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ACTION 16 : NATIONAL SOCIAL INCLUSION POLICY PARENTS WITH MENTAL HEALTH DIFFICULTIES AND THEIR CHILDREN. 19 th March 07. Working with Families Developing Caring Partnerships 19th March 07 ACTION 16 : NATIONAL SOCIAL INCLUSION POLICY PARENTS WITH MENTAL HEALTH DIFFICULTIES AND THEIR CHILDREN
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ACTION 16 : NATIONAL SOCIAL INCLUSION POLICY PARENTS WITH MENTAL HEALTH DIFFICULTIES AND THEIR CHILDREN. 19th March 07 Working with Families Developing Caring Partnerships 19th March 07 ACTION 16 : NATIONAL SOCIAL INCLUSION POLICY PARENTS WITH MENTAL HEALTH DIFFICULTIES AND THEIR CHILDREN Clare Mahoney and Kate O’Hara CSIP North West &West Midlands
What have families to do with adult mental health systems? • Between 30% and 50% of AMHS service users have children living with them • Circa 40% people with psychosis are women & one study found 20% have pre-school children • Parents are one of four groups most likely to face barriers in getting MH needs addressed • Children and young people are the group most likely NOT to be offered a carers assessment • Serious case reviews • Data is not routinely collected • Focus on risk rather than impact • Opportunities to work preventatively are missed • “They say things like ‘we only work with your mum’ but my mum lives with me so it’s all connected.”
Key issues for parents • Fear of losing children • “on trial about parenting abilities” • May need help but scared to ask • Recovery impeded by anxiety • Fear of passing it on • Impossibility of parenting without family and social networks • Uncertainty & complexity re access & reuniting with children • Stigma
What children tell us • Have no one to talk to they can trust • Tired, hungry • Frightened, isolated • Feel ashamed, guilty • Lack confidence • Worried eg financial worries, being put in care • Look after siblings as well as parents • In need of information and explanations • Bullied • Stigma
Policy Drivers • Mental Health and Social Exclusion Action Plan (SEU 2004) • NSF adult mental health (DH 1999) • Women’s Mental Health Policy (DH 2003) • Making it Possible: Improving mental health and well-being in England (Nov 2005) • Every Child Matters/Child and Mat NSF (2004) • Working Together to Safeguard Children (2006) • Our Health Our Care Our Say (DH 2006) • Reaching Out (2006)
Mental Health and Social Exclusion Action Plan (SEU 2004): Action 16 • To improve understanding and capacity within adult mental health services to support parents and their children, manage risk and reduce impact. • To improve understanding within early years sectors of the needs of parents with mental health problems • To secure a higher profile for parental mental health and children’s needs at appropriate levels within regional and government organisations.
Working Principles • Finding the ‘right people’ via DH, DfES, SCIE, CAMHS, Barnardos, Family Welfare Association, service users, Mental Health Act Commission, Young Carers orgs etc • Building partnerships and networks • Emphasis on ‘adding value’ and working without duplication • Shared purpose and jointly-owned implementation plan • Working without competition • Sharing resources
Main achievements • Development of national guidance (SCIE/NICE) • Parental Mental Health & Child Welfare Network (900 ++ members across disciplines and sectors) • Mainstreaming across CSIP programmes • Children’s Centre guidance to support parents with mental health difficulties (Chapter 13) • National review of provision to support children visiting parents in hospital • Work with to influence policy: HCC assessment framework, MHAC, CPA review • Resource development (eg online module for RCP) • Link with CAMHS workforce developments • National network for named safeguarding leads in mental health trusts
Development of joint guidance from SCIE & NICE • Systematic map (SCIE/Eppi Centre June 2006) • 7 thematic reviews • 5 practice sites • Parental Mental Health and Child Welfare Network (SCIE) • Practice mapping • Due March 2008 • First ever cross-cutting health, social care adults and children’s
Web-site addresses • Parental Mental Health and Child Welfare Network - multi-agency, practice development & information-sharing http://www.scie.org.uk/mhnetwork/ • SCIE/NICE systematic review re parental mental health needs http://www.scie.org.uk/work/children/index.asp#jointworking • Action 16 http://www.socialinclusion.org.uk/work_areas/index.php?subid=17