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The invisible children's project

Key ingredients of an intervention for parents with mental illness

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Abstract

This study used a collective case study design to identify key ingredients of the Invisible Children's Project, an intervention program for families in which a parent has a mental illness. Data were obtained from interviews with parents and service providers, and from family file records. Qualitative analyses were used to generate hypotheses regarding key ingredients and targeted outcomes, and to develop a testable intervention model. Key ingredients were defined as core processes, essential services, and mediators. Strong convergence across parents and providers suggested core processes defined by family-centered, strengths-based, emotionally supportive, and comprehensive approaches; essential services including family case management, 24-hour crisis services, access to flexible funds, liaison and advocacy, and mediators reflecting parent-provider trust and communication/cooperation, provider-provider trust, adoption of strengths-based approaches, development of appropriate treatment plans, parent engagement, and parent self-esteem/self-efficacy. A model of the intervention is presented, and results are discussed with respect to research and policy implications.

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References

  1. Hinden B, Biebel K, Nicholson J, et al.Steps Towards Evidence-based Practices for Parents With Mental Illness and Their Families. Rockville, Md: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2002.

    Google Scholar 

  2. Nicholson J, Biebel K, Katz-Leavy J, et al. Prevalence of parenthood among adults with severe mental illness. In: Manderscheid RW, Henderson MJ, eds.Mental Health, United States, 2002. Rockville, Md: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. In press.

  3. Mowbray CT, Oyserman D, Zemencuk JK, et al. Motherhood for women with serious mental illness: pregnancy, childbirth, and the postpartum period.Am J Orthopsychiatr. 1995;65:21–38.

    CAS  Google Scholar 

  4. Hemmens C, Miller M, Burton VS, et al. The consequences of official labels: an examination of the rights lost by the mentally ill and mentally incompetent ten years later.Commun Mental Health J. 2002;38:129–140.

    Google Scholar 

  5. Joseph JG, Joshi S, Lewin AB, et al. Characteristics and perceived needs of mothers with serious mental illness.Psychiatr Serv. 1999;50:1357–1359.

    CAS  PubMed  Google Scholar 

  6. The Advocasey Index. Documenting programs that work for kids and families.Advocasey. Winter/Fall 2001;3.

  7. Parents with serious mental illness.Virginia Child Protection Newsletter. Summer 1999;56:6–9.

  8. Barocas R, Seifer R, Sameroff AJ. Defining environmental risk: multiple dimensions of psychological vulnerability.Am J Commun Psychol. 1985;13:433–447.

    Article  CAS  Google Scholar 

  9. Oyserman D, Mowbray CT, Meares PA, et al. Parenting among mothers with a serious mental illness.Am J Orthopsychiatr. 2000;70:296–315.

    CAS  Google Scholar 

  10. Sameroff AJ, Seifer R. Familial risk and child competence.Child Development. 1983;54:1254–1268.

    CAS  PubMed  Google Scholar 

  11. Weintraub S, Neal JM. Social behavior of children at risk for schizophrenia. In: Watt N, Anthony EJ, Wynne LC, et al, eds.Children at Risk for Schizophrenia: A Longitudinal Perspective. New York: Cambridge University Press; 1984:243–263.

    Google Scholar 

  12. ORC Macro.Aggregate Data Profile Report: Grant Communities Funded in 1999 and 2000. Unpublished report; April 2002.

  13. Blanch AK, Nicholson J, Purcell J. Parents with severe mental illness and their children: the need for human services integration.J Mental Health Adm. 1994;21:388–396.

    CAS  Google Scholar 

  14. Nicholson J, Biebel K, Hinden B, et al.Critical Issues for Parents With Mental Illness and Their Families. Rockville, Md: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2001.

    Google Scholar 

  15. Lieberman HJ, Campanelli PC, Ades Y, et al. Reunifying single-parent families with special needs.Psychiatr Rehabil J. 1999;23:42–46.

    Google Scholar 

  16. Cohler BJ, Stott FM, Musick J. Distressed parents and their young children: interventions for families at risk. In: Goepfert M, Webster J, eds.Parental Psychiatric Disorder: Distressed Parents and Their Families. Liverpool, England: Liverpool Psychotherapy & Consultation Service; 1996:107–134.

    Google Scholar 

  17. Mohit DL. Management and care of mentally ill mothers of young children: an innovative program.Arch Psychiatr Nurs. 1996;10:49–54.

    Article  CAS  PubMed  Google Scholar 

  18. Stewart DE. Psychiatric admission of mentally ill mothers with their infants.Can JPsychiat. 1989;34:34–38.

    CAS  Google Scholar 

  19. Hodges S, Hernandez M, Nesman T, et al.Creating Change and Keeping It Real: How Excellent Child-Serving Organizations Carry Out Their Goals. Cross-Site Findings for Phase I Community-based Theories of Change. Tampa, Fla: Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children's Mental Health, University of South Florida; 2002.

    Google Scholar 

  20. Musick JS, Clark R, Cohler B. The Mother's Project: a program for mentally ill mothers and their young children. In: Weissbourd B, Musick J, eds.Infants: Their Social Environments. Washington, DC: National Association for the Education of Young Children; 1981:111–127.

    Google Scholar 

  21. Beardslee WR, Gladstone TRG, Wright EJ, Cooper AB. A family-based approach to the prevention of depressive symptoms in children at risk: evidence of parental and child change.Pediatrics. 2003;112:119–131.

    Article  Google Scholar 

  22. Beardslee WR, Wright E, Rothberg PC, Salt P, Versage EM. Response of families to two preventive intervention strategies: long-term differences in behavior and attitude change.J Am Acad Child Adolesc Psychiatry. 1996;35:774–782.

    CAS  PubMed  Google Scholar 

  23. Clarke GN, Hornbrook M, Lynch F, et al. A randomized trial of a group cognitive intervention for prevention of depression in adolescent offspring of depressed parents.Arch Gen Psychiatry. 2001;58:1127–1134.

    CAS  PubMed  Google Scholar 

  24. Clarke GN, Hawkins W, Murphy M, Sheeber LB. Targeted prevention of unipolar depressive disorder in an at-risk sample of high school students: a randomized trial of group cognitive intervention.J Am Acad Child Adolesc Psychiatry. 1995;34:312–321.

    CAS  PubMed  Google Scholar 

  25. Hoagwood K, Burns BJ, Weisz JR. A profitable conjunction: from science to service in children's mental health. In: Burns BJ, Hoagwood K, eds.Community Treatment for Youth: Evidence-based Interventions for Severe Emotional and Behavioral Disorders. New York, NY: Oxford University Press; 2002.

    Google Scholar 

  26. Weisz JR. Milestones and methods in the development and dissemination of child and adolescent psychotherapies: review, commentary, and a new development-focused model. In: Hibbs ED, Jensen PS, eds.Psychosocial Treatments for Child and Adolescent Disorders: Empirically-Based Approaches. 2nd ed. Washington, DC: American Psychological Association. In press.

  27. Stake RE. Case studies. In: Denzin NK, Lincoln YS, eds.Strategies of Qualitative Inquiry. Thousand Oaks, Calif: Sage Publications; 1998:86–109.

    Google Scholar 

  28. Thomas DR. A general inductive approach for qualitative data analysis. School of Population Health, University of Auckland, New Zealand; 2003. Available at: http://www.health.auckland.ac.nz/hrmas/resources/qualdatanalysis.html.Accessed February 1, 2004.

    Google Scholar 

  29. Koren PE, Paulson RI, Kinney RF, Yatchmenoff DK, Gordon LJ, DeChillo N. Service coordination in children's mental health: an empirical study form the caregiver's perspective.J Emot Behav Disord. 1997;5:162–172.

    Google Scholar 

  30. Lourie IS, Stroul BA, Friedman RM. Community-based systems of care: from advocacy to outcomes. In: Epstien MH, Kutash K, Duchnowski A, eds.Outcomes for Children and Youth With Behavioral and Emotional Disorders and Their Families: Programs & Evaluation Best Practices. Austin, Tex: Pro-Ed; 1998:2–20.

    Google Scholar 

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Correspondence to Beth R. Hinden PhD.

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Hinden, B.R., Hinden, B.R., Biebel, K. et al. The invisible children's project. The Journal of Behavioral Health Services & Research 32, 393–408 (2005). https://doi.org/10.1007/BF02384200

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