Distressed Parents and Family Issues

Judd-Glossy, Laura; Twohy, Eileen

doi:10.1007/978-3-030-35598-2_30

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…When parents present with their own mental health concerns, they are often labeled as “difficult or challenging” by their child’s medical team, which can impact interactions with the team and compromise care (Meadow, 1992). If parent mental health impacts the child’s health during hospitalization, pediatric consultation-liaison (CL) psychologists can intervene to promote child health and safety as well as reducing barriers to discharge for hospitalized infants (Judd-Glossy & Twohy, 2020; Raffray et al, 2014). One target of intervention can be on improving parental mastery of medical care and reducing “treatment interfering behaviors,” defined as “behavior negatively impacting medical progress” (Ernst et al, 2014, p. 393).…”

Section: Case History and Conceptualizationmentioning

confidence: 99%

Structured exposure in an unstructured setting: Case study of parental exposure intervention to increase parental mastery of medical care during inpatient hospitalization.

Albright¹,

Kullgren²,

Andersen³

2023

Clinical Practice in Pediatric Psychology

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Objective: Parental stress can have an impact on health outcomes of chronically ill children (Cousino & Hazen, 2013). Pediatric psychologists are well suited to address these issues with understanding of empirically supported treatments, impact of mental health on medical care behaviors, and parent–child interactions (Ernst et al., 2015). Use of empirically supported treatments, such as graduated exposure therapy (ET), within an uncontrolled environment such as an inpatient setting can be challenging. This case study illustrates adaptation of ET in an inpatient setting to address parental mastery of medical care. Method: ET was implemented with a mother of an infant with a newly placed tracheostomy to reduce her severe anxiety that was preventing her from interacting with her infant or engaging in medical care necessary for hospital discharge. Results: Through 31 exposure sessions, the patient’s mother met all four treatment targets: daily tracheostomy care, stoma desensitization, tracheostomy tube changes, and suctioning. Self-reported distress data were presented for each exposure. Conclusions: Use of ET with a clear treatment plan and coordinated multidisciplinary inpatient team efforts can successfully reduce severe parental anxiety that is impeding medical care, hindering parent–child interaction, and interfering with parental ability to care for a child with complex medical needs. This article discusses multiple factors that are unique to the inpatient setting and the target behaviors for consideration.

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Section: Case History and Conceptualizationmentioning

confidence: 99%

Structured exposure in an unstructured setting: Case study of parental exposure intervention to increase parental mastery of medical care during inpatient hospitalization.

Albright¹,

Kullgren²,

Andersen³

2023

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

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Advancing Our Understanding of Pediatric Resident Communication Skills and Disruptive Behavior and Mistreatment Strategies

Hilgenberg

Bogetz²,

Leibold

et al. 2021

Academic Pediatrics

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Pediatric Healthcare Providers

Mentrikoski

Baniak

Lora

et al. 2022

Advances in Psychology, Mental Health, and Behavioral Studies

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Healthcare providers are at risk for stress-related illness (e.g., burnout, compassion fatigue, and secondary traumatic stress) due to the nature of their jobs. Healthcare providers who work in pediatrics face unique challenges compared to those who work in adult healthcare. This chapter reviews three common challenges pediatric healthcare providers face, including working with children who may die or may be facing death, managing difficult family dynamics, and responding to cases of suspected child abuse and neglect. In addition, pediatric providers face additional challenges during public health crises (e.g., natural disasters and the COVID-19 pandemic), including specific challenges related to telehealth, navigating a lack of services and mental health programs and managing adverse childhood events. Several recommendations are made throughout this chapter to assist pediatric providers with these challenges.

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Distressed Parents and Family Issues

Cited by 3 publications

References 28 publications

Structured exposure in an unstructured setting: Case study of parental exposure intervention to increase parental mastery of medical care during inpatient hospitalization.

Structured exposure in an unstructured setting: Case study of parental exposure intervention to increase parental mastery of medical care during inpatient hospitalization.

Advancing Our Understanding of Pediatric Resident Communication Skills and Disruptive Behavior and Mistreatment Strategies

Pediatric Healthcare Providers

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