Caregiver, Child, Family, and Service System Contributors to Caregiver Strain in Two Child Mental Health Service Systems

Brannan, Ana María; Heflinger, Craig Anne

doi:10.1007/s11414-006-9035-1

Cited by 84 publications

(81 citation statements)

References 34 publications

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“…Among families of children with serious emotional disorders, stigma has been documented as a potential barrier to receiving mental health services primarily because of the influence of stigma on parents. 4 Stigma was demonstrated to be a significant issue among a rural group of parents and the most often endorsed barrier to services in that study (McMurry, Heflinger & VanHooser, in review). Half of the participants were concerned that people in their community would likely find out if a child received professional help and thought that people would blame parents for their children's problems.…”

Section: Targets Of Stigmamentioning

confidence: 88%

“…38 Previous research in caregiver strain has shown an association between child symptomatology and caregiver depression. 4 This is attributed to the strain of coping with not only the family member's condition but also with others' response to the condition and the family. Birenbaum's 83 qualitative studies detailed parents' daily struggles with negative public reactions to their children's autism and the negative psychological impact of these experiences.…”

Section: Targets Of Stigmamentioning

confidence: 99%

“…Birenbaum's 83 qualitative studies detailed parents' daily struggles with negative public reactions to their children's autism and the negative psychological impact of these experiences. Brannan and Heflinger 4 included items about stigma (fear that the child would be labeled, fear of what family and friends would think) in their family perceptions subscale; greater endorsement of these perceptions was associated with higher reports of caregiver strain among parents of children with serious emotional disorders. Casting a broader net into the child health literature, we know from some studies of physical health conditions such as epilepsy that young children and their families are at risk of being stigmatized and that they might respond to both anticipated and experienced stigma in ways that compromise their own quality of life, such as social withdrawal and/or reluctance to seek help.…”

Section: Targets Of Stigmamentioning

confidence: 99%

“…Literature on caregiver strain and burden of care has explored processes and implications of coping with children's emotional and behavioral disorders. 4 Although considering perceptions (including concerns about public attitudes) and acknowledging the social implications of childhood mental disorders, caregiver strain and burden of care literature has not adequately considered the implications of public stigma. Few stigma researchers address child mental illness.…”

Section: Introductionmentioning

confidence: 99%

“…Particularly, lacking are conceptual frameworks addressing help-seeking that adequately account for the role of stigma among barriers to care 7 or caregiver strain variables. 4 Our premise is that the field needs conceptual frameworks that link stigma to how parents/family caregivers cope with children's emotional and behavioral problems such as seeking professional help.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The Stigma of Childhood Mental Disorders: A Conceptual Framework

Mukolo

Heflinger

Wallston

2010

Journal of the American Academy of Child & Adolescent Psych

Self Cite

119

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Objective-To describe the state of the literature on stigma associated with children's mental disorders and highlight gaps in empirical work.Method-We reviewed child mental illness stigma articles in (English only) peer-reviewed journals available through Medline and PsychInfo. We augmented these with adult-oriented stigma articles that focus on theory and measurement. 145 articles in PsychInfo and 77 articles in MEDLINE met search criteria. The review process involved identifying and appraising literature convergence on the definition of critical dimensions of stigma, antecedents, and outcomes reported in empirical studies.Results-We found concurrence on three dimensions of stigma (negative stereotypes, devaluation and discrimination), two contexts of stigma (self, general public), and two targets of stigma (self/ individual, family). Theory and empirics on institutional and self stigma in child populations were sparse. Literature reports few theoretic frameworks and conceptualizations of child mental illness stigma. One model of help-seeking (the FINIS) explicitly acknowledges the role of stigma in children's access and utilization of mental health services.Conclusions-Compared to adults, children are subject to unique stigmatizing contexts that have not been adequately studied. The field needs conceptual frameworks that get closer to stigma experiences that are causally linked to how parents/caregivers cope with children's emotional and behavioral problems such as seeking professional help. To further research in child mental illness, we suggest an approach to adapting current theoretical frameworks and operationalizing stigma highlighting three dimensions of stigma, three contexts of stigma (including institutions), and three targets of stigma (self/child, family and services).

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Section: Targets Of Stigmamentioning

confidence: 88%

Section: Targets Of Stigmamentioning

confidence: 99%

Section: Targets Of Stigmamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Stigma of Childhood Mental Disorders: A Conceptual Framework

Mukolo

Heflinger

Wallston

2010

Journal of the American Academy of Child & Adolescent Psych

Self Cite

119

View full text Add to dashboard Cite

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Evaluation of a person‐centred psychotherapy programme for children with developmental disabilities and parents in disadvantaged families

Fung

Chan

2023

Couns and Psychother Res

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BackgroundThe needs of parents of children with developmental disabilities (DD) in disadvantaged families are frequently unmet by service providers. This service gap likely diminishes the therapeutic gains of children's treatment. Catering to the psychological needs of both children and parents is important. The present study evaluates the effectiveness of a person‐centred psychotherapy programme for children with DD and parents in disadvantaged families in reducing parenting stress and promoting positive children's behaviours.MethodFifteen parent–child dyads participated in a person‐centred psychotherapy programme consisting of eight 1‐hr child‐centred play therapy (CCPT) sessions and four 1‐hr person‐centred therapy (PCT) sessions. The parents completed a quantitative questionnaire before and after the programme.ResultsThe results indicated a significant reduction in children's conduct problems, with a large effect size, and in the levels of parental distress, parent–child dysfunctional interaction and difficulty in controlling their child's behaviours, with large effect sizes after the interventions.ConclusionsThis study provides positive evidence for the effectiveness of the person‐centred intervention programme. The results imply that individual humanistic therapy sessions are essential and effective to cater to parents' needs. Service providers can provide PCT to parents when delivering child services.

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Assessment of Physical Child Abuse Risk in Parents with Children Referred to Child and Adolescent Psychiatry

et al. 2017

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Given the vulnerability of the child psychiatric population, this study examined whether parenting a child referred to a child and adolescent psychiatry department leads to a higher risk of physical child abuse and if that risk is associated with a specific child psychopathology. The clinical sample consisted of caregivers with a six‐to‐11‐year‐old child who consulted child and adolescent psychiatry for a psychiatric assessment. The Dutch Child Abuse Potential Inventory (CAPI), socio‐demographic data and child psychiatric diagnosis were collected from 59 caregivers of 59 children. Ten per cent of the sample obtained an Abuse scale score indicative of a potential risk for physically maltreating their child. Compared to a non‐clinical sample, this study showed a two and a half times higher risk potential for physical child abuse in caregivers with children referred to child and adolescent psychiatry. The elevated risk was not associated with a specific child psychiatric diagnosis. The caregivers at risk were more unhappy and experienced more problems with their child, their family and with others. Results support the need for implementing a standard risk assessment for physical child abuse in a child psychiatric setting. Copyright © 2017 John Wiley & Sons, Ltd. Key Practitioner Messages Compared to a non‐clinical sample, there is a two and a half times higher risk potential for physical child abuse in caregivers with children with mental health problems examined with the self‐report screening questionnaire CAPI. Child psychopathology in general is associated with an elevated potential for physical child abuse; there is no correlation with a specific child psychiatric disorder. There is a need for implementing a standard risk assessment for child abuse in a clinical child psychiatric setting.

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Caregiver, Child, Family, and Service System Contributors to Caregiver Strain in Two Child Mental Health Service Systems

Cited by 84 publications

References 34 publications

The Stigma of Childhood Mental Disorders: A Conceptual Framework

The Stigma of Childhood Mental Disorders: A Conceptual Framework

Evaluation of a person‐centred psychotherapy programme for children with developmental disabilities and parents in disadvantaged families

Assessment of Physical Child Abuse Risk in Parents with Children Referred to Child and Adolescent Psychiatry

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