de IPI e de Saúde Mental e Psiquiatria, bem como, da inclusão deste fator de risco parental como critério de elegibilidade único e independente de outros fatores de risco.
The existing data demonstrate that the symptoms of mental health vulnerability in the world population are increasing. This scenario also leads to words such as "invisible" and "forgotten", which, despite having a strong connotation, describe the situation of children in the context of parents’ mental health vulnerability. In Portugal, the Early Childhood Intervention (ECI), which is based on a family-centered practices intervention, emerges as the main support capable of responding to these children and families, although not all can have equal access to this response because of the eligibility criteria for ECI. This research aims to understand the family background of children with parents with mental health vulnerability and meet existing responses in supporting parenting and the development of these children. With the qualitative methodology of multiple case studies, three families with a parent with mental illness have been selected, and semi-structured interviews have been made to three mothers with depression, as well as to ECI professionals that monitor these families. The results of this empirical study show that parental mental illness has implications on the mothers, the children, and the whole family system, in so far as it compromises the exercise of parenting, as well as leads to a misunderstanding of parental mental illness, the expression of negative feelings and parentification by children, making them vulnerable to mental illness. The number of risk factors associated with these families is significantly higher than the protective factors, jeopardizing their family resilience. There is a need for specialized ECI training and awareness for professionals in this area, as there are gaps in intervention based on family-centered practices, as well as in the adaptation of the intervention to the situation of the families’ mental health vulnerability. This study also suggests the relevance and necessity of coordination between ECI, Mental Health and Psychiatry services as well as the inclusion of this parental risk factor as unique eligibility criteria and independent of other risk factors.