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Aim: To investigate the effectiveness of preventive interventions for 8–17‐year‐old children of patients diagnosed with depression, anxiety, or bipolar disorder. Methods: Sixty‐two families including 89 children received either the more extensive Family Talk Intervention (FTI; n = 35), the brief Let's Talk about Children (LTC; n = 16), or Interventions as Usual (IAU; n = 38) in routine care in adult psychiatry. Parent‐rated questionnaire data were collected at baseline, after 6 and 12 months. We used growth curve models to investigate the effect of intervention on child mental health problems (SDQ‐P Total Difficulties) and perceived parental control of child behaviour (PLOC‐PPC). Results: Parents in the FTI and LTC groups, versus the IAU group, reported more favourable development in terms of preventing increase in child mental health problems with standardised intervention effects of d = −0.86 and −0.88 respectively, by study end, and reported improved perceived parental control, d = 1.08 and 0.71, respectively, by study end. No significant differences in effect were found when FTI and LTC were compared. Conclusions: The results support continued use of FTI and LTC in adult psychiatry, and since LTC is a brief intervention, it might be useful as a minimum‐level preventive intervention. [ABSTRACT FROM AUTHOR]

Background: One in ten children have a parent diagnosed with a mental illness by specialised psychiatric services. Severe parental mental illness is a well-established risk factor for children's mental health problems, making the identification and support of these children a public health concern. This study investigated the mental health and family context of children of parents diagnosed with depression, anxiety, or bipolar disorder in this clinical setting. Methods: Parental reports on 87 children aged 8–17 years were analysed. The children's mental health was compared with that of a Swedish population-based sample. Multiple linear regression was used to investigate associations between child mental health and child gender, child age, parent symptoms and social status, family functioning, and perceived parental control. Furthermore, a cumulative risk index explored the effect of multiple risk factors on child mental health. Results: The children reportedly had significantly more mental health problems than did the population-based sample and about one-third had scores above the clinical cut-off. A significant multiple linear regression explained 49% of the variance in child mental health, with lower perceived parental control and younger child age being associated with more child mental health problems. With more reported risk factors, children reportedly had more mental health problems. Conclusions: The results underline the importance of identifying a patient's children and assessing multiple relevant risk factors in the child's life. Furthermore, the results indicate that the needs of younger children and of patients in their parenting role are important to address. [ABSTRACT FROM AUTHOR]

Objectives: Parental psychosis poses a risk factor for a child's well-being. Few studies have focused on the parents' views of how their psychosis affects their parenting, and results for parenting ability in this group are contradictory. The present study aimed to explore how parents with psychosis experience the effect(s) of their illness on parenting. Methods: In-depth and semi-structured interviews were conducted with 15 parents who attended outpatient clinics specializing in psychosis. The transcripts were analyzed using thematic analysis. Data related to the research aim were analyzed deductively according to the protection, reciprocity, control, guided learning, and group participation model of parenting. Data in each domain were subsequently coded inductively to form subthemes. Results: Results show that all domains of parenting appear to be affected by psychosis. The parents specifically mentioned that depression, fatigue, and difficulty focusing because of hearing voices had negative impacts on their abilities to provide protection, reciprocity, and control. The parents also expressed difficulties in maintaining routines in the child's everyday life. Furthermore, the theme "Unpredictable absences" crosses all domains and highlights the parents' recurrent mental and physical absences from their children during psychotic episodes. Conclusions: The present study provides some insight into how different aspects of parenting may be affected by psychosis. We suggest that these effects on parenting need to be further explored and confirmed by research focusing on the child's perspective and on observations of parent-child interaction. [ABSTRACT FROM AUTHOR]

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Children 9 to 13 years old exposed to intimate partner violence (IPV) reported on their violence exposure, attachment to both parents, temperament (negative emotionality and emotion regulation), perceived quality of life, and health complaints. Half of the children perceived their quality of life as good and did not have recurrent health complaints. When controlling for socioeconomic status, health complaints were associated with higher IPV exposure and negative emotionality, whereas quality of life was associated with attachment security, higher capacity for emotion regulation, and lower negative emotionality. These results underscore the importance of increasing and supporting the capacity of children exposed to IPV to handle and express their emotions, as well as making school nurses and other primary care practitioners more attentive to IPV as a possible background factor in children's health complaints. [ABSTRACT FROM AUTHOR]

The Empowering Smallholder Farmers in Markets programme (ESFIM) supported the advocacy capacities of national farmer organisations (NFOs) for improving smallholder market access. The programme gave NFOs in 11 countries the opportunity to contract local experts to strengthen the evidence-base of their advocacy proposals. By means of a participative process, each NFO analysed the key advocacy issues for which research support was most needed. This resulted in a diversity of themes and advocacy processes. These ranged from research and advocacy on the role of cooperatives in Uruguayan innovation policies to a simulation game on market dynamics in a commodity exchange in the Philippines, and from the review of various seed multiplication programmes in Malawi to the legal and administrative hurdles preventing smallholders from selling to government procurement programmes in Peru and Bolivia. We describe the dynamics surrounding research partnerships in each of the 11 countries and reflect on results of this research-for-advocacy. We also assess the impact of the ESFIM programme on the advocacy capacity of the NFOs. We used a self-evaluation technique, in which board members considered a list of statements covering five capacities that are deemed necessary for effective advocacy. We compared their scores with the observations of external stakeholders who were active in the agricultural sector and knowledgeable about the NFOs' activities. We conclude that ESFIM has helped to increase coherence in advocacy priorities and has influenced decision making on key policy issues, with encouraging results. In most organisations, ESFIM contributed to the advocacy process, together with many other actors and factors defining advocacy. Based on these experiences, we suggest earmarking funds for NFO-led research support, in order to facilitate the participation of smallholders in the design and monitoring of development policies. [ABSTRACT FROM AUTHOR]

Using a repeated measures design posttraumatic stress (PTS), psychological and behavioral problems significantly decreased following intervention in children exposed to intimate partner violence (IPV), with use of traditional group analyses. Analyses using the reliable change index (RCI), however, revealed that few children were improved or recovered, implying that interventions in common use should be evaluated for their significant impact on the individual level in addition to group level statistics. Positive changes in children's behavioral problems were related to the mother's improvement of their own mental health. Direct victimization by the perpetrator was not associated with treatment changes but with higher symptom levels at study entry. Amount of contact with the perpetrator was neither related to symptom load nor to changes following treatment. [ABSTRACT FROM AUTHOR]

Using a repeated measures design posttraumatic stress (PTS), psychological and behavioral problems significantly decreased following intervention in children exposed to intimate partner violence (IPV), with use of traditional group analyses. Analyses using the reliable change index (RCI), however, revealed that few children were improved or recovered, implying that interventions in common use should be evaluated for their significant impact on the individual level in addition to group level statistics. Positive changes in children's behavioral problems were related to the mother's improvement of their own mental health. Direct victimization by the perpetrator was not associated with treatment changes but with higher symptom levels at study entry. Amount of contact with the perpetrator was neither related to symptom load nor to changes following treatment. [ABSTRACT FROM AUTHOR]

Background: This study examined the perceived effectiveness of a 15-week community-based program for 46 children exposed to intimate partner violence (IPV) and their mothers. Aims: The primary aims were to describe the children who entered one of the existing community-based programs in terms of behavioral problems and to evaluate the impact of the program on children's general behavioral functioning as assessed by their mothers. Results: Children's rated behavioral problems (SDQ) dropped following treatment; the effect size was in the medium range. The social impairment caused by the problems decreased as well. The effect regarding behavioral problems was not related to the degree of exposure to IPV or the mothers own changes in trauma symptoms following treatment. Results were analyzed as well at the individual level with the Reliable Change Index (RCI), which showed that the majority of children were unchanged following treatment. Conclusions: One implication from the study is the need for baseline screening and assessment. About half of the current sample had a clinical symptom picture indicating the need for specialized psychiatric/psychotherapeutic treatment. Furthermore, the reduction in behavioral problems was significant but many children still had high levels of behavioral problems after treatment, indicating a need of a more intense or a different type of intervention. [ABSTRACT FROM AUTHOR]

This study evaluated a community-based treatment program in Sweden for mothers subjected to intimate partner violence. Results based on group means indicated that the mothers showed significantly reduced trauma and psychological symptoms and improved sense of coherence after participating in the program. Surprisingly, no improvement regarding perceived parental locus of control was found. Furthermore, as a complement to group statistics a reliable change index was used, which resulted in more modest results regarding the effectiveness of the treatment. [ABSTRACT FROM AUTHOR]

Although many governments have privatized their agricultural extension services, there is widespread agreement that the public sector still needs to play a role in the ‘agricultural knowledge market’ in order to prevent market failure and other undesirable phenomena. However, appropriate mechanisms for intervention in the agricultural knowledge market are still in their infancy. This article discusses the case of the Nutrient Management Support Service (NMSS), a government-funded support service in The Netherlands designed to optimize the fit between the demand and supply of ‘agricultural knowledge products’ that reduce nutrient emissions into the environment. The activities of the support service were four-fold: (1) distributing vouchers to farmers, (2) establishing mechanisms for quality control, (3) facilitating the articulation of end-users' needs, and (4) improving market transparency. We analyze the extent to which the NMSS has succeeded in supporting a demand-driven knowledge market for nutrient management issues. We question some of the conceptual and practical assumptions underlying this style of intervention. In addition, we argue that the notion of demand requires considerable refinement before it can be useful for guiding state involvement in demand-driven extension. [ABSTRACT FROM AUTHOR]