scholarly journals Making the case for the family model in in-patient child and adolescent mental healthcare

2021 ◽  
pp. 1-3
Author(s):  
Lesley Cousins ◽  
Joanne Holmes
Keyword(s):  
Young Children ◽  
Attachment Theory ◽  
Emotional Distress ◽  
Child Psychiatry ◽  
Mental Healthcare ◽  
Child And Adolescent ◽  
Family Model ◽  
The Family ◽  
Family Home

Summary Within paediatrics, young children experiencing physical and emotional distress are admitted to hospital with their parents as a matter of course, recognising the trauma associated with parting children from their carers. Much of this practice is underpinned by our understanding of attachment theory, which also sits as a fundamental tenet of child psychiatry. Yet the culture in psychiatric in-patient hospitals remains to admit young children without their parents, often to units that are geographically distant from the family home. We argue that the practice of admitting lone children to psychiatric in-patient units is likely to be traumatising as well as less effective. We believe this culture requires challenge and change.

scholarly journals The Image of the Family and Family Home in Małgorzata Musierowicz’s Series of Novels, and the Stereotype of the Family in Contemporary Polish Society

2021 ◽  
Author(s):  
Joanna Senderska ◽  
Iwona Mityk ◽  
Ewa Piotrowska-Oberda
Keyword(s):  
Social Consciousness ◽  
Traditional Family ◽  
Patriarchal Family ◽  
Family Model ◽  
The Family ◽  
Language Data ◽  
Polish Society ◽  
Family Home ◽  
The One ◽  
Over 40 Years

AbstractThe article discusses the image of the family and the family home in a series of novels for young people by the popular Polish writer Małgorzata Musierowicz in the context of literary conventions and stereotypes about the family in contemporary Polish society. The novels, which cover a period of over 40 years, generally fit contemporary Polish realities; however, the didactic function of the novels results in the author creating an idealized image of the Polish intellectual family, filling the readers with optimism. The picture created by the writer, on the one hand, fits perfectly into the stereotype of the family, which is one of the values highly esteemed by Poles. On the other hand, it adapts to the conventions of novels for girls. In this article, the stereotype of the family is reconstructed on the basis of language data and surveys. We present the meanings and contexts of family as a noun and family as an adjective. We also present the results of our survey, the aim of which was to determine an essence of a stereotypical family and how the traditional family model is comprehended by respondents coming from various groups. We also present the respondents’ attitude to the patriarchal family model and the division of roles into male and female. In our opinion, the correspondence between the family picture created in the novels and the image of the family operating in social consciousness is the reason for the popularity of the series.

scholarly journals Incorporating Children and Young People’s Voices in Child and Adolescent Mental Health Services Using The Family Model

2017 ◽  
Vol 5 (3) ◽  
pp. 183-194 ◽  
Author(s):  
Benjamin Hoadley ◽  
Freya Smith ◽  
Cecilia Wan ◽  
Adrian Falkov
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Children And Young People ◽  
Family Model ◽  
The Family ◽  
Family Focused Practice

Mental illness in children and young people is increasing in frequency and complexity, is emerging earlier and is persisting into adulthood. This is a global issue with implications for research, policy and practice. Children and young people require the experience of safe, nurturing relationships for optimal lifelong outcomes. Despite awareness of this in Child and Adolescent Mental Health services, a focus on the relational context in which children and young people present is not universal. A challenge in family focused practice is to ensure that no individual’s voice is ‘too loud’ and that children and young people’s voices are heard. This article illustrates how a balance between individual and systems understanding can be achieved in therapeutic work by incorporating the voices of children and young people and concerns of other family members. This article describes an approach to improving family focused practice in a public Child and Adolescent Mental Health service. Use of The Family Model, as a family focused practice tool, is presented across three service settings. The Family Model intervention is briefly described, outlining the way in which it supports collaborative practice and assists clinicians to achieve the balance described above. Vignettes will demonstrate how children and young people’s voices are explicitly incorporated in formulating mental health issues with two generations to generate developmentally informed care plans.

Rebuilding the family: 1940s–1950s

2016 ◽  
Author(s):  
Harry Hendrick
Keyword(s):  
Young Children ◽  
Golden Age ◽  
Social Democracy ◽  
Labour Party ◽  
Social Democratic ◽  
John Bowlby ◽  
The Social ◽  
The Family ◽  
Family Home ◽  
Donald Winnicott

The chapter examines the idea of 'the family' within the context of the so-called 'Golden Age' in social and economic affairs that was said to prevail from the late 1940s through to the early 1970s. It begins with a survey of the social democratic ideals regarding 'mental progress', as expressed in sections of Atlee's Labour Party, and of the Party's failure to convert the electorate to socialist ethics. It then goes on to provide a sustained account of the ideas and popular influence of John Bowlby and Donald Winnicott, emphasizing the significance they attributed to family, home, and the 'the bonds of love', particularly between mothers and young children, for the evolution of an emotionally mature social democracy in the post-1945 atomic age.

scholarly journals Copying letters to families: attitudes and experiences of child and adolescent psychiatrists

2006 ◽  
Vol 30 (11) ◽  
pp. 413-415 ◽  
Author(s):  
Gillian Combe ◽  
Clare Short ◽  
Helen Stephens
Keyword(s):  
Therapeutic Relationship ◽  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
National Guidelines ◽  
The Family ◽  
N 93 ◽  
The Impact

Aims and MethodA national survey of consultants in child and adolescent psychiatry was conducted to explore their attitudes to copying correspondence to patients and their families and the impact of recent national guidelines on practice.ResultsOf the 290 respondents, 261 (90%) agreed in principle with copying letters to patients but only two-thirds (n=186) were routinely doing so. Nearly half (n=139, 48%) had changed their practice as a consequence of the guidelines. The majority (n=160, 55%) felt that the guidelines lacked clarity with regard to the complexities of child psychiatry and a third (n=93, 32%) had experienced difficulties when copying letters to patients.Clinical ImplicationsThis survey highlights some of the benefits and risks involved in child and adolescent psychiatry when letters are routinely shared with families. Increased openness and transparency can enhance the therapeutic relationship; however, given the complexities and sensitivities implicit in child psychiatry, there is a risk of jeopardising engagement and alienating the family.

Can Family Law Protect Young Children?

2012 ◽  
Vol 37 (2) ◽  
pp. 54-55
Author(s):  
Freda Briggs ◽  
Elspeth McInnes
Keyword(s):  
Young Children ◽  
Child Protection ◽  
Sexually Abused ◽  
Family Law ◽  
Child Protection Services ◽  
Law System ◽  
Need Of Care ◽  
The Family ◽  
State Child ◽  
Family Home

When young children tell their mothers that they are being sexually abused by their father, the mother faces a dilemma; if she does nothing, state child protection services can remove her children as being in need of care and protection. If police are called, she is likely to be told to leave the family home to keep her children safe. If she does, the father is likely to turn to the federal family law system1 to seek time with the children. If the mother seeks an order for supervised, or no further contact with the child to protect them from abuse, she may lose residence of the child and the child may be ordered to live with the abusing parent.

scholarly journals Is Time Spent Outside the Family Home a Risk Factor for Lead Exposure in Pre-School Children Living in Broken Hill?

2021 ◽  
Vol 18 (15) ◽  
pp. 7721
Author(s):  
David M. Lyle ◽  
Frances T. Boreland ◽  
Najeebullah Soomro ◽  
Melinda Glisson-Gladman
Keyword(s):  
Young Children ◽  
Risk Behaviour ◽  
Current Evidence ◽  
Weekly Basis ◽  
Safe Level ◽  
Broken Hill ◽  
The Family ◽  
Hazard And Risk ◽  
Family Home ◽  
Lead Hazards

Broken Hill is amongst a group of communities internationally that are at greater risk from lead due to active or historical lead industries. Current evidence suggests there is no safe level of lead for young children. This paper describes places outside the family home where young Broken Hill children spend time and considers the potential for this to contribute to lead risk. We interviewed 65 families of children 3 years old or younger and detailed the top five places children spent time at outside the family home. Exposure to private residences outside the family home was recorded for most (88%) young children. Nearly two thirds stayed there five or more hours per week. Most children went there on a weekly basis over many months (median, 12 months), increasing the likelihood of exposure to lead hazards. Further investigation of the lead hazard and risk behaviour of children at these residences would assist in developing guidelines for remediation of the lead hazard for all private residences in Broken Hill. This approach to elucidating the potential sources and pathways of lead and other heavy metal exposures for young children may have merit in other settings where comprehensive zonal remediation is not feasible or may not be warranted.

Disease in the family in terms of contemporary literature for children

2014 ◽  
Vol 4 (1) ◽  
pp. 43-54
Author(s):  
Jowita Gromysz
Keyword(s):  
Young Children ◽  
Family Environment ◽  
Contemporary Literature ◽  
The Family ◽  
The Way

Summary Disease in the family is a literary motif used by many authors. The article contains a description of various ways of representing the disease in contemporary texts for young children. Pedagogical context of reading literary narratives refers to the way the rider repons to the text ( relevance to the age of the reader, therapeutic and educational function). The analyzed texts concern hospitalization, disability of siblings, parent’s cancer. There always relate to the family environment and show the changeability of roles and functions in family.

scholarly journals Family caregiver emotional distress in advanced cancer: the DME-C scale psychometric properties

2020 ◽  
pp. bmjspcare-2020-002608
Author(s):  
Joaquín T Limonero ◽  
Jorge Maté-Méndez ◽  
María José Gómez-Romero ◽  
Dolors Mateo-Ortega ◽  
Jesús González-Barboteo ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
End Of Life ◽  
Family Caregivers ◽  
Advanced Cancer ◽  
Emotional Distress ◽  
Family Caregiver ◽  
Screening Tools ◽  
Anxiety And Depression ◽  
The Family ◽  
End Stage

BackgroundFamily caregivers of patients with advanced illness at end of life often report high levels of emotional distress. To address this emotional distress is necessary to have adequate and reliable screening tools.AimThis study analyses the psychometric properties and clinical utility of the Family Caregiver Emotional Detection Scale for caregivers of patients with end-stage cancer (DME-C, Spanish acronym) who are receiving palliative care (PC).DesignMulticentre, cross-sectional study.Settings/participantsFamily caregivers of patients with advanced cancer at end of life receiving palliative treatment were interviewed to explore their emotional distress through the DME-C scale and other instruments measuring anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), distress thermometer (DT) and overload (B), as well as a clinical psychological assessment (CPA).Results138 family caregivers, 85 (61.6%) female and 53 (38.4%) male, with an average age of 59.69±13.3 participated in the study. The reliability of the scale, as measured by Cronbach’s alpha, was 0.76, and its stability over time was 0.734. Positive, significant correlations were found between the DME-C and the scores for anxiety and depression registered on the HADS scale, as well as with the total result of this latter scale and the results for B, the DT and the CPA. A statistical analysis of the receiver-operating characteristic curves showed that the scale has a sensitivity and specificity of 75%, and that the cut-off point for the detection of emotional distress was a score ≥11. Fifty-four per cent of the caregivers displayed emotional distress according to this scale.ConclusionsThe DME-C displays good psychometric properties. It is simple, short, reliable and easy to administer. We believe that the instrument is useful for the detection of emotional distress in the family caregivers of hospitalised patients suffering from end-stage illnesses and receiving PC.

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