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Parents in adult psychiatric care and their children: a call for more interagency collaboration with social services and child and adolescent psychiatry

Artikel i vetenskaplig tidskrift
Författare M. Afzelius
M. Ostman
Maria Råstam
G. Priebe
Publicerad i Nordic Journal of Psychiatry
Volym 72
Nummer/häfte 1
Sidor 31-38
ISSN 0803-9488
Publiceringsår 2018
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi
Sidor 31-38
Språk en
Länkar doi.org/10.1080/08039488.2017.13772...
Ämnesord Parental mental illness, children, child-focused intervention, interagency collaboration, psychiatric, serious mental-illness, bipolar disorder, ill parents, families, health, experiences, issues, interventions, metaanalysis, prevalence, Psychiatry
Ämneskategorier Psykiatri

Sammanfattning

Background: A parental mental illness affects all family members and should warrant a need for support.Aim: To investigate the extent to which psychiatric patients with underage children are the recipients of child-focused interventions and involved in interagency collaboration.Methods: Data were retrieved from a psychiatric services medical record database consisting of data regarding 29,972 individuals in southern Sweden and indicating the patients' main diagnoses, comorbidity, children below the age of 18, and child-focused interventions.Results: Among the patients surveyed, 12.9% had registered underage children. One-fourth of the patients received child-focused interventions from adult psychiatry, and out of these 30.7% were involved in interagency collaboration as compared to 7.7% without child-focused interventions. Overall, collaboration with child and adolescent psychiatric services was low for all main diagnoses. If a patient received child-focused interventions from psychiatric services, the likelihood of being involved in interagency collaboration was five times greater as compared to patients receiving no child-focused intervention when controlled for gender, main diagnosis, and inpatient care.Conclusions: Psychiatric services play a significant role in identifying the need for and initiating child-focused interventions in families with a parental mental illness, and need to develop and support strategies to enhance interagency collaboration with other welfare services.

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