scholarly journals Childhood experiences pursue adulthood for better and worse: a qualitative study of adults' experiences after growing up with a severely mentally ill parent in a small-scale society

2020 ◽  
Vol 25 (6-7) ◽  
pp. 579-591
Author(s):  
Kristianna Dam ◽  
Elisabeth OC Hall
Keyword(s):  
Mentally Ill ◽  
Secondary Analysis ◽  
Adult Life ◽  
Small Scale ◽  
Growing Up ◽  
Normal Behaviour ◽  
Childhood Experiences ◽  
Severely Mentally Ill ◽  
The Impact ◽  
Mentally Ill Parents

Background Growing up with a severely mentally ill parent can impact on subsequent adult life, and it can be extra challenging in a society with a small population, known as a small-scale society. Life in a small-scale society is characterised by multiple close relationships, lack of anonymity and a conservative attitude towards normal behaviour. Aims To look at the impact of growing up with a mentally ill parent on adult life in a small-scale society. Methods Data from semistructured interviews with 11 adult children of severely mentally ill parents were reanalysed and subjected to secondary analysis. Results The additional analysis resulted in four central themes: ‘becoming open and courageous’, ‘seeking and giving help’, ‘feeling uncertain and different’ and ‘being resilient and sensitive’. These were conflated into an overarching theme: ‘childhood experiences track into adulthood for better and worse’. The themes elucidate a diverse big picture and encompass positive and challenging features of adult life in a small-scale society. Conclusions The study ends with recommendations for the early establishment of collaboration and family-focused interventions with mentally ill parents and their children.

When Non-Compliance Carries the Day: Evaluating the Effectiveness of an Employment Program for the Severely Mentally Ill

2021 ◽  
pp. 0193841X2110496
Author(s):  
Alberto Martini ◽  
Enrico Rettore ◽  
Gian Paolo Barbetta ◽  
Fabio Sandrolini
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Mentally Ill ◽  
Mental Disease ◽  
Empirical Studies ◽  
Experimental Period ◽  
Employment Rate ◽  
Severely Mentally Ill ◽  
Employment Rates ◽  
The Impact

Background: Mental disease is increasing worldwide and people who suffer from it show lower employment rates and lower earnings. Various approaches have been tried to increase the employment rate of people with mental disease. In the US, empirical studies show that individual placement and support(IPS)—a rapid transition to the job market, with some external assistance—is effective in increasing the employment rate of the mentally ill. Europe lacks such evidence. Purpose: The study assesses the impact of an IPS-like program undertaken in Italy on the employment rate of people with severe mental illness. Methods: The analysis is based on a RCT that tests whether offering people with severe mental illness the support of a “job coach” increases their chances of being employed. Moreover, using a battery of tests—one of which is made available by the RCT itself—we show that the large non-compliance with the protocol showed by the RCT is ignorable. This motivates estimating the impact of carrying out a traineeship during the experimental period on employment using non-experimental methods. Results and Conclusions: The study finds that the availability of a coach boosts the patients’ chances of finding a traineeship during the experimental period; moreover, undertaking a traineeship almost doubles the likelihood of being at work one year later. JEL CODES: J78, J48, J38

Social Factors and Comorbidity of Depressive and Anxiety Disorders

1996 ◽  
Vol 168 (S30) ◽  
pp. 50-57 ◽  
Author(s):  
G.W. Brown ◽  
T. O. Harris ◽  
M. J. Eales
Keyword(s):  
Inner City ◽  
Psychosocial Factors ◽  
Social Factors ◽  
Adult Life ◽  
Anxiety And Depression ◽  
Clinical Implications ◽  
Comorbid Conditions ◽  
Childhood Experiences ◽  
Considerable Impact ◽  
The Impact

Differences in rates of depression across and between populations can be considerable and are largely determined by psychosocial factors. Such findings have important implications for comorbidity. On the basis of multiplying independent probabilities, the proportion of comorbid conditions increases as base rates of the disorders increase in a population. If such a chance combination has clinical implications, it would appear to be a “fact” of significance irrespective of biological underpinnings. In a recent survey of 404 women living with at least one child in an inner-city area, the rate of both anxiety and depression was highly related to the childhood experiences of neglect and abuse. However, adversity in adult life (e.g. widowhood or divorce), which might be expected to relate to current stressors, was only related to the rate of depression. The two risk factors had a considerable impact on comorbidity by increasing the rate of each disorder and thus the probability of their occurring together. They had a lesser impact as “common antecedents”. If both influences are considered, such adversity explains around half of the comorbidity. This is a conservative estimate of the impact of psychosocial factors.

scholarly journals Experiences of adult siblings of those with developmental coordination disorder (DCD): a qualitative study

2021 ◽  
Author(s):  
Brendan Morris ◽  
Jane Ogden ◽  
Judith Gentle
Keyword(s):  
Qualitative Study ◽  
Posttraumatic Growth ◽  
Thematic Analysis ◽  
Role Model ◽  
Developmental Coordination Disorder ◽  
Growing Up ◽  
Childhood Experiences ◽  
The Family ◽  
Coordination Disorder ◽  
The Impact

AbstractThis qualitative study explored the childhood experiences of growing up with a sibling with Developmental Coordination Disorder (DCD) to offer an ‘outsider’s’ view of this condition. Ten individuals who had grown up with a sibling with DCD were interviewed about their experiences. Data were analysed using Thematic Analysis. Analysis described three main themes: i)‘witnessing the challenges for their sibling with DCD’ ii) ‘experiencing the impact on the family’; iii) ‘a vacuum of knowledge’. Not all experiences were negative and transcending these themes was the notion ‘resolution and finding benefit’ highlighting access to support, being more empathic and resilient, becoming a role model for others and finding success. Participants play witness to their sibling’s experiences which can often be negative sometimes impacted by a vacuum of knowledge but they also describe how a diagnosis of DCD comes with some benefits which are discussed in the context of ‘posttraumatic growth’.

Risk-Taking Propensity and Sensation Seeking in Survivors of Adverse Childhood Experiences

2019 ◽  
pp. 088626051987603 ◽  
Author(s):  
Sara Babad ◽  
Amanda Zwilling ◽  
Kaitlin Walsh Carson ◽  
Victoria Fairchild ◽  
Shanna Razak ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Family Member ◽  
Emerging Adults ◽  
Risk Taking ◽  
Mentally Ill ◽  
Adverse Childhood Experiences ◽  
Sensation Seeking ◽  
Growing Up ◽  
Childhood Experiences ◽  
Adverse Childhood

Risk-taking propensity and sensation seeking are developmentally meaningful traits for emerging adults, individuals ages 18 to 25 years. Adverse childhood experiences (ACEs) of childhood abuse and neglect, exposure to domestic violence, residing with a substance abusing or mentally ill caregiver, and growing up with an incarcerated family member negatively impact the well-being of emerging adults. However, the specific association between ACEs and risk-taking propensity and sensation seeking has not been previously examined in this age group. This study aims to determine whether ACEs are individually or cumulatively related to risk-taking propensity (assessed by the Domain-Specific Risk-Taking Scale) and sensation seeking (assessed by the Behavior Inhibition System/Behavior Approach System Scales) in a diverse sample of undergraduates, n = 436; Mage = 19.73 years ( SD = 1.83 years); 67% female; 22% Hispanic. Multivariate ordinary least squares regressions were run to examine the association between ACEs and risk-taking propensity and sensation seeking. Individually, emotional abuse predicted greater inhibition ( B = .28, p < .001), growing up with a mentally ill family member ( B = –.12, p < .05) and emotional neglect ( B = –.13, p < .05) predicted reduced motivation to pursue rewarding cues, and emotional neglect ( B = –.12, p < .05) and witnessing domestic violence ( B = –.10, p < .05) predicted less reward responsiveness. No cumulative effects were found. ACEs related to environmental instability may have a unique impact on sensation seeking domains in emerging adults. Clarifying the role of sensation seeking in emerging adults can contribute to better understanding of risk and resilience factors in this vulnerable population.

P-1281 - The impact RCT: prevalence of metabolic syndrome in a severely mentally ill cohort

2012 ◽  
Vol 27 ◽  
pp. 1 ◽  
Author(s):  
R.I. Ohlsen ◽  
Z. Atakan ◽  
S. Smith ◽  
P. Sood ◽  
E. Papanastasiou ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Mentally Ill ◽  
Severely Mentally Ill ◽  
The Impact

Identifying and Supporting Children of Mentally Ill Parents within Adult Mental Health Services

2017 ◽  
Vol 41 (S1) ◽  
pp. S38-S38
Author(s):  
C. Reedtz
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Mentally Ill ◽  
University Hospital ◽  
Parental Mental Illness ◽  
Adult Mental Health ◽  
The Impact ◽  
Mentally Ill Parents

BackgroundStudies have shown that implementing a change of practice in adult mental health care to identify and support children of mentally ill parents is challenging, even though the risk of transgenerational transmission of socioemotional problems and psychopathology has been thoroughly demonstrated the last decade.AimsThe current presentation describes the existing practice of identifying and supporting children of mentally ill parents within adult mental health services. The study was conducted after Norwegian health legislation had been changed to make these tasks mandatory. The effort included implementation of two interventions; Family Assessment, an intervention for practitioners to increase identification of patients who are also parents and their children, and child talks, an intervention designed to provide support for parents and children within the participating hospital.MethodThe sample included mental health professionals in a large university hospital in Northern Norway, who responded to a web-based survey on the routines of the services, attitudes within the workforce capacity, worker's knowledge on the impact of parental mental illness on children, knowledge on legislation concerning children of patients, and demographic variables. Register data from the Electronic Patient Journals (EPJ) was analyzed to assess whether or not the self-reported routines match the reality in the clinic.DiscussionThe prospects of clinical change will be discussed in general, as well as to which extent the two implemented interventions have contributed to changes in the clinical practice, workforce knowledge and attitudes in the participating hospital.Disclosure of interestThe author has not supplied his declaration of competing interest.

The Mental Health and Social Exclusion European Network

2000 ◽  
Vol 5 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Luigi Leonori ◽  
Manuel Muñoz ◽  
Carmelo Vázquez ◽  
José J. Vázquez ◽  
Mary Fe Bravo ◽  
...  
Keyword(s):  
Mental Health ◽  
European Union ◽  
Social Exclusion ◽  
Mentally Ill ◽  
Outcome Evaluation ◽  
World Federation ◽  
The European Union ◽  
Capital Cities ◽  
Homeless Mentally Ill ◽  
The Impact

This report concerns the activities developed by the Mental Health and Social Exclusion (MHSE) Network, an initiative supported by the Mental Health Europe (World Federation of Mental Health). We report some data from the preliminary survey done in five capital cities of the European Union (Madrid, Copenhagen, Brussels, Lisbon, and Rome). The main aim of this survey was to investigate, from a mostly qualitative point of view, the causal and supportive factors implicated in the situation of the homeless mentally ill in Europe. The results point out the familial and childhood roots of homelessness, the perceived causes of the situation, the relationships with the support services, and the expectations of future of the homeless mentally ill. The analysis of results has helped to identify the different variables implicated in the social rupture process that influences homelessness in major European cities. The results were used as the basis for the design of a more ambitious current research project about the impact of the medical and psychosocial interventions in the homeless. This project is being developed in 10 capital cities of the European Union with a focus on the program and outcome evaluation of the health and psychosocial services for the disadvantaged.

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