24 results on '"Goodyear, Melinda"'
Search Results
2. Supporting children who have a parent with a mental illness in Tyrol: a situational analysis for informing co-development and implementation of practice changes
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Zechmeister-Koss, Ingrid, Goodyear, Melinda, Tüchler, Heinz, and Paul, Jean Lillian
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- 2020
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3. Peer support for children of parents with mental illness (COPMI) in Australia: responses from children, parents and facilitators of the CHAMPS peer support program.
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von Doussa, Henry, Hegarty, Michelle, Sanders, Bronwyn, Cuff, Rose, Tivendale, Katrina, McLean, Siân A., and Goodyear, Melinda
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CHILDREN of people with mental illness ,CHILD psychopathology ,CHILD support ,PARENTS ,FAMILY communication ,PEOPLE with mental illness - Abstract
Early interventions for children whose parents have a mental illness, comprising the provision of age-appropriate information about mental health, positive coping strategies, and meaningful social and emotional connections, are identified as preventive interventions for childhood health and wellbeing. The aim of this study was to evaluate the CHAMPS (Children and Mentally Ill Parents) peer support program that is designed to connect, support and educate this cohort of children and their parents/carers. The CHAMPS program was reviewed and co-designed by clinicians, parent participants, peer workers and children in 2017 and 2019. The revised modularised program incorporates peer facilitators and shared lived experience as a way for participants to build understanding of their own experiences and strategies for coping. Children, parent/carers and program facilitators were interviewed for this study. This paper presents findings from interviews conducted with 8- to 12-year-old children (N = 20) who completed CHAMPS; parents/carers (N = 17) and program facilitators (N = 10). Children reported that the program lessened isolation and feelings of self-blame for their parents' struggles; and parents reported benefits from supported communication with their children in explaining their diagnosis and in understanding the needs of their child. It was concluded that early intervention peer support programs for children can have multiple positive impacts on the family, highlighting the importance of psychoeducation and improved family communication, as well as connections to peers for supporting families where parents have a mental illness. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Promoting Self-Determination in Parents With Mental Illness in Adult Mental Health Settings.
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Goodyear, Melinda J., Allchin, Becca, Burn, Matthew, von Doussa, Henry, Reupert, Andrea, Tchernegovski, Phillip, Sheen, Jade, Cuff, Rose, Obradovic, Angela, Solantaus, Tytti, and Maybery, Darryl
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SOCIAL support , *RESEARCH methodology , *SELF-management (Psychology) , *CONVALESCENCE , *PARENTS with disabilities , *INTERVIEWING , *MENTAL health , *FAMILY health , *PREVENTIVE health services , *PARENTING , *QUALITATIVE research , *AUTONOMY (Psychology) , *PSYCHOSOCIAL factors , *DESCRIPTIVE statistics , *RESEARCH funding , *THEMATIC analysis , *MENTAL illness , *MENTAL health services , *FAMILY services - Abstract
This article reports a strengths-based intervention to support parents with mental illness and their children in adult mental health settings: "Let's Talk About Children" (LTC) intervention. A qualitative methodology was adopted with parent participants receiving LTC in adult mental health and family services. The benefits for parents receiving LTC were described through in-depth interviews with 25 parents following the delivery of the program. Interview data identified an impact on parental self-regulation—mainly through a change in a sense of agency as a parent—and skill building, once a clearer picture of their child's everyday life was understood. This study outlines the benefits of talking with parents about the strengths and vulnerabilities of their children during routine mental health treatment. The role for self-determination of parents in preventive interventions for children is an important consideration for mental health recovery, and it also helps to break the cycle of transgenerational mental illness within families. [ABSTRACT FROM AUTHOR]
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- 2022
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5. Editorial Perspective: Prato Research Collaborative for change in parent and child mental health – principles and recommendations for working with children and parents living with parental mental illness.
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Reupert, Andrea, Bee, Penny, Hosman, Clemens, van Doesum, Karin, Drost, Louisa M., Falkov, Adrian, Foster, Kim, Gatsou, Lina, Gladstone, Brenda, Goodyear, Melinda, Grant, Anne, Grove, Christine, Isobel, Sophie, Kowalenko, Nick, Lauritzen, Camilla, Maybery, Darryl, Mordoch, Elaine, Nicholson, Joanne, Reedtz, Charlotte, and Solantaus, Tytti
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SOCIAL support ,MENTAL health ,CHILDREN of parents with disabilities ,PSYCHOEDUCATION ,PSYCHOSOCIAL factors ,INTERPROFESSIONAL relations ,PARENT-child relationships ,MENTAL illness ,MENTAL health services ,PARENTS - Abstract
Children whose parents have mental illnesses are among the most vulnerable in our communities. There is however, much that can be done to prevent or mitigate the impact of a parent's illness on children. Notwithstanding the availability of several evidence‐based interventions, efforts to support these children have been limited by a lack of adequate support structures. Major service reorientation is required to better meet the needs of these children and their families. This editorial provides recommendations for practice, organisational, and systems change. [ABSTRACT FROM AUTHOR]
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- 2022
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6. Exploring the Experiences of Preschool Teachers Working with Children Living with Parental Mental Illness.
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Laletas, Stella, Reupert, Andrea, and Goodyear, Melinda
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PRESCHOOL children ,PRESCHOOL teachers ,CHILDREN of people with mental illness ,MENTAL illness - Abstract
Children exposed to the risk factors associated with parental mental illness are seen to be at risk of developing cognitive, emotional, and behavioural difficulties in preschool and later in life. Given that educational settings are seen as optimal for early intervention, preschool teachers have an important role to play in identifying and responding to the needs of these vulnerable children at a critical period of their development. The aim of this study was to explore the experiences of preschool teachers who have taught, or currently teach, preschool aged children (4–6 years) affected by a parent's mental illness. Seven university qualified preschool teachers were interviewed about their experiences and reflected on their practices, specifically those practices that seemed to help support the child and those that did not. The findings highlighted that preschool teachers are knowledgeable and have the skills to identify warning signs and risk factors for young children, however this knowledge was limited in the context of parental mental illness and associated risks for preschool children. As such, the present study highlighted the need for targeted and specialized training and resources designed for the needs of preschool teachers. Several implications were discussed. [ABSTRACT FROM AUTHOR]
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- 2022
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7. A qualitative inquiry into psychiatrists' perspectives on the relationship of psychological trauma to mental illness and treatment: implications for trauma-informed care.
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Isobel, Sophie, Gladstone, Brenda, Goodyear, Melinda, Furness, Trentham, and Foster, Kim
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TREATMENT of emotional trauma ,MENTAL illness treatment ,WORK ,RESEARCH methodology ,ATTITUDE (Psychology) ,PSYCHIATRISTS ,PATIENT-centered care ,INTERVIEWING ,MEDICAL personnel ,QUALITATIVE research ,PSYCHOSOCIAL factors ,EXPERIENTIAL learning ,THEMATIC analysis ,MENTAL health services - Abstract
Trauma is a factor impacting the lives of many people experiencing psychiatric disorders. Trauma affects people's responses to illness as well as their interactions with services. This study aimed to explore the understandings and experiences of psychiatrists of working with trauma and emerging models of Trauma-Informed Care. An interpretive qualitative inquiry was undertaken using semi-structured in-depth interviews with psychiatrists. Four themes were identified: Making sense of trauma; A contentious relationship between trauma and mental illness; Treatment made more challenging by trauma; Trauma-Informed Care highlights tensions. Psychiatrists are familiar with the concept of trauma but there are differences in beliefs about its relationship to mental illness that are consequential for practice. Trauma-Informed Care is seen as an effort to humanise mental health services, but with perceived limited impact on psychiatrists' roles. Findings indicate need for further consultation and collaboration with psychiatrists around trauma-informed care implementation; as well as consideration of what is required to develop professional consensus on trauma and its relationship to illness. [ABSTRACT FROM AUTHOR]
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- 2021
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8. A mixed method evaluation of an intervention for parents with mental illness.
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Maybery, Darryl, Goodyear, Melinda, Reupert, Andrea, Sheen, Jade, Cann, Warren, O'Hanlon, Brendan, and Cuff, Rose
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EDUCATION of parents , *MENTAL illness , *CHILDREN of parents with disabilities , *CHILDREN of people with mental illness , *CLINICAL trials , *COMMUNICATION , *COMPARATIVE studies , *INTERVIEWING , *RESEARCH methodology , *PARENT-child relationships , *PARENTING , *QUESTIONNAIRES , *SELF-evaluation , *PSYCHOLOGICAL stress , *FAMILY relations , *SOCIAL support , *PRE-tests & post-tests , *EDUCATIONAL outcomes , *PARENT attitudes , *PSYCHOEDUCATION - Abstract
Let's Talk About Children is a manualised intervention for parents with a mental illness that aims to impact positively on family dynamics. Previous evaluations focused on parents with an affective disorder. The purpose of this study was to evaluate the intervention for parents with various mental illnesses and explore parents' self-reported views regarding the impact of the intervention. A quasi-experimental approach was employed to compare outcomes for parents who received Let's Talk About Children plus treatment as usual (n = 20) with a wait list control (treatment as usual) group (n = 19), using family functioning and parenting stress questionnaires. Questionnaires were completed 2 weeks prior to receiving the intervention and 4 to 6 weeks after the final session. The wait list parents completed the same questionnaires at two time periods, 6 weeks apart. Semi-structured interviews were conducted after the intervention. Both intervention and control groups showed improvements in parenting and family functioning. Interview data highlighted (1) increased insight, (2) normalising of the illness in the family, (3) family communication changes, (4) the importance of supporting the parenting role and (5) suggestions for additional supports. There are possible issues regarding the influence of psycho-education when giving participants information about the nature of the research. [ABSTRACT FROM AUTHOR]
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- 2019
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9. Impact of parental mental illness on children's HoNOSCA results in a regional child and adolescent mental health service.
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Arthur Naughton, Michael Frederick, Maybery, Darryl, Sutton, Keith, and Goodyear, Melinda
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MENTAL illness ,CHILD behavior ,CHILDREN'S health ,MEDICAL records ,MENTAL health ,MENTAL health services ,HEALTH outcome assessment ,PARENTS ,QUESTIONNAIRES ,SCALE analysis (Psychology) ,SOCIAL skills ,T-test (Statistics) ,TEENAGERS' conduct of life ,ADOLESCENT health ,PSYCHOSOCIAL factors ,INTER-observer reliability ,DATA analysis software ,DESCRIPTIVE statistics ,ACQUISITION of data methodology - Abstract
Use of routine outcome measures are frequently used to ascertain improvement in children's symptomology, this study examined whether living with a parent with a mental illness impacted outcome measures. The study examined 134 children attending a Child and Adolescent Mental Health Service (CAMHS). The majority lived with a parent reporting mental illness. Routine HoNOSCA and CGAS outcome measures were collected over a 6‐month period. Children of parents with a mental illness scored higher on most outcome measures. All children improved on most variables over the 6 months of CAMHS intervention with children of parents with mental illness showing greater improvement compared to other children on behaviour but less improvement on all other variables. They did not, however, improve as much on education‐related factors and showed lower improvement in overall functioning. Younger children with a parent with a mental illness improved least in the area of behaviour. This study highlighted the need for greater use and integration of measures where children live with a parent who has a mental illness. Findings suggest parental mental illness impacted on overall child outcomes, and this influence remained irrespective of clinical intervention. The common occurrence of parental mental illness, where children also have a mental illness, indicates focusing on a wider set of outcome measures for more effective intervention. Analysis of a larger cohort sample is warranted. [ABSTRACT FROM AUTHOR]
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- 2019
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10. A Narrative Inquiry Into Global Systems Change to Support Families When a Parent Has a Mental Illness.
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Isobel, Sophie, Allchin, Becca, Goodyear, Melinda, and Gladstone, Brenda M.
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MENTAL illness ,MENTAL health ,PUBLIC health ,PSYCHOLOGISTS ,MEDICAL care - Abstract
The issues that confront families when a parent experiences mental illness are complex. This often means that multiple service systems must be engaged to meet families' needs, including those related to intergenerational experiences of mental health and illness. A multisystem approach to public mental health care is widely recommended as a form of preventative intervention to address the effects of mental illness and its social, psychological, and economic impact upon parents, children, and families. Globally, a multisystemic approach to care requires a change in the way systems are currently organized to support families, as well as the way systems are interacting with families, and with each other. This qualitative secondary analysis emerged from a primary study examining global systems change efforts to support families, including components of change that were common and considered successful in different countries. A narrative inquiry method was used to re-analyze the data by compiling the stories of change described by individuals from participant countries. The data were interrogated to ask questions about story content, and to identify who was telling the story and how they described important changes across different geographical and cultural contexts. The individual stories of 89 systems change experts from 16 countries were then compiled into a shared global narrative to demonstrate international progress that has occurred over time, toward multisystemic change to support families where parents experience mental illness. While the global narrative demonstrates considerable overlap between pathways toward change, it is also important to document individual stories, as change pertains differently in different contexts. The individual stories and the global narrative illustrate how countries begin a journey toward change at different time points and may have various outcomes in mind when they commence. Study findings raise questions about the extent to which systems change can be standardized across countries that have unique social, cultural, political, and economic features. This study provides several potential points of reference for countries considering, or currently undertaking systems change to support families where a parent has a mental illness. It also provides an important story about international efforts undertaken to improve outcomes for families. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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11. Identity in Personal Recovery for Mothers With a Mental Illness.
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Hine, Rochelle Helena, Maybery, Darryl John, and Goodyear, Melinda Jane
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MENTAL illness ,HEALTH of mothers ,SELF-perception ,GROUNDED theory ,SOCIAL role - Abstract
Developing a "positive identity" is considered a core component of personal recovery, and mothering offers meaning in life and a valued identity. Few studies have highlighted the factors influencing identity within a personal recovery paradigm for mothers with mental illness. This study explores how mothers describe their identity in relation to recovery, including the factors that influence identity. Using constructivist grounded theory methodology, in-depth interviews were conducted with 17 women who were mothers and experienced mental illness. Women defined their self-concept broadly, accentuating motherhood, but also including vocational, community and social roles. Analysis revealed six categories: defining self, becoming a mother, being a "good" mum, feeling different, doing it my way and speaking out. Valuing identity in parenting was found to be linked to recovery. Services may facilitate personal recovery by supporting mothers to enhance a self-concept associated with mothering, as well as other diverse attributes and roles. [ABSTRACT FROM AUTHOR]
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- 2019
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12. Family‐focused practice with EASE: A practice framework for strengthening recovery when mental health consumers are parents.
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Foster, Kim, Goodyear, Melinda, Grant, Anne, Weimand, Bente, and Nicholson, Joanne
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CONCEPTUAL structures , *CONVALESCENCE , *FAMILY assessment , *FAMILY medicine , *MATHEMATICAL models , *EVALUATION of medical care , *MENTAL health services , *PARENT-child relationships , *PARENTS , *PATIENT education , *PHYSICIAN-patient relations , *PSYCHOTHERAPY patients , *PATIENT participation , *THEORY , *FAMILY relations , *SOCIAL support - Abstract
This paper provides a framework for essential family‐focused practices (EASE: Engage, Assess, Support, Educate) for clinicians to support parents with mental illness in the context of their family. The framework is underpinned by relational recovery as the parent/consumer's recovery is considered within the context of their relationships, including the relationship between clinician and parent/consumer. The central aim is to strengthen nurses' and other clinicians' capacity to address key psychosocial needs of parents and to strengthen relational recovery in families where parents have mental illness. The EASE framework is a theory and evidence‐informed family practice approach to relational recovery within healthcare provision. The EASE practice components are defined and illustrated with practice exemplars that operationalize the framework within adult service settings. Potential applications and outcomes of using EASE are also described. The framework is intended as a practical guide for working with parents and families in inpatient and community mental health settings and may also be relevant for clinicians in a range of contexts including child welfare and primary health care. [ABSTRACT FROM AUTHOR]
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- 2019
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13. Parental Mental Illness: Cross-Sectional Analysis Of Family Focused Practice within the Early Childhood Sector.
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Laletas, Stella, Goodyear, Melinda, and Reupert, Andrea
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CAREGIVERS , *CHILD care , *CONFIDENCE , *FAMILY medicine , *MENTAL illness , *PARENTING , *PSYCHOLOGY of parents , *PROFESSIONS , *QUESTIONNAIRES , *TEACHERS , *SOCIAL support , *CROSS-sectional method - Abstract
During the preschool years (3-5 years), children living with parental mental illness are more at risk of various adverse developmental outcomes, compared to other children. Early childhood services are opportune settings for prevention and early intervention strategies that may support preschool children living with parental mental illness. However, there is limited research examining how the early childhood sector supports the child, parent and family. The aim of the study was to explore family focused practices within the early childhood sector in terms of the level of self-perceived knowledge, skill and confidence; and compare the self-perceived knowledge, skill and confidence between preschool teachers and childcare workers. A sample of 40 preschool teachers and 39 childcare providers rated themselves across eight domains that describe their knowledge, confidence and skill using the Family Focused Mental Health Practice Questionnaire (FFMHPQ). Overall, the sample rated themselves positively across all domains. In a cross-sectional analysis, a t-statistic comparison of preschool teachers and childcare providers showed that childcare providers scored significantly higher than preschool teachers in parenting support, referrals and assessing the impact of parental illness on the child. Future studies might identify the barriers and enablers for Family Focus Practice (FFP) across different groups of workers in the early childhood sector. [ABSTRACT FROM AUTHOR]
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- 2018
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14. Challenges of connectedness in personal recovery for rural mothers with mental illness.
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Hine, Rochelle Helena, Maybery, Darryl, and Goodyear, Melinda Jane
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CONVALESCENCE ,GROUNDED theory ,INTERVIEWING ,LIFE ,MENTAL illness ,PARENTING ,RURAL population ,SOCIAL integration ,ATTITUDES of mothers ,DATA analysis software ,MEDICAL coding ,DESCRIPTIVE statistics - Abstract
Abstract: Social connection is a fundamental human need, but challenging for individuals with characteristics that are socially stigmatized. Parenting with mental illness presents obstacles, as well as opportunities, for connection. In the present study, we examined connectedness within a personal recovery paradigm for rural mothers with a mental illness. In‐depth interviews with 17 mothers with a mental illness, utilizing constructivist grounded theory, resulted in six categories of meaning, including ‘yearning for connection’, ‘connecting intensely’, ‘encountering rejection and exclusion’, ‘choosing isolation’, ‘being known’, and ‘finding peers/helping others’. Women expressed a strong desire for connection, but for many, prior experiences of trauma and rejection created barriers to the development of trust, preventing some women from seeking opportunities for connection. Connectedness to self and significant others, and a broader life meaning and purpose can support and expedite personal recovery from mental illness for rural women. However the factors that contribute to the mental illness might also inhibit the development of trust needed to attain social connection. Increasing connectedness in mothers with mental illness is a complex endeavour requiring concerted focus as distinct from other service‐delivery goals. The perinatal period could be a key time for intervention. [ABSTRACT FROM AUTHOR]
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- 2018
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15. Thinking families: A study of the characteristics of the workforce that delivers family-focussed practice.
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Goodyear, Melinda, Maybery, Darryl, Reupert, Andrea, Allchin, Rebecca, Fraser, Cait, Fernbacher, Sabin, and Cuff, Rose
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FAMILY medicine , *MEDICAL care , *MENTAL health personnel , *MENTAL health services , *PARENTING , *PSYCHOLOGY of parents , *PROBABILITY theory , *QUESTIONNAIRES , *REGRESSION analysis , *SCALE analysis (Psychology) , *SEX distribution , *MATHEMATICAL variables , *DESCRIPTIVE statistics - Abstract
Parenting with mental illness is not uncommon and is often associated with a range of challenges for parents, children, and the family unit. Family-focussed practice involves the provision of services to the wider family system, including children. While family-focussed practice is important to consumers and their families, adult mental health practitioners do not routinely discuss parenting or children with their clients, nor work closely with the whole family. In the present study, we aimed to examine the characteristics of practitioners from Australian adult mental health services associated with family-focussed practices. Characteristics included sex, years of experience, location, and previous training in child and family-focussed practice. A total of 307 adult mental health practitioners from Victoria, Australia, responded to the Family Focused Mental Health Practice Questionnaire and a series of demographic items. The results indicated that particular practitioner characteristics predicted the delivery of family-focussed practice. Practitioner experience, sex, working in a rural location, and previous family- or child-related training were found to be important in the provision of family-focussed practice. More experienced, female, rurally-located, and well-trained practitioners undertake most family-focussed practice. These results suggest that training in family-focussed practice needs to be promoted, with considerations made for differing needs according to the characteristics of the adult mental health practitioner. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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16. Developing an Australian-first recovery model for parents in Victorian mental health and family services: a study protocol for a randomised controlled trial.
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Maybery, Darryl, Goodyear, Melinda, Reupert, Andrea, Sheen, Jade, Cann, Warren, Dalziel, Kim, Tchernagovski, Phillip, O'Hanlon, Brendan, and von Doussa, Henry
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- *
PEOPLE with mental illness , *CARE of people , *MENTAL health services , *PARENTS with intellectual disabilities , *MENTAL illness treatment , *PARENTING , *RANDOMIZED controlled trials - Abstract
Background: A considerable number of people with a mental illness are parents caring for dependent children. For those with a mental illness, parenting can provide a sense of competence, belonging, identity and hope and hence is well aligned to the concept of personal recovery. However, little research has focused on the recovery journey of those who are parents and have a mental illness. This randomised controlled trial aims to (i) evaluate the effectiveness of an intervention model of recovery for parents (Let's Talk about Children) in three different mental health service sectors and (ii) examine the economic value of a larger roll out (longer term) of the parent recovery model. Methods: A two arm parallel randomised controlled trial will be used with participants, who are being treated for their mental illness in adult mental health, non-government community mental health or family welfare services. The study will involve 192 parents, who are considered by their treating practitioner to be sufficiently well to provide informed consent and participate in an intervention (Let's Talk about Children) or control group (treatment as usual). Participant randomisation will occur at the level of the treating practitioner and will be based on whether the randomised practitioner is trained in the intervention. Outcomes are compared at pre, post intervention and six-month follow-up. Recovery, parenting and family functioning, and quality of life questionnaires will be used to measure parent wellbeing and the economic benefits of the intervention. Discussion: This is the first randomised controlled trial to investigate the efficacy of a parenting intervention on recovery outcomes and the first to provide an economic evaluation of an intervention for parents with a mental illness. An implementation model is required to embed the intervention in different sectors. Trial registration: The trial was retrospectively registered: ACTRN12616000460404 on the 8/4/2016. [ABSTRACT FROM AUTHOR]
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- 2017
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17. A systems approach to enhance global efforts to implement family-focused mental health interventions.
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Falkov, Adrian, Goodyear, Melinda, Hosman, Clemens M. H., Biebel, Kathleen, Skogøy, Bjørg Eva, Kowalenko, Nick, Wolf, Toni, and Re, Edoardo
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FAMILY medicine , *LABOR supply , *LEARNING , *MENTAL health , *MENTAL health services , *MENTAL illness , *PARENTING , *HUMAN services programs - Abstract
This paper acknowledges progress over the last 20 years in addressing intergenerational risks to the mental health of children whose parents experience mental illness (COPMI-Children of Parents with a Mental Illness and FaPMI-Families Where a Parent Has a Mental Illness) and emphasises ongoing challenges to implement evidence informed family focused interventions. Challenges include variability in practice at individual, regional, and cross-national service system levels and the gap between implementation science and practice. This article begins to address this gap with descriptions of key systems approaches and implementation strategies from around the world to illustrate variability and common themes. A multifaceted, integrated systems approach is proposed as a way forward. Learnings and experience from initiatives, expertise and evidence targeting other vulnerable groups and successful change implementation will enhance existing (COPMI/FaPMI) efforts to facilitate systems change and improve the lives and futures of these children and families around the world. [ABSTRACT FROM AUTHOR]
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- 2016
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18. Family resilience in families where a parent has a mental illness.
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Power, Jennifer, Goodyear, Melinda, Maybery, Darryl, Reupert, Andrea, O’Hanlon, Brendan, Cuff, Rose, and Perlesz, Amaryll
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FAMILIES & psychology , *MENTAL illness , *PSYCHOLOGICAL adaptation , *ADULT children , *COMMUNICATION , *INTERVIEWING , *PROBLEM solving , *RESEARCH , *RESEARCH funding , *PSYCHOLOGICAL resilience , *SHAME , *SOCIAL case work , *SOCIAL stigma , *PSYCHOLOGICAL stress , *QUALITATIVE research , *FAMILY relations , *DATA analysis software , *CHILDREN of people with mental illness , *MEDICAL coding , *PSYCHOLOGY - Abstract
Summary This study explores the concept of family resilience where a parent has a mental illness. Eleven Australian adults who have grown up in a household with a parent who had a diagnosed mental illness participated in an in-depth interview. The interviews focused on the ways in which these families responded to challenges in everyday life, particularly related to parental mental illness. Findings Families developed resilience through processes such as shared humour or regular family rituals and routines. In some cases, open communication about mental illness enabled families to better cope when parents were unwell and to build a greater sense of family connectedness. However, data suggest that parental mental illness potentially creates stress and confusion for families and there are multiple social and cultural barriers that make it difficult for families to acknowledge and speak openly about mental illness. For participants, resilience tended to be about maintaining a balance between stress/distress and optimism and strength within their family. Applications The article highlights the importance of family context when describing resilience, and identifies specific clinical implications for working with families affected by parental mental illness. [ABSTRACT FROM AUTHOR]
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- 2016
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19. Pathways of Care: targeting the early childhood sector for early intervention.
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Laletas, Stella, Reupert, Andrea, Goodyear, Melinda, and Morgan, Bradley
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PARENTS with intellectual disabilities ,CHILDREN of parents with intellectual disabilities ,MENTAL health personnel ,MENTAL health services ,PEOPLE with intellectual disabilities - Abstract
While many people with a mental illness care for young children, there is a paucity of resources for these families and the professionals working with them. The purpose of this paper is to describe a new online resource, Pathways of Care, specifically designed for parents with a mental illness, early childhood educators, and mental health workers, and report on a pilot evaluation of the resource. Using a mixed method design, the effectiveness of the online resource in effecting worker confidence, knowledge and family-focused practice change will be examined. Pathways of Care aims to promote collaborative practice between agencies, identify relevant agencies and support workers in talking to parents about mental illness in families. Fifteen workers completed the Family Focus Mental Health Practice Questionnaire pre- and post-viewing the resource, to measure confidence and practice change; semistructured interviews were then conducted with eight of these same workers to further explore the utility of the resource. Findings tentatively indicate that the resource was effective in increasing worker knowledge and confidence. This study highlights the importance of the development and provision of resources, such as the Pathways of Care, to promote collaboration between service providers in the early childhood and mental health sectors working with families with young children. [ABSTRACT FROM AUTHOR]
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- 2015
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20. Goal setting in recovery: families where a parent has a mental illness or a dual diagnosis.
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Maybery, Darryl, Reupert, Andrea, and Goodyear, Melinda
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CONVALESCENCE ,DUAL diagnosis ,FAMILIES ,GOAL (Psychology) ,HOME care services ,MENTAL illness ,REHABILITATION of people with mental illness ,PSYCHOLOGY of parents ,STATISTICAL sampling ,SUBSTANCE abuse ,FAMILY relations ,FAMILY roles ,SOCIAL services case management - Abstract
Goal setting is an important element within mental health recovery models; however, parenting and children are rarely recognized in such approaches. This study outlines a family recovery planning model where a parent has a mental health or dual substance and mental health problem. The differences between family types (parent with a mental illness or parent with dual diagnosis) and family members (parent and children) are illustrated in terms of goals across 11 domains. There were a total of 33 parents and 50 children from 10 mental illness and 10 dual diagnosis families. Education and specifically mental health knowledge are important goals across all families and appear especially important for children whose parent has a dual diagnosis. Specific goals and achievement levels for each type of family and parents and children are also outlined. Clear areas for action by clinicians and family members are indicated by this study. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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21. Engaging with, and understanding children whose parents have a dual diagnosis.
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Reupert, Andrea, Goodyear, Melinda, and Maybery, Darryl
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PSYCHOLOGICAL adaptation , *DUAL diagnosis , *FAMILIES , *INTERPERSONAL relations , *INTERVIEWING , *PHENOMENOLOGY , *RESEARCH methodology , *MENTAL illness , *PARENT-child relationships , *RESEARCH funding , *SUBSTANCE abuse , *TRUST , *QUALITATIVE research , *FAMILY relations , *SOCIAL support , *THEMATIC analysis , *INTER-observer reliability , *CHILDREN of people with mental illness , *PSYCHOLOGY - Abstract
Background: The perspective of children whose parents have a mental health and a substance use disorder (dual diagnosis) are rarely considered in either research or clinical practice. This study sought to (i) identify the issues when engaging children whose parents have a dual diagnosis into research, and (ii) present their needs and preferred supports. Method: Semi-structured, qualitative interviews were conducted with 12 children whose parent had a dual diagnosis. Analyses involved thematic analysis, inter-rater reliability and respondent validation. Results: Building trust with parents was crucial to gain access to children. Children described the importance of family, the secrecy around their parent's substance abuse, and various maladaptive coping strategies. Children requested more positive times in their families and specific support for their parent's substance abuse. Conclusion: The primacy of family in the child's life is highlighted. The need to acknowledge and work with the individual needs of children and parents, as well as family dynamics, is indicated. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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22. Goal setting within family care planning: families with complex needs.
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Maybery, Darryl J., Goodyear, Melinda J., Reupert, Andrea E., and Harkness, Marillyn K.
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MEDICAL care ,PATIENTS' families ,PARENTS with intellectual disabilities ,MENTAL illness ,MENTAL health - Abstract
The article presents the results of a study on family care plans used for intervention programs in families with parental mental problems. It notes that the family care approach with its goal-setting mechanism is viewed as an important component of the recovery support for people with mental illness and offers significant benefits to the entire affected family. Results showed that goals set by children and parents centered respectively on improving mental illness and mental health literacy.
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- 2012
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23. Identity in Recovery for Mothers With a Mental Illness: A Literature Review.
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Hine, Rochelle Helena, Maybery, Darryl John, and Goodyear, Melinda Jane
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MENTAL illness , *ATTITUDE (Psychology) , *CONVALESCENCE , *GROUP identity , *MOTHERHOOD , *PSYCHOLOGY of mothers , *SYSTEMATIC reviews - Abstract
Objective: The development of a positive identity beyond the mental illness has been highlighted as an important component of personal recovery. However, the experience of parenting is often overlooked in recovery discourse. This review aims to explore what the literature reveals about the process of developing a positive identity as part of personal recovery and how this may be shaped by the mothering role. Method: A systematic literature search of 5 databases resulted in 27 articles being reviewed, with findings extracted and analyzed using constant comparative analysis. Evidence on the construct and scope of identity in recovery for mothers with mental illness was critically analyzed in the context of a personal recovery conceptual framework. Results: The findings highlight that identity was rarely overtly defined in this literature, although the importance of motherhood was emphasized. Common barriers to uninterrupted and rewarding motherhood included illness and treatment, self-criticism, unsupportive families, discriminatory attitudes, and challenging relationships with children marred by intense and difficult emotions. The important role that psychiatric services can play but rarely do was a common finding. Conclusions and Implications for Practice: Personal recovery from mental illness is more effectively facilitated through supporting mothers to build positive, realistic, and diverse identities that allow them to acknowledge and respond to their mental health needs without fearing the loss of their parenting role or conforming to restrictive gendered stereotypes. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
24. Economic Evaluation of Family-Focused Programs When Parents Have a Mental Health Problem: Methodological Considerations.
- Author
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Zechmeister-Koss, Ingrid, Strohmaier, Christoph, Hölzle, Laura, Bauer, Annette, Goodyear, Melinda, Christiansen, Hanna, and Paul, Jean L.
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MENTAL illness , *QUALITY of life , *CHILD psychopathology , *ECONOMIC impact , *COST effectiveness - Abstract
The nature of adverse effects of parental mental health problems and of the interventions to address them may require specific designs of economic evaluation studies. Nevertheless, methodological guidance is lacking. We aim to understand the broad spectrum of adverse effects from parental mental health problems in children and the economic consequences on an individual and societal level to navigate the design of economic evaluations in this field. We conducted a systematic literature search of empirical studies on children's adverse effects from parental mental illness. We clustered types of impact, identified individual and public cost consequences, and illustrated the results in an impact inventory. We found a wide variety of short- and long-term (mental) health impacts, impacts on social functioning and socioeconomic implications for the children individually, and adverse effects on the societal level. Consequently, public costs can occur in various public sectors (eg, healthcare, education), and individuals may have to pay costs privately. Existing evaluations in this field mostly follow standard methodological approaches (eg, cost-utility analysis using quality-adjusted life-years) and apply a short-time horizon. Our findings suggest applying a long-term time horizon (at least up to early adulthood), considering cost-consequence analysis and alternatives to health-related quality of life and quality-adjusted life-years as outcome measures, and capturing the full range of possible public and private costs. • Programs to prevent adverse effects of parental mental illness in children have shown benefits. Nevertheless, economic evaluations are scarce and methodologically challenging. • We provide an overview on the spectrum of adverse consequences of parental mental illness in children and society and give an orientation on how this knowledge may be translated into the design of an economic evaluation regarding perspective, study type, time horizon, and selection of costs and outcomes. • Economic evaluations of family-focused interventions when parents have a mental illness require careful design and possibly deviation from standard methods (eg, quality-adjusted life-years) to avoid decisions based on misleading cost-effectiveness results. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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