Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches

Abstract Background When clinicians in the adult mental health sector work with clients who are parents with dependent children, it is critical they are able to acknowledge and respond to the needs of the parents and their children. However, little is known about clinicians’ personal perspectives an...

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Main Authors: Phillip Tchernegovski, Rochelle Hine, Andrea E. Reupert, Darryl J. Maybery
Format: Article
Language:English
Published: BMC 2018-08-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-018-3428-8
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author Phillip Tchernegovski
Rochelle Hine
Andrea E. Reupert
Darryl J. Maybery
author_facet Phillip Tchernegovski
Rochelle Hine
Andrea E. Reupert
Darryl J. Maybery
author_sort Phillip Tchernegovski
collection DOAJ
description Abstract Background When clinicians in the adult mental health sector work with clients who are parents with dependent children, it is critical they are able to acknowledge and respond to the needs of the parents and their children. However, little is known about clinicians’ personal perspectives and reactions towards these parents and children or if/how they balance the needs of both. Methods Semi structured interviews were conducted with eleven clinicians from adult mental health services in Australia. Interviews focused on clinicians’ experiences when working with parents who have mental illness. Transcripts were analysed within an Interpretative Phenomenological Analysis framework to examine participants’ perspectives and personal reactions to parents and children. Results There was considerable divergence in participants’ reactions towards parents and children and the focus of their perspectives when working with parental mental illness. Feelings of sympathy and responsibility made it difficult for some participants to maintain a dual focus on parents and children and contributed to some adopting practices that focused on the needs of parents (n = 3) or children (n = 1) exclusively. Other participants (n = 7) described strategies and supports that allowed them to manage these feelings and sustain a dual focus that incorporated the experiences and needs of both parents and children. Conclusions It is difficult for some mental health clinicians to maintain a dual focus that incorporates the needs and experiences of parents and their children. However, findings suggest that the challenges of a dual focus may be mitigated through adequate workplace support and a strengths-based practice framework that emphasises parental empowerment.
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spelling doaj.art-00ddb0aeb26f43828e4cf6e2fbb487722022-12-21T17:57:07ZengBMCBMC Health Services Research1472-69632018-08-0118111010.1186/s12913-018-3428-8Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approachesPhillip Tchernegovski0Rochelle Hine1Andrea E. Reupert2Darryl J. Maybery3Krongold Clinic, Faculty of Education, Monash UniversitySouth West HealthcareKrongold Clinic, Faculty of Education, Monash UniversityDepartment of Rural and Indigenous Health, School of Rural Health, Monash UniversityAbstract Background When clinicians in the adult mental health sector work with clients who are parents with dependent children, it is critical they are able to acknowledge and respond to the needs of the parents and their children. However, little is known about clinicians’ personal perspectives and reactions towards these parents and children or if/how they balance the needs of both. Methods Semi structured interviews were conducted with eleven clinicians from adult mental health services in Australia. Interviews focused on clinicians’ experiences when working with parents who have mental illness. Transcripts were analysed within an Interpretative Phenomenological Analysis framework to examine participants’ perspectives and personal reactions to parents and children. Results There was considerable divergence in participants’ reactions towards parents and children and the focus of their perspectives when working with parental mental illness. Feelings of sympathy and responsibility made it difficult for some participants to maintain a dual focus on parents and children and contributed to some adopting practices that focused on the needs of parents (n = 3) or children (n = 1) exclusively. Other participants (n = 7) described strategies and supports that allowed them to manage these feelings and sustain a dual focus that incorporated the experiences and needs of both parents and children. Conclusions It is difficult for some mental health clinicians to maintain a dual focus that incorporates the needs and experiences of parents and their children. However, findings suggest that the challenges of a dual focus may be mitigated through adequate workplace support and a strengths-based practice framework that emphasises parental empowerment.http://link.springer.com/article/10.1186/s12913-018-3428-8Parental mental illnessWorkforce issuesFamily-focused practiceInterpretative phenomenological analysis
spellingShingle Phillip Tchernegovski
Rochelle Hine
Andrea E. Reupert
Darryl J. Maybery
Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches
BMC Health Services Research
Parental mental illness
Workforce issues
Family-focused practice
Interpretative phenomenological analysis
title Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches
title_full Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches
title_fullStr Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches
title_full_unstemmed Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches
title_short Adult mental health clinicians’ perspectives of parents with a mental illness and their children: single and dual focus approaches
title_sort adult mental health clinicians perspectives of parents with a mental illness and their children single and dual focus approaches
topic Parental mental illness
Workforce issues
Family-focused practice
Interpretative phenomenological analysis
url http://link.springer.com/article/10.1186/s12913-018-3428-8
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AT andreaereupert adultmentalhealthcliniciansperspectivesofparentswithamentalillnessandtheirchildrensingleanddualfocusapproaches
AT darryljmaybery adultmentalhealthcliniciansperspectivesofparentswithamentalillnessandtheirchildrensingleanddualfocusapproaches