Parental mental health as a child protection issue: data from the NSPCC national child protection helpline

Analysis of a sample of 2084 child abuse referrals to the NSPCC Child Protection Helpline showed that in 10% a parent or carer was reported as having a mental health problem. Mothers were the parent affected in the majority of these cases. The mental health sample differed from the other referrals in an increased concern about emotional abuse and less about sexual abuse; greater levels of violence and discord between parents; and more agency involvement. Issues of potential labelling and therapeutic needs are discussed. Copyright © 1999 John Wiley & Sons, Ltd.     

Family Members' Narratives of Divorce and Interparental Conflict: Implications for Parental Alienation

This study focused on the internal dynamics of family members who experience divorce and interparental conflict. Interparental conflict and triangulating children increase the likelihood of alienating children from a parent. Narrative interviews with members of three families were used to explore meaning structures. Results showed how parents and children thought, felt, and created meaning about their experiences; how family members responded to conflict and behaviors associated with parental alienation; and how they viewed family relationships. Metalevel findings suggested each family member held dichotomous views and used cognitive and behavioral control response strategies. Thus, parental alienation stems from a relational dynamic and needs to be addressed from a family systems perspective.     

Parental substance misuse and child care social work: research in a city social work department in England

This research set out to establish evidence about the scale and impact of and response to parental substance misuse in child care social work teams in a city social services department in England. The article draws on some aspects of the data collected in the research, which includes: a snapshot survey of all child care social work caseloads in the city; group interviews with practitioners and parents in recovery; individual interviews with parents using a pilot project that focused on parental substance misuse. The research provides evidence of parental substance misuse as a key factor that needs greater consideration within child care social work assessments and as an issue to target in developing preventative responses to child welfare concerns. Child care social workers are shown to need specialist support in undertaking this task to best effect. Copyright © 2004 John Wiley & Sons, Ltd.     

Does Music Therapy Improve Mental Health in Adults? A Review

The current review provides a summarized synthesis and evaluation of studies addressing the effects of music therapy (MT) alone or MT added to standard care on mental health among adults. Potential studies were identified through electronic bibliographic databases and manual searches. Studies were included for review if (1) the study methodology involved a randomized control trial, (2) the study outcome included a measure of mental health, (3) the study sample included adults ages 18 and older, and (4) the study was published in an English language peer-reviewed journal since 2006. Applying these criteria, the search yielded 593 studies, 9 of which were ultimately retained for review. These studies generally found MT to be more effective than no treatment or than standard care alone. Long-term studies were few, and results suggest no meaningful differences over time.     

Psychosis,Psychiatry, and Escape: A Social Work Academic's Retrospective Self-Narrative

This is a self-narrative account written retrospectively by a UK-based social work academic reflecting on the direct experience of being a psychiatric inpatient. A contextualization is established for the experience of psychosis and the psychiatric response. Psychosis is justified as a rational response that challenges the otherness often adopted toward users of mental health services. The psychiatric system is found to be restrictive and disempowering, posing a barrier to recovery. Personal narrative experience is analyzed considering the strengths of psychiatric care, which are contrasted against informal support mechanisms. Informal support proves to be beneficial as opposed to coercive psychiatric hospital care.     

The context of decision-making in cases of child neglect

This paper explores professional decision-making in cases of child neglect within the context of child protection practice in Britain. The literature on the nature of neglect is reviewed. Difficulties associated with decision-making are then examined within a framework that addresses the social, political and organizational context of child protection practice. It is argued that the current system, which focuses on incidents of abuse rather than the context of children's lives, provides inadequate protection for many children experiencing chronic neglect. Conclusions are drawn with regard to the development of practice that supports vulnerable parents while still remaining the child's welfare as paramount. © 1998 John Wiley & Sons, Ltd.     

Not either/or but both/and: An Academic/field partnership in practice

Abstract

The relationship between academia and the field and between theory and practice is often characterised in both the literature and the everyday practice of social work as either one or the other. In this paper, the author argues for a constructive integration of both/and rather than either/or. The paper reports on a constructive organisational partnership between academia and a field of practice that supports a both/and view.     

Making Decisions about Parental Mental Health: An Exploratory Study of Community Mental Health Team Staff

Adult mental health problems can impact on parents, and research highlights that their children are at higher risk of developing mental health problems. In extreme cases, mental health problems are associated with a risk of fatal child abuse. Despite this, there are few studies exploring clinical decision‐making by adult mental health professionals.

‘In extreme cases, mental health problems are associated with a risk of fatal child abuse’

This study used qualitative methods to explore Community Mental Health Team (CMHT) workers' experiences of decision‐making in the interface between mental health and child welfare. Workers were interviewed about their experiences of clinical decision‐making regarding child welfare. Interviews and accounts were analysed using Interpretative Phenomenological Analysis. Influences on decision‐making were explored and triangulated with the accounts of Named Nurses for Child Protection. The findings revealed that CMHT participants were aware of their responsibilities towards children, but a complex synthesis of factors impacted on their sense‐making about risk and welfare. Three superordinate themes emerged: the tensions of working across systems; trying to balance the perceptions and feelings involved in sense‐making; and the role that interpersonal dynamics play in the understanding and management of risk. This paper focuses in particular on perceptions and feelings. Copyright © 2011 John Wiley & Sons, Ltd.

‘A complex synthesis of factors impacted on their sense‐making about risk and welfare’

Citing Literature

Number of times cited according to CrossRef: 8

• Natalie Elizabeth Anderson, Julia Slark, Merryn Gott, Unlocking intuition and expertise: using interpretative phenomenological analysis to explore clinical decision making, Journal of Research in Nursing, 10.1177/1744987118809528, 24 , 1-2, (88-101), (2019). Crossref
• Phillip Tchernegovski, Andrea E. Reupert, Darryl J. Maybery, How do Australian adult mental health clinicians manage the challenges of working with parental mental illness? A phenomenological study, Child & Family Social Work, 10.1111/cfs.12426, 23 , 3, (381-389), (2017). Wiley Online Library
• Maria Afzelius, Lars Plantin, Margareta Östman, Children of Parents With Serious Mental Illness: The Perspective of Social Workers, Practice, 10.1080/09503153.2016.1260705, 29 , 4, (293-310), (2016). Crossref
• Louise Everitt, Caroline Homer, Jennifer Fenwick, Working with Vulnerable Pregnant Women Who Are At Risk of Having their Babies Removed by the Child Protection Agency in New South Wales, Australia, Child Abuse Review, 10.1002/car.2432, 26 , 5, (351-363), (2016). Wiley Online Library
• Joe Duffy, Gavin Davidson, Damien Kavanagh, Applying the recovery approach to the interface between mental health and child protection services, Child Care in Practice, 10.1080/13575279.2015.1064358, 22 , 1, (35-49), (2015). Crossref
• Peter Sidebotham, What did you do at Work Today, Daddy?, Child Abuse Review, 10.1002/car.2357, 23 , 5, (307-310), (2014). Wiley Online Library
• Peter Sidebotham, Rethinking Filicide, Child Abuse Review, 10.1002/car.2303, 22 , 5, (305-310), (2013). Wiley Online Library
• Jane V. Appleton, Peter Sidebotham, Child Protection and Mental Health, Child Abuse Review, 10.1002/car.2220, 21 , 3, (153-156), (2012). Wiley Online Library

Volume 21 , Issue 3 May/June 2012

Pages 173-189     

Doing It Well

SUMMARY

Social workers are being challenged internationally to be accountable by defining competency standards at beginning and advanced levels. The study that is the subject of this article will develop the work of one of the authors, which involved a 5-year longitudinal study of beginning social workers and another of experienced social workers. These studies resulted in a book on professional expertise (Fook, Ryan, & Hawkins, 2000). The present study furthered that work and subjected this theory of professional expertise to further testing by examining the work of a sample of expert (rather than experienced) social workers in the mental health field in Melbourne, Australia. Data was collected from a selected sample of mental health social workers by the use of focus group interview. This article reports on the study's findings and discusses their significance and application.     

Navigating stormy waters: Challenges and opportunities for social work in mental health

The reforms driven by the National Mental Health Strategy have created both opportunities and challenges for social work as a profession. This paper examines the rapidly changing context for practice in mental health, including policy change, and developments in the education and training of the mental health workforce. Key practice issues identified for social work include: (i) the need to establish a viable paradigm for practice; (ii) a more positive response to the challenge of evidence-based practice models; (iii) a national agenda for education and training; and (iv) the importance of working collaboratively with consumers and families in a way that values their human rights and the lived experience of mental illness.     

‘Building Bridges’

Abstract

‘Building bridges’ is a metaphor we have used to describe a collaborative research process involving social work academic and senior practitioners from government and non-government child protection and family service organizations in Victoria, Australia. The purpose of the research was to develop a ‘practice-generated approach to policy implementation’ in child protection practice. The research sought to explore the appropriateness of social constructionist approaches for child protection practice that might enhance the existing risk paradigm. This article aims to critically evaluate the process of ‘building bridges’ and its outcomes, by focusing on how potential and actual differences between organizational contexts, namely universities and various service-providing organizations, may influence relationships between theory and practice. We critically reflect on our research process comparing it with idealized forms of collaborative research discussed in the literature.     

Combat Social Work During the Surge in Iraq

The military has long recognized the short-term psychiatric effects of war upon soldiers, a significant factor for combat operational readiness and strength (NATO, 2008). Currently referred to as combat stress reaction or combat operational stress reaction (COSR), the condition has debilitating, immediate effects as well as long-term consequences for soldiers and military units. For the wars in Iraq and Afghanistan, commanders expected psychiatric casualties rates equaling physical ones, stemming from the intensity and duration of these conflicts, nonlinear nature of the battlefields, unit morale, and soldier experiences and preparedness. For these recent wars, the concept of behavioral health, combat stress, and its military importance has dramatically changed, as have the protocols dictating the delivery of preventive and restorative combat behavioral health care. This article outlines the conceptual foundation of modern combat stress control, protocols, and the efforts of one social worker–led combat stress prevention team, forward deployed to a small base in a volatile area of Baghdad during the height of the surge in 2006–2007.     

Supporting families with a mentally ill parent: European perspectives on interagency cooperation

This paper reports on the findings of a cross-country comparison of cooperation between services for community mental health and child protection in 11 states. The authors consider the implications of the findings for English practice. When children have a parent with mental health problems, they have needs over and above those of other children. Often these needs are met by the family, but this is not always possible. There are increasing numbers of these children, and they feature disproportionately in the case loads of child welfare professionals, health visitors and social workers. The cross-country comparisons demonstrate the ways in which differences in structures, resources, expectations and attitudes affect professional responses and the experiences of families. The findings provide information on several levels. A comparison of commonalities and differences highlights the problems that are shared across countries, and alternative ways of responding to them at ground level are discussed. The factors that facilitate a good outcome are analysed in relation to English practice and service structures. The research findings are relevant for British social welfare strategies, and the paper highlights the implications of the findings for policy and practice. Copyright © 2001 John Wiley & Sons, Ltd.     

Parental Divorce and Child Mental Health Trajectories

A process‐oriented approach to parental divorce locates the experience within the social and developmental context of children's lives, providing greater insight into how parental divorce produces vulnerability in some children and resiliency in others. The current study involves prospectively tracking a nationally representative sample of Canadian children of ages 4–7 and living with two biological parents at initial interview in 1994 (N = 2,819), and comparing the mental health trajectories of children whose parents remain married with those whose parents divorce by 1998. Results from growth curve models confirm that, even before marital breakup, children whose parents later divorce exhibit higher levels of anxiety/depression and antisocial behavior than children whose parents remain married. There is a further increase in child anxiety/depression but not antisocial behavior associated with the event of parental divorce itself. Controlling for predivorce parental socioeconomic and psychosocial resources fully accounts for poorer child mental health at initial interview among children whose parents later divorce, but does not explain the divorce‐specific increase in anxiety/depression. Finally, a significant interaction between parental divorce and predivorce levels of family dysfunction suggests that child antisocial behavior decreases when marriages in highly dysfunctional families are dissolved.     

Mental health practitioners’ strategies in equine-assisted psychotherapy: implications for social work

Equine-assisted psychotherapy (EAP), in this study, which included a mental health practitioner, an equine specialist, at least one horse, and a client in therapy sessions, is emerging in social work practice, education, and research. The purpose of this paper was to explore experienced EAP mental health practitioners’ cognitive activities and strategies to inform the social work profession.

Utilizing a constructive narrative approach, eight experienced EAP mental health practitioners participated. Two semi-structured, face-to face, individual interviews were used to gain their perspectives. Qualitative software assisted thematic analysis. The findings included a main theme identified as participants’ concrete strategies used in EAP with two subthemes. The second main theme identified abstract strategies with six subthemes.

EAP provides a holistic framework as social workers incorporate horses and natural environments in practice, which is consistent with systems theory. The findings inform experienced mental health practitioners to be effective therapists and educators, as well as to instill confidence in novices. Recommendations for the application of the findings in social work practice, education, and research are explained.     

Support and Profiles of Nonoffending Mothers of Sexually Abused Children

Maternal support offered to sexually abused children following disclosure may be a crucial factor in children's recovery. A person-centered approach was used to examine how profiles of nonoffending mothers could better describe their ability to support their children after disclosure. Cluster analyses based on a total of 226 nonoffending mothers recruited from child protective services yielded four distinctive groups of mothers: resilient, avoidant-coping, traumatized, and anger-oriented reaction. These profiles differed on measures of support, parenting, and variables related to attitude following disclosure. The discussion underscores the relevance of adopting a tailored approach to intervention with mothers of sexually abused children.