Child protection and mental health servicesInterprofessional responses to the needs of mothers

Stanley, Nicky; Penhale, Bridget; Riordan, Denise; Barbour, Rosaline S.; Holden, Sue

doi:10.1332/policypress/9781861344274.001.0001

Cited by 4 publications

(5 citation statements)

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“…Common thresholds are needed for referral regarding child protection, particularly for children who may be emotionally vulnerable because of parental mental distress (Kearney et al , ). Some of the comments in the current study mirror previous findings from other clinicians and service users about the difficulty of accessing services (Stanley et al , ); integrated services and inter‐agency training are key (Department of Health, ). The current study supports other findings that systemic changes in health and social care have widened gaps between services, leading to differences in risk assessment and poor communication (Barbour et al , ).…”

Section: Discussionsupporting

confidence: 78%

“…However, this was a small‐scale study and further research into the experiences of parents and children within the mental health system could inform service planning and delivery. This could build on findings of previous studies (Stanley et al , ), and help to tailor interventions which can develop resilience factors for families facing mental health problems (Parrott et al , ; Social Care Institute for Excellence, ).…”

Section: Resultsmentioning

confidence: 94%

“…Systems improvements could include employing parental mental health workers to help clients with parenting issues. Early intervention could enhance parental engagement and reduce resistance to intervention (Stanley et al , ). Risk assessment documentation and practice could be more explicit and detailed regarding parents, in line with recent guidance (HM Government, ; National Patient Safety Agency, ).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

Rouf¹,

Larkin

Lowe

2011

Child Abuse Review

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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. 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.

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Section: Discussionsupporting

confidence: 78%

Section: Resultsmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Rouf¹,

Larkin

Lowe

2011

Child Abuse Review

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“…Our study found that mothers with BPD are particularly at risk of losing full or partial custody of their children. Stanley and colleagues have reported that social workers proceed quicker to place children of mothers with BPD in relation to their pessimistic view of their parental abilities . The higher placement rate of children of mothers with BPD could also be explained by the co‐existence of psychosocial problems, stressors and comorbidities experienced by these mothers.…”

Section: Discussionmentioning

confidence: 99%

Estimating the prevalence of borderline personality disorder in mothers involved in youth protection services

Laporte

Paris

Zelkowitz

2017

Personality & Mental Health

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Characteristics of borderline personality disorder (BPD) can undermine maternal capacity and in some cases lead to involvement with youth protection services (YPS). Yet, few studies exist on the prevalence of maternal BPD in this context and on the comparison of these families with families with other maternal psychiatric disorders or families with no mental illness within YPS. The current study surveyed 291 caseworkers working with mothers whose children and adolescents are followed by YPS. After reported prevalence was adjusted with validation procedures, the prevalence of maternal BPD in a sample of 1875 mothers was 34.3%. Comparison of three groups of families suggest that some risk factors, including substance abuse and severe conjugal conflicts, were more frequent in mothers with BPD than in mothers with other psychiatric illness or none. Furthermore, results revealed that 48.9% of mothers with BPD had a history of being followed by YPS in their childhood. Finally, children of mothers with BPD were placed at a younger age than the other children and were less often reported for conduct disorder. These results call for more attention to these highly vulnerable parents and children in both research and in adult and child mental health services. Copyright © 2017 John Wiley & Sons, Ltd.

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“…Adshead argues that these new measures should be extended to include the detention, assessment and, when appropriate, the treatment of personality disordered parents who pose a threat to their children. This paper applies knowledge gained in work with adults to the field of child protection and comes at a time when the need for links between the mental health of parents and the welfare and well-being of their children is receiving more general recognition and the dilemmas for practitioners faced with balancing two sets of needs are increasingly acknowledged (see Stanley et al, 2003). The recent publication by the Royal College of Psychiatrists Patients as Parents encourages psychiatrists working with adults to consider their ability to function as effective parents and to contribute to the safeguarding of the children (Royal College of Psychiatrists, 2002).…”

Section: Broadening Our Horizonsmentioning

confidence: 99%

Broadening our horizons

Lynch¹,

Stanley²

2003

Child Abuse Review

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T he diverse papers in this issue demonstrate how currentday practice in child protection can benefit from taking a broad perspective which incorporates, among other dimensions, learning over time, from other fields of study and from other cultures.The first paper from Iwaniec and her team, describing a 20-year follow-up of non-organic failure to thrive, yields valuable information on what protects children from risk of longterm harm and allows comparison between outcomes for those who were and were not abused. Despite abuse in childhood, positive outcomes were found to be possible where the care of the child and the emotional environment had significantly improved. This did not necessarily entail the child being removed from a formerly abusive home. Such findings provide much-needed encouragement to practitioners working to help abusive families change. Studies such as this demonstrate the value of collecting and comparing data over a considerable period of time. More long-term follow-up studies of all forms of abuse and neglect are needed to inform policy and practice. However, unless the sample is recruited prospectively with informed consent, the ethical considerations can be considerable (Lynch et al., 1999). Finding funding for such long-term research is also a major issue, exacerbated by grant-giving bodies, research institutions and researchers themselves all looking for a quick return on their investment. Under pressure from research assessment exercises, few will be willing to wait 20 years for the definitive publication! It is to be hoped that, should a centrally funded research programme in child protection be developed in the wake of the Climbié Inquiry, then long-term outcomes will be included as a priority.In the second paper in this issue, Adshead, a psychotherapist in a high-security hospital, raises the contentious issue of personality disorder and explores its relevance to parenting and the protection of children from dangerous adults. Since the paper was written, the terminology 'dangerous and severe personality disorder' (DSPD) has been dropped from the proposed Mental Health Act reform, but the new legislation is still likely to remove the requirement for people to be 'treatable' before they can be detained. The term DSPD is retained to describe the units being developed to accommodate these 'The value of collecting and comparing data over a considerable period of time'

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Child protection and mental health servicesInterprofessional responses to the needs of mothers

Cited by 4 publications

References 0 publications

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

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

Estimating the prevalence of borderline personality disorder in mothers involved in youth protection services

Broadening our horizons

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