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Family Support in Children’s Mental Health: A Review and Synthesis

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Abstract

A comprehensive review of structured family support programs in children’s mental health was conducted in collaboration with leadership from key national family organizations. The goals were to identify typologies of family support services for which evaluation data existed and identify research gaps. Over 200 programs were examined; 50 met criteria for inclusion. Programs were categorized by whether they were delivered by peer family members, clinicians, or teams. Five salient components of family support were identified: (a) informational, (b) instructional, (c) emotional, (d) instrumental, and (e) advocacy. Clinician-led programs were heavily represented (n = 33, 66%), followed by family-led (n = 11, 22%), and team-delivered (n = 6, 12%) programs. Key differences between programs delivered by clinicians or by peer family members were found in the degree of emphasis, research methodology, and outcomes. However, the content of the components was similar across all three program types. There are both important differences in emphasis across typologies of family support provided by clinicians, family members, or teams as well as important similarities in content. Family-delivered support may be an important adjunct to existing services for parents, although the research base remains thin. A research agenda to promote more rigorous evaluations of these services especially those delivered by peer family members is critical.

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Acknowledgments

We wish to thank the leadership of the National Alliance on Mental Illness (NAMI), the National Federation of Families for Children’s Mental Health, and Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) for their thoughtful feedback on this manuscript. We also wish to thank the Family Advocacy Research (FAR) Board of New York for their valuable insights into collaborative research processes and outcomes.

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Authors and Affiliations

  1. Mental Health Services and Policy Research, Columbia University, 1051 Riverside Dr., Unit 78, New York, NY, 10032, USA

    Kimberly E. Hoagwood, Mary A. Cavaleri & S. Serene Olin

  2. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA

    Barbara J. Burns

  3. National Federation of Families for Children’s Mental Health, Rockville, MD, USA

    Elaine Slaton

  4. National Alliance on Mental Illness, Arlington, VA, USA

    Darcy Gruttadaro

  5. Children & Adults with Attention-Deficit/Hyperactivity Disorder, Landover, MD, USA

    Ruth Hughes

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  1. Kimberly E. Hoagwood
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Correspondence to Kimberly E. Hoagwood.

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Hoagwood, K.E., Cavaleri, M.A., Serene Olin, S. et al. Family Support in Children’s Mental Health: A Review and Synthesis. Clin Child Fam Psychol Rev 13, 1–45 (2010). https://doi.org/10.1007/s10567-009-0060-5

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