What is the current level of mental health service delivery and expenditure on infants, children, adolescents, and young people in Australia?

Segal, Leonie; Guy, Sophie; Furber, Gareth

doi:10.1177/0004867417717796

Cited by 46 publications

(12 citation statements)

References 21 publications

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“…Concerns about child protection were highlighted by parents in this review, which highlights the strengths of early investment in ‘normalising’ support which fosters a sense of safety, within ‘mainstream’ care systems. The importance of investment in broader societal factors (housing, education, safety, addressing stigma) were also highlighted in this review, and these investments are likely to have important returns in terms of both secondary prevention for the parent and primary prevention for the infant [99].…”

Section: Discussionmentioning

confidence: 99%

Healing The Past By Nurturing The Future: A qualitative systematic review and meta-synthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment

et al. 2019

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BackgroundChild maltreatment can have serious effects on development and physical, social and emotional wellbeing. Any long-lasting relational effects can impede the capacity to nurture children, potentially leading to ‘intergenerational trauma’. Conversely, the transition to parenthood during pregnancy, birth and the early postpartum period offers a unique life-course opportunity for healing. This systematic review aims to understand the pregnancy, birth and early postpartum experiences of parents who reported maltreatment in their own childhood.MethodsA protocol, based on the ENTREQ statement, was registered with PROSPERO. We searched Medline, PsycINFO, CINAHL, EMBASE, NHS Evidence and key Web of Science databases from date of inception to June 2018 to identify qualitative studies exploring perinatal experiences of parents who were maltreated in their own childhood. Two reviewers independently screened articles for inclusion and extracted data. Data were synthesised using grounded theory and thematic analysis approaches.FindingsThe search yielded 18329 articles, 568 full text articles were reviewed, and 50 studies (60 articles) met inclusion criteria for this review. Due to the large number of studies across the whole perinatal period (pregnancy to two years postpartum), this paper reports findings for experiences during pregnancy, birth and early postpartum (27 studies). Parents described positive experiences and strategies to help them achieve their hopes and dreams of providing safe, loving and nurturing care for their children. However, many parents experienced serious challenges. Seven core analytic themes encapsulated these diverse and dynamic experiences: New beginnings; Changing roles and identities; Feeling connected; Compassionate care; Empowerment; Creating safety; and Reweaving a future.ConclusionsPregnancy birth and the early postpartum period is a unique life-course healing opportunity for parents with a history of maltreatment. Understanding parent’s experiences and views of perinatal care and early parenting is critical for informing the development of acceptable and effective support strategies.

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Section: Discussionmentioning

confidence: 99%

Healing The Past By Nurturing The Future: A qualitative systematic review and meta-synthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment

et al. 2019

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“…Furthermore, because of the increased likelihood of stigmatization and discrimination accompanying a mental illness, these families may face greater challenges accessing support. This, in combination with a lack of visibility for early intervention support, may explain why less than one in six children are currently receiving support for emerging mental health issues at any one time (9,10).…”

Section: Introductionmentioning

confidence: 99%

Development of an Evidence-Informed and Codesigned Model of Support for Children of Parents With a Mental Illness— “It Takes a Village” Approach

et al. 2022

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Providing support to parents and their children to help address the cycle of intergenerational impacts of mental illness and reduce the negative consequences for children is a key focus of selective prevention approaches in public mental health. However, a key issue for children of parents with a mental illness is the lack of access to early intervention and prevention support when needed. They are not easily identifiable (until presenting with significant mental health issues of their own) and not easily accessing the necessary support that address the complex interplay of parental mental illness within families. There are significant barriers to the early identification of these children, particularly for mental health care. Furthermore, there is a lack of collaborative care that might enhance identification as well as offer services and support for these families. The “It takes a Village” project seeks to improve mental health outcomes for children through the co-development, implementation and evaluation of an approach to collaborative practice concerned with the identification of families where a parent has a mental illness, and establishing a service model to promote child-focused support networks in Austria. Here we describe the development of service delivery approach for the “It takes a Village” project that aims to improve identification and support of these children within enhancements of the existing service systems and informal supports. The paper describes the use of codesign and other implementation strategies, applied to a research setting, with the aim of impacting the sustainability of workforce reform to achieve lasting social impact. Results highlight the steps involved in translating evidence-based components, local practice wisdom and lived experience into the “It takes a Village” practice model for Tyrol, Austria. We highlight through this paper how regional context-specific solutions are essential in the redesign of care models that meet the complex needs of children of parents with a mental illness. Service system and policy formation with local and experienced stakeholders are also vital to ensure the solutions are implementation-ready, particularly when introducing new practice models that rely on organizational change and new ways of practice with vulnerable families. This also creates a solid foundation for the evaluation of the “It take a Village” approach for children of parents with a mental illness in Austria.

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“…4 The study adds to the group's interest in developing models for workforce planning 5 and in quantifying the population effect of exposure to risk factors in childhood on adult mental health. 6 In a previous study, 7 this group showed that the mental health needs of the youngest age groups (0-4 years) are underserved by a factor of ten compared with those of youth (18-24 years).…”

Section: Workforce Planning For Children and Young People's Mental Health Carementioning

confidence: 89%

Workforce planning for children and young people's mental health care

Kowalenko

Culjak

2018

The Lancet Public Health

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What is the current level of mental health service delivery and expenditure on infants, children, adolescents, and young people in Australia?

Cited by 46 publications

References 21 publications

Healing The Past By Nurturing The Future: A qualitative systematic review and meta-synthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment

Healing The Past By Nurturing The Future: A qualitative systematic review and meta-synthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment

Development of an Evidence-Informed and Codesigned Model of Support for Children of Parents With a Mental Illness— “It Takes a Village” Approach

Workforce planning for children and young people's mental health care

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