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

Maria Afzelius, Margareta Östman, Maria Råstam, Gisela Priebe

Research output: Contribution to journalArticlepeer-review

5 Citations (SciVal)

Abstract

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.

Original languageEnglish
Pages (from-to)31-38
JournalNordic Journal of Psychiatry
Volume72
Issue number1
DOIs
Publication statusPublished - 2018

Subject classification (UKÄ)

  • Health Care Service and Management, Health Policy and Services and Health Economy

Keywords

  • child-focused intervention
  • children
  • interagency collaboration
  • Parental mental illness
  • psychiatric services

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