Abstract
Up to a quarter of people with a lived experience of serious mental illness are parents. Parents with serious mental illness face considerable challenges managing the demands of their illness and day-to-day parenting roles and responsibilities. A lack of resources to cope with parenting tasks, stigma of mental illness, psychiatric symptoms, and side effects of medications can affect parenting abilities. In addition, psychosocial adversities including lower education and employment opportunities, due to the impact of mental illness and parenting duties, can negatively impact the quality of life of families affected by parental mental illness. Studies show that children affected by parental mental illness have a higher risk of developing emotional, psychological, and behavioral problems and sometimes take on caring responsibilities for their parents. It is increasingly recognized that family-focussed support services are required to meet the needs of these families and that providing appropriate support can contribute to the recovery journey of parents with mental illness and well-being of the whole family.
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References
Afzelius M, Ostman M, Rastam M, Priebe G (2017) Parents in adult psychiatric care and their children: a call for more interagency collaboration with social services and child and adolescent psychiatry. Nord J Psychiatry 1–8. https://doi.org/10.1080/08039488.2017.1377287
Berg-Nielsen TS, Wichstrom L (2012) The mental health of preschoolers in a Norwegian population-based study when their parents have symptoms of borderline, antisocial, and narcissistic personality disorders: at the mercy of unpredictability. Child Adolesc Psychiatry Ment Health 6:19. https://doi.org/10.1186/1753-2000-6-19
Boursnell M (2014) Assessing the capacity of parents with mental illness: parents with mental illness and risk. Int Soc Work 57:92–108. https://doi.org/10.1177/0020872812445197
Butler H, Hare D, Walker S, Wieck A, Wittkowski A (2014) The acceptability and feasibility of the Baby Triple P Positive Parenging Progreamme on a mother and baby unit: Q-methodology with mothers with severe mental illness. Arch Women’s Ment Health 17(5):455–463
Campbell L et al (2017) Severity of illness and adaptive functioning predict quality of care of children among parents with psychosis: a confirmatory factor analysis. Aust N Z J Psychiatry. https://doi.org/10.1177/0004867417731526
Campbell L et al (2012) The experiences of Australian parents with psychosis: the second Australian national survey of psychosis. Aust N Z J Psychiatry 46:890–900. https://doi.org/10.1177/0004867412455108
Chernomas W, Clarke D (2003) Social support and women living with serious mental illness. Project 23. Prairie Women’s Health Centre of Excellence Winnipeg, Winnipeg. ISBN 0-9689692-4-9
Coates D, Phelan R, Heap J, Howe D (2017) Being in a group with others who have mentall illness makes all the difference: The views and experiences of prents who attended a mental health parenting program. Child Youth Serv Rev 78:104–111
Dolman C, Jones I, Howard L (2013) Pre-conception to parenting: a systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness. Arch Womens Ment Health 16:173–196. https://doi.org/10.1007/s00737-013-0336-0
Ennals P, Fossey EM, Harvey CA, Killackey E (2014) Postsecondary education: kindling opportunities for people with mental illness. Asia Pac Psychiatry 6:115–119
Evenson E, Rhodes J, Feigenbaum J, Solly A (2008) The experiences of fathers with psychosis. J Ment Health 17:629–642
Gatsou L, Yates S, Goodrich N, Pearson D (2017) The challenges presented by parental mental illness and the potential of a whole-family intervention to improve outcomes for families. Child Fam Soc Work 22:388–397. https://doi.org/10.1111/cfs.12254
Goodyear M, Hill T-L, Allchin B, McCormick F, Hine R, Cuff R, O’Hanlon B (2015) Standards of practice for the adult mental health workforce: meeting the needs of families where a parent has a mental illness. Int J Ment Health Nurs 24:169–180. https://doi.org/10.1111/inm.12120
Göpfert M, Webster J, Seeman M (2004) Parental psychiatric disorder: distressed parents and their families. Cambridge University Press, Cambridge
Green B, Furrer C, McAllister C (2007) How do relationships support parenting? Effects of attachment style and social support on parenting behavior in an at-risk population. Am J Community Psychol 40:96–108. https://doi.org/10.1007/s10464-007-9127-y
Grové C, Melrose H, Reupert A, Maybery D, Morgan B (2015a) When your parent has a mental illness: children’s experiences of a psycho-educational intervention. Adv Ment Health 13:127–138. https://doi.org/10.1080/18387357.2015.1063637
Grové C, Reupert A, Maybery D (2015b) Peer connections as an intervention with children of families where a parent has a mental illness: moving towards an understanding of the processes of change. Child Youth Serv Rev 48:177–185. https://doi.org/10.1016/j.childyouth.2014.12.014
Grové C, Reupert A, Maybery D (2016) The perspectives of young people of parents with a mental illness regarding preferred interventions and supports. J Child Fam Stud 25:3056–3065. https://doi.org/10.1007/s10826-016-0468-8
Harvey C, Killackey E, Groves A, Herrman H (2012) A place to live: housing needs for people with psychotic disorders identified in the second Australian National Survey of Psychosis. Aust N Z J Psychiatry 46:840–850. https://doi.org/10.1177/0004867412449301
Henshaw C et al (2011) Parents as patients: supporting the needs of patients who are parents and their children. Royal College of Psychiatrists, London
Khalifeh H, Murgatroyd C, Freeman M, Johnson S, Killaspy H (2009) Home treatment as an alternative to hospital admission for mothers in a mental health crisis: a qualitative study. Psychiatr Serv 60:634–639. https://doi.org/10.1176/ps.2009.60.5.634
Howe D, Batchelor S, Bochynska K (2012) Prevalence of parents within an adult mental health service: census results 2008–2011. Australas Psychiatry 20:413–418
Jeffery D, Clement S, Corker E, Howard LM, Murray J, Thornicroft G (2013) Discrimination in relation to parenthood reported by community psychiatric service users in the UK: a framework analysis. BMC Psychiatry 13:120. https://doi.org/10.1186/1471-244x-13-120
Kahng S, Oyserman D, Bybee D, Mowbray C (2008) Mothers with serious mental illness: when symptoms decline does parenting improve? J Fam Psychol 22:162
Kaplan K, Solomon P, Salzer MS, Brusilovskiy E (2014) Assessing an Internet-based parenting intervention for mothers with a serious mental illness: a randomized controlled trial. Psychiatr Rehabil J 37:222–231. https://doi.org/10.1037/prj0000080
Lacey M, Paolini S, Hanlon MC, Melville J, Galletly C, Campbell LE (2015) Parents with serious mental illness: differences in internalised and externalised mental illness stigma and gender stigma between mothers and fathers. Psychiatry Res 225:723–733. https://doi.org/10.1016/j.psychres.2014.09.010
Leijdesdorff S, van Doesum K, Popma A, Klaassen R, van Amelsvoort T (2017) Prevalence of psychopathology in children of parents with mental illness and/or addiction: an up to date narrative review. Curr Opin Psychiatry 30:312–317. https://doi.org/10.1097/YCO.0000000000000341
Luciano A, Nicholson J, Meara E (2014) The economic status of parents with serious mental illness in the United States. Psychiatr Rehabil J 37:242–250. https://doi.org/10.1037/prj0000087
Marston N, Maybery D, Reupert A (2014) Empowering families where a parent has a mental illness: a preliminary evaluation of the ‘family focus’ DVD. Adv Ment Health 12:136–146. https://doi.org/10.1080/18374905.2014.11081891
Maybery D, Reupert A, Goodyear M (2015) Goal setting in recovery: families where a parent has a mental illness or a dual diagnosis. Child Fam Soc Work 20:354–363. https://doi.org/10.1111/cfs.12084
Mok PL et al (2016) Parental psychiatric disease and risks of attempted suicide and violent criminal offending in offspring: a Population-Based Cohort Study. JAMA Psychiatry 73:1015–1022. https://doi.org/10.1001/jamapsychiatry.2016.1728
Montgomery P, Brown S, Forchuk C (2011) A comparison of individual and social vulnerabilities, health, and quality of life among Canadian women with mental diagnoses and young children. Women’s Health Issues 21:48–56. https://doi.org/10.1016/j.whi.2010.07.008
Montgomery P, Tompkins C, Forchuk C, French S (2006) Keeping close: mothering with serious mental illness. J Adv Nurs 54:20–28. https://doi.org/10.1111/j.1365-2648.2006.03785.x
Morgan VA et al (2011) People living with psychotic illness. Mental Health Publications, Canberra, p 2010
Mowbray C, Bybee D, Hollingsworth L, Goodkind S, Oyserman D (2005) Living arrangements and social support: effects on the well-being of mothers with mental illness. Soc Work Res 29:41–55. https://doi.org/10.1093/swr/29.1.41
Nelson G, Laurior W (2010) Housing for people with serious mental illness: approaches, evidence and transformative change. J Sociol Soc Welf 123:123–146
Nicholson J, Biebel K, Katz-Leavy J, Williams V (2002) Center for Mental Health Services. Mental Health, United States. In: Manderscheid RW, Henderson MJ (eds) DHHS Pub No. (SMA) 3938. Rockville, Maryland: Substance Abuse and Mental Health Services Administration, Chapter 10, pp. 120–137
Nicholson J, Hinden BR, Biebel K, Henry AD, Katz-Leavy J (2007) A qualitative study of programs for parents with serious mental illness and their children: building practice-based evidence. J Behav Health Serv Res 34:395–413
Nilsson S, Gustafsson L, Nolbris MJ (2015) Young adults’ childhood experiences of support when living with a parent with a mental illness. J Child Health Care 19:444–453. https://doi.org/10.1177/1367493513519296
Nyer M, Kasckow J, Fellows I, Lawrence E, Golshan S, Solorzano E, Zisook S (2010) The relationship of marital status and clinical characteristics in middle-aged and older patients with schizophrenia and depressive symptoms. Ann Clin Psychiatry 22:172–179
Ostler T, Ackerson B (2009) Parental chronic mental illness. In: Benson MMHJB (ed) Diseases and disorders in infancy and early childhood. Academic, Amsterdam, pp 293–304
Perera DN, Short L, Fernbacher S (2014) There is a lot to it: being a mother and living with a mental illness. Adv Ment Health 12:167–181. https://doi.org/10.1080/18374905.2014.11081895
Pfeiffenberger AS, D’Souza AJ, Huthwaite MA, Romans SE (2016) The well-being of children of parents with a mental illness: the responsiveness of crisis mental health services in Wellington, New Zealand. Child Family Social Work 21:600–607. https://doi.org/10.1111/cfs.12186
Poon WC, Lee C, Mark L (2014) An exploratory study of the profile and perceived needs of people with mental illness who are caring for young children in Singapore. Soc Work Ment Health 12:174–193. https://doi.org/10.1080/15332985.2013.851058
Power J, Cuff R, Jewell H, McIlwaine F, O’Neill I, U’Ren G (2015) Working in a family therapy setting with families where a parent has a mental illness: practice dilemmas and strategies. J Fam Ther 37:546–562. https://doi.org/10.1111/1467-6427.12052
Power J, Goodyear M, Maybery D, Reupert A, O’Hanlon B, Cuff R, Perlesz A (2016) Family resilience in families where a parent has a mental illness. J Soc Work 16:66–82. https://doi.org/10.1177/1468017314568081
Price-Robertson R, Reupert A, Maybery D (2015) Fathers’ experiences of mental illness stigma: scoping review and implications for prevention. Adv Ment Health 13:100–112
Rasic D, Hajek T, Alda M, Uher R (2014) Risk of mental illness in offspring of parents with schizophrenia, bipolar disorder, and major depressive disorder: a meta-analysis of family high-risk studies. Schizophr Bull 40:28–38. https://doi.org/10.1093/schbul/sbt114
Reupert A, Maybery D (2014) Practitioners’ experiences of working with families with complex needs. J Psychiatr Ment Health Nurs 21:642–651. https://doi.org/10.1111/jpm.12149
Reupert A, Maybery D (2015) Stigma and families where a parent has a mental illness. In: Parental psychiatric disorder: distressed parents and their families. Cambridge University Press, Cambridge, pp 51–60
Reupert A, Maybery D (2016) What do we know about families where parents have a mental illness? A systematic review. Child Youth Serv 37:98–111. https://doi.org/10.1080/0145935X.2016.1104037
Reupert A, Maybery D, Nicholson J (2015) Towards the development of a conceptual framework. In: Reupert A, Maybery D, Nicholson J, Seeman MV, Göpfert M (eds) Parental psychiatric disorder: distressed parents and their families, 3rd edn. Cambridge University Press, Cambridge, pp 1–15. https://doi.org/10.1017/CBO9781107707559.002
Reupert A, Price-Robertson R, Maybery D (2017) Parenting as a focus of recovery: a systematic review of current practice. Psychiatric Rehabil J 39:1–9. https://doi.org/10.1037/prj0000240
Risley-Curtiss C, Stromwall L, Hunt DT, Teska J (2004) Identifying and reducing barriers to reunification for seriously mentally ill parents involved in child welfare cases. Fam Soc 85:107–118
Sadler MS, Meagor EL, Kaye KE (2012) Stereotypes of mental disorders differ in competence and warmth. Soc Sci Med 74:915–922
Savvidou I, Bozikas V, Hatzigeleki S, Karavatos A (2003) Narratives about their children by mothers hospitalized on a psychiatric unit. Fam Process 42:391–402
Schmidt L, Monaghan J (2012) Intensive family support services: a consultative model of education and support. Am J Psychiatr Rehabil 15:26–43. https://doi.org/10.1080/15487768.2012.655226
Schrank B, Moran K, Borghi C, Priebe S (2015) How to support patients with severe mental illness in their parenting role with children aged over 1 year? A systematic review of interventions. Soc Psychiatry Psychiatr Epidemiol 50:1765–1783. https://doi.org/10.1007/s00127-015-1069-3
Seeman M (2010) Parenting issues in mothers with schizophrenia. Curr Women’s Health Rev 6:51–57
Seeman M (2012) Intervention to prevent child custody loss in mothers with Schizophrenia. Schizophr Res Treat 1–6. https://doi.org/10.1155/2012/796763
Shor R, Kalivatz Z, Amir Y, Aldor R, Lipot M (2015) Therapeutic factors in a group for parents with mental illness. Community Ment Health J 51:79–84. https://doi.org/10.1007/s10597-014-9739-2
Stambaugh LF, Forman-Hoffman V, Williams J, Pemberton MR, Ringeisen H, Hedden SL, Bose J (2017) Prevalence of serious mental illness among parents in the United States: results from the National Survey of Drug Use and Health, 2008–2014. Ann Epidemiol 27:222–224. https://doi.org/10.1016/j.annepidem.2016.12.005
Stanbridge R, Burbach F (2007) Developing family-inclusive mainstream mental health services. J Fam Ther 29:21–43
Thanhäuser M, Lemmer G, de Girolamo G, Christiansen H (2017) Do preventive interventions for children of mentally ill parents work? Results of a systematic review and meta-analysis. Curr Opin Psychiatry 30:283–299
Thomas L, Kalucy R (2003) Parents with mental illness: lacking motivation to parent. Int J Ment Health Nurs 12:153–157. https://doi.org/10.1046/j.1440-0979.2003.00282.x
Trondsen MV, Tjora A (2014) Communal normalization in an online self-help group for adolescents with a mentally ill parent. Qual Health Res 24:1407–1417. https://doi.org/10.1177/1049732314547708
van der Ende PC, van Busschbach JT, Nicholson J, Korevaar EL, van Weeghel J (2016) Strategies for parenting by mothers and fathers with a mental illness. J Psychiatr Ment Health Nurs 23:86–97. https://doi.org/10.1111/jpm.12283
Vigod S, Dennis C, Kurdyak P, Cairney J, Guttmann A, Taylor V (2014) Fertility rate trends among adolescent girls with major mental illness: a Population-Based Study. Pediatrics 133:e585–e591. https://doi.org/10.1542/peds.2013-1761
Waghorn G et al (2012) ‘Earning and learning’ in those with psychotic disorders: the second Australian national survey of psychosis. Aust N Z J Psychiatry 46:774–785. https://doi.org/10.1177/0004867412452015
Wansink HJ, Janssens JMAM, Hoencamp E, Middelkoop BJC, Hosman CMH (2015) Effects of preventive family service coordination for parents with mental illnesses and their children, a RCT. Fam Syst Health 33:110–119. https://doi.org/10.1037/fsh0000105
Westad C, McConnell D (2012) Child welfare involvement of mothers with mental health issues. Community Ment Health J 48:29–37. https://doi.org/10.1007/s10597-011-9374-0
Widemalm M, Hjärthag F (2015) The forum as a friend: parental mental illness and communication on open Internet forums. Soc Psychiatry Psychiatr Epidemiol 50:1601–1607. https://doi.org/10.1007/s00127-015-1036-z
Wolpert M, Hoffman J, Martin A, Fagin L, Cooklin A (2015) An exploration of the experience of attending the the Kidstime programme for children with parents with enduring mental health issues: Parents’ and young people’s views. Clin Child Psychol Psychiat 2(3):406–418
Zipursky R, Reilly T, Murray R (2013) The myth of schizophrenia as a progressive brain disease. Schizophr Bull 39:1363–1372. https://doi.org/10.1093/schbul/sbs135
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Campbell, L., Poon, A.W.C. (2020). Parenting Challenges for Persons with a Serious Mental Illness. In: Ow, R., Poon, A. (eds) Mental Health and Social Work. Social Work. Springer, Singapore. https://doi.org/10.1007/978-981-13-0440-8_16-1
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