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     

Universal Parenting Programme Provision in England; Barriers to Parent Engagement in the CANparent Trial, 2012–2014

The CANparent trial, 2012–2014, was a government initiative in four English areas designed to develop a market in universal parenting support. Fourteen parenting class providers offered classes to all parents of children aged 0–5 in the areas. In three areas, all eligible parents received £100 vouchers exchangeable for a parenting class. Pre‐trial planning was that take‐up would amount to 20 000 parents. However, only 14 per cent of these parents took advantage of the offer. This article utilises 42 interviews with providers, and two parent surveys over two time periods (n = 1510 and n = 1603) to review barriers to engagement with universal parenting support programmes.     

From state-bound subjects to global subjects: notes toward an Althusserian theory of globalized subjectivity

ABSTRACT

This article puts Louis Althusser's conception of subjective production via ideological interpellation in dialogue with contemporary Global theories – especially those of Saskia Sassen and Manfred Steger. It does this to offer a more robust framework for understanding subjective production that captures subjective transformations in the age of globalization. The article looks at how Sassen's work captures transformations of social and institutional structures in globalization and then looks at Steger's account of subjective transformations. It then turns to the ways in which Althusser's understanding of the intertwining of subjectivity with institutions and social practices can help bridge the gap between Sassen and Steger and can also help us understand the rise of what I call ‘global subjects’ and a ‘global subjectivity’ that can be in conflict with more traditional ‘state-bound’ subjects. I use the example of globalized regimes of care work in order to help make sense of these distinctions.     

A fast robust method for fitting gamma distributions

The art of fitting gamma distributions robustly is described. In particular we compare methods of fitting via minimizing a Cramér Von Mises distance, an L ₂ minimum distance estimator, and fitting a B-optimal M-estimator. After a brief prelude on robust estimation explaining the merits in terms of weak continuity and Fréchet differentiability of all the aforesaid estimators from an asymptotic point of view, a comparison is drawn with classical estimation and fitting. In summary, we give a practical example where minimizing a Cramér Von Mises distance is both efficacious in terms of efficiency and robustness as well as being easily implemented. Here gamma distributions arise naturally for “in control” representation indicators from measurements of spectra when using fourier transform infrared (FTIR) spectroscopy. However, estimating the in-control parameters for these distributions is often difficult, due to the occasional occurrence of outliers.     

Hope the Beloved Country: Hope Levels in the New South Africa

The concept of hope seems to have attracted increased attention in popular and academic discourse in South Africa. Despite this increased focus, no empirical studies on national hope levels have been conducted in South Africa to date. This article sought to address this gap by investigating national hope levels using data taken from the 2009 wave of the Human Sciences Research Council’s nationally representative South African Social Attitudes Survey of approximately 3,300 South Africans aged 16 and older. Using a slightly modified version of the widely used Snyder Hope Scale, this study found significant geographic and social differences in citizens’ average hope levels. Differences appear to attest to the continued negative association between hope levels and membership of groups that have historically been relegated to the margins of South African society. Contrary to most current political portrayals, however, there does not appear to be a significant age cohort effect. Self-perceptions of marginalisation also appear to be related to hope. In light of the paucity of South African empirical work in this area, the paper concluded by identifying possible future research needs.     

The man in the black hat

A century after the American Frontier was closed, the cowboy remains an iconic figure. A sturdy individualism, a steely disregard for convention and the bravery to do what’s gotta be done: these are powerful tropes that seemingly define a particular type of heroism. One that seems ageless despite the disappearance of the border environment in which the fictive cowboy operated.

Our aim in this paper is to explore the mythology of the cowboy as depicted in western films and fiction, demonstrating how it draws upon and develops particular kinds of individualism, sociality and morality that were first explicitly explored in the late eighteenth century. And, as theoretically‐laden icon, we examine how the cowboy continues to shape writing and thinking about individuals and organizations, specifically focussing on the works of Ayn Rand and notions of entrepreneurship.     

Architecture: A Template For Generating Design And Construction Possibilities For Therapy

The architectural processes of design and construction can be adapted to the design and construct of human solutions. Architecture provides a generative metaphor for therapy as well as a coherent and comprehensive conceptualisation for developing an integrated therapeutic eclecticism. The notion of ‘therapy as architecture’ is general enough to encompass all models of therapy. However, the paper confines its application of the architectural metaphor to the field of family therapy, and in particular to the briefer approaches to family therapy. Also, the paper demonstrates the utility of this architectural template for providing specific guidance on how to design and construct a therapeutic form in keeping with the client's brief and context. A case vignette illustrates how an architectural therapy works.     

Campaign Finance Laws and the Competition for Spending in Gubernatorial Elections*

Objective. The diversity of campaign finance laws in the U.S. states allows the effects of these reforms to be measured. I investigate the impact of contribution limits and public financing on campaign spending in gubernatorial elections. Methods. I conduct a multivariate regression analysis of general election spending in races for governor from 1980 to 2000. I analyze levels of spending per voter, as well as challengers' share of total spending. Results. State contribution limits do not hold down overall spending. Candidate acceptance of public funding and spending limits reduces spending by incumbent governors more than it reduces that of challengers. As for challengers' share of spending, I find that public funding programs improve challengers' ability to match incumbents' spending dollar for dollar. Conclusions. State programs that offer public funding to candidates effectively favor challengers. This points to the potential of these reforms to make federal elections more competitive.     

Management Research and Literary Criticism

This paper is concerned with analysing the role of rhetoric and literary criticism in research and scholarship. It is argued that critical debate and dialogue are the hub of the process of research and scholarship and that social science and literature have more in common than is normally recognized. Most of these debates are carried out in writing and involve elaborate writing and reading of texts – or literature as we prefer to call it. We argue the case that management researchers may have something to learn from literary criticism. A model of literary criticism comprising four different modes of criticism – mimetic, expressive, pragmatic and objective – is described and the implications for management research are suggested. The paper concludes with a number of reflections on what can be gained from this type of analysis and on the role of reflexivity in the research process.