10/15/2019 Outcomes Participants will… Have basic information about adult mental health concerns Have and illness. Understand how having a parent with a mental illness could Understand impact a child. Working with Families: When an Adult has a Mental Illness Have some strategies and resources that are available to Strategies them SAMI BRADLEY, LIMHP Prevalence of Mental Illness Approximately 1 in 5 adults in the U.S.—43.8 million, or Having a mental illness does not 18.5%—experiences mental illness in a given year. 1 automatically mean a person Approximately 1 in 25 adults in the U.S.—10 million, or 4.2%— cannot be a good parent. experiences a serious mental illness in a given year that Parents with mental illness, if Disclaimer substantially interferes with or limits one or more major life given sufficient support, can be activities. 2 good parents, because mental 18.1% of adults in the U.S. experienced an anxiety disorder illnesses are treatable. such as posttraumatic stress disorder, obsessive-compulsive disorder and phobias Among the 20.2 million adults in the U.S. who experienced a substance use disorder, 50.5%—10.2 million adults—had a co-occurring mental illness. 8 Why is it important to be aware? Adult Mental Health 67% of women, and 75.5% of men, living with severe and persistent mental illness in the community are parents. (Nicholson, J. et al, 2004) Important in There may be The effect on understanding Less than 50% of them are getting help safety children family This is the biggest concern considerations dynamics Parenting is hard work! 1
10/15/2019 For more www.nimh.nih.gov information on You can print great resources 5-30 Mental “Families are like mobiles” page booklets on most disorders. Illnesses Also, could order a free hard copy for you lending library. www.samhsa.gov Lots of free resources and information. This Photo by Unknown Author is licensed under CC BY-SA www.nhma.org More free information, printables and support. This Photo by Unknown Author is licensed under CC BY-NC-SA Adult Mental Health Why Parental Mental Health Matters Impact on children 0-5 Effects on parenting capacity Mental Illness Symptoms Effect on parent/child Babies may be neglected physically and emotionally relationship Depression Lack of Energy Physical and/or Cognitive development and learning may be delayed through parents’ Disturbed Sleep emotional neglect inconsistent, under-stimulating and hostile behavior. Difficulty Decision Inconsistent Parenting A baby’s health and development may be exacerbated by living in an Making Irritability impoverished physical environment Parent seeks comfort Guilt/Despair from child Illness and injury may not be recognized, adequate medical help not sought. Anxiety Disorders Poor Concentration Inconsistent Parenting Diet may be inadequate and unsuitable Avoidance Comfort seeking from Poor Impulse Control child Cognitive and Language development may be delayed Vigilant Minimal Experiences w/ child Why Parental Mental Health Why Parental Mental Matters . Let’s Talk Attachment Health Matters. Let’s Talk Attachment Studies have shown - Reduced likelihood of The person to whom a child is attached provides a secure attachments, secure base, a place of safety, warmth and comfort. increased likelihood of avoidant and A securely attached child feels confident that when disorganized styles in they feel anxious or have a need, their parents will children of depressed respond. mothers. -sensitivity - Link between maternal -regularly available and reliable social/marital support, -warm more support more -responsive secure. -consistent 2
10/15/2019 SB1 Why Parental Mental Health Matters Children’s Social-Emotional Development https://www.youtube.com/wat ch?v=7FC4qRD1vn8 Overall, children of parents with mental health difficulties are at a greater risk of experiencing health, social and/or psychological problems If help is not obtained How to Help 1) Learn about Mental Illness Understand what your role is a. What you are doing today! Understand •Know yourself •Focus on building relationships b. Read further when you What can encounter different you do as a disorders Consult with professionals in your office Consult c. Consult with mental health •Who can you talk to? (Supervisors, Mental Health Consultants, Reflective Consultants) Home professionals Visitor? Make appropriate referrals Referrals •When •Where What can you do as a Home What Can You do as a Home Visitor? Visitor? 3 ) Balance Flexibility with Firmness 2) Avoid Stigmatizing Mental Illness Depending on condition may be a. Victims of severe social stigma Unwilling to accept responsibility a) Unable to remember agreements b. Biological imbalance of the chemicals in the b) Untrustworthy c) brain. Difficult to understand d) c. Other contributing factors Inconsistent with discipline e) Poor at keeping appointments f) Unpredictable emotionally. g) Generally confusing behavior h) 3
Slide 14 SB1 Not sure about this talk/activity... I think it's a good way to start conversation in a different way about the difficulty parents may have Sami Bradley, 11/1/2016
10/15/2019 What can you do as a Home What can you do as a Home Visitor? Visitor? 4) Good Supervision is Critical 5) Remember Confidentiality a) Consistent supervision Important Priority! a) Only information essential to the treatment of your b) client (the child), and the safety of staff, clients, and other individuals need to be shared with other professionals. Only people legally allowed to have such information c) would get it. Without a specific release, we are not able to share the Some tips for this conversation if following about the caregivers you to have the ability to share with a teacher, another home visitor, etc Medical Information Let them know why CONFIDENTIALITY CONFIDENIALITY 1) Mental Health Information Ask if they are willing to 2) Substance Abuse/Addiction share Information Be prepared for “no” 3) Criminal Reports Ask for release 4) Child Protective Services Reports What can you do as a Home What can you do as a Home Visitor? Visitor? 7) Monitor Your Level of Involvement 6) Focus on Strengths Offer some limited assistance Referrals to services in the community -No matter how severe the mental illness, there are always strengths to be built upon. Take the time to learn about Safety and well-being of children is main concern your clients’ families and their strengths; they will appreciate it, and everyone will benefit. Countertransference- emotional reactions on your part that affect your work. Know your hot buttons 4
10/15/2019 How to Help.. Letting your stuff get in the way Available Resources of helping the family… Sometimes just happens Child Parent Psychotherapy Just need to be aware that it can and does happen! Circle of Security Parenting Countertransference Consult with other Parent Child Interaction Therapy professionals if it does Individual Therapy Others This Photo by Unknown How to Help (Referral Sources) How to Help (Referral Sources) Parent Child Interaction Therapy Child Parent Psychotherapy · Enhance your parent/child relationships and child To strengthen or repair the child-parent relationship management skills and attachment connection. · Increase your child’s ability to manage To promote the child’s social and emotional frustration development · Strengthen your child’s social skills To minimize harmful developmental consequences, which may result from disruptions in caregiving Ages 2-7 because of abuse or neglect. For more info go to Ages 0-5 www.pcit.org For local providers go to For a list of local providers http://www.nebraskababies.com/cpp-provider-list http://magellanofnebraska.com/media/1065188/p For more information on CPP cit_providers.pdf http://www.nebraskababies.com/child-parent- psychotherapy-cpp How to Help (Referral Sources) Circle of Security- Parenting IMPORTANT! REMEMBER: If there are suicidal plans, threats, 8 Week Parenting Class and/or attempts Increase security of attachment of the child to the parent Homicidal plans, threats, and/or Increase parent’s ability to read attempts child’s cues Increase parent’s capacity to self- reflect You have an obligation to report. Increase parent’s capacity to regulate stressful emotional states Report to your supervisor or call the police! For Local classes and/or facilitators www.necosp.org 5
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