Use of Structured Clinical Documentation to Identify Patients’ Parental Concerns and Their Childrens’ Wellbeing
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Children of parents with mental illness are at high risk of adverse health and functional outcomes, but little is known about how the community mental health staff identify and document these. This file audit examines parents’ case managers’ recording of children’s needs and safety, on relevant components of New South Wales’ Mental Health Structured Clinical Documentation. The audit identified 280 parental files. Study findings indicate that parenting issues form an important load of work on community mental health teams, highlighting the need for systematic identification of parental status in mental health patients.
KeywordsFamily Community Mental Health Services Parents Child Documentation
The authors are grateful for assistance provided by: Donna Gillies (Senior Research Officer), Robyn Bowcock (Quality Systems Manager), and the COPMI coordinators of Western Sydney Local Health Network (prior Sydney West Area Health Service). Neda Dusevic (Former Project Manager MHOAT, InforMH). Participating Service mangers, Team Leaders and Community Mental Health Teams. Financial assistance was provided in the form of a Fellowship for Advanced Training in Child and Adolescent Psychiatry, funded by NSW Health and administered by the NSW Institute of Psychiatry.
- Australian Bureau of Statistics (2006). Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia—Data only (Internet). 2008 Mar 26 [updated 2008 Jul 3; cited 2011 Nov 23]. http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/2033.0.55.0012006?OpenDocument.
- Falkov, A. (Ed.). (1998). Crossing bridges: Training resources for working with mentally ill parents and their children. East Sussex: Department of Health.Google Scholar
- Falkov, A. (2012). The Family Model Handbook: An integrated approach to supporting mentally ill parents and their children. East Sussex: Pavilion.Google Scholar
- NSW Health (2004). NSW Government response to tracking tragedy 2004 (Internet). 2005 Dec 31 [cited 2011 Nov 23]. http://www.health.nsw.gov.au/pubs/2005/track__trag_06.html.
- NSW Health (2006). Mental Health Outcomes and Assessment Tools (MH-OAT) Data Collection Reporting Requirement 1 July 2006 (Internet). 2006 Jun 28 [cited 2011 Nov 23]. www.health.nsw.gov.au/policies/pd/2006/pdf/PD2006_041.pdf.
- NSW Health (2008a). Mental Health Clinical Documentation—Redesigned [Internet]. 2008 Sep 15 [cited 2011 Nov 23]. http://www.health.nsw.gov.au/policies/gl/2008/pdf/GL2008_016.pdf.
- NSW Health (2008b). Redesigned Mental Health Clinical Documentation: Notification of availability [Internet]. 2008 Sep 15 [cited 2011 Nov 23]. http://www.health.nsw.gov.au/policies/ib/2008/IB2008_047.html.
- NSW Health (2009). Mental Health Clinical Care and Prevention Model—User Guide (Internet). 2009 Sep 10 [cited 2011 Nov 23]. http://www.health.nsw.gov.au/resources/mhdao/MH_CCP_User_Guide_pdf.asp.
- NSW Health (2010). Children of Parents with a Mental Illness (COPMI) Framework for Mental Health Services (Internet). 2010 Jun 17 [cited 2011 Nov 23]. http://www.health.nsw.gov.au/policies/pd/2010/PD2010_037.html.
- Pethick, L. (2011). Focus on fathering: Book review (Internet). Sydney: Australian Infant, Child Adolescent and Family Mental Health Association Ltd. AICAFMHA; [cited 2011 Sep 2]. http://www.aicafmha.net.au/resources/reviews/fathering.html.
- Sydney West Area Health Service (2011). Social and health atlas (Internet). [cited 2011 Apr 11]. http://www.swahs.health.nsw.gov.au/atlas/index.htm.