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Southwark Mental Health Family Strategy
Think child, think parent, think family: a guide to parental
mental health and child welfare
Chris McCree
Introduction
Why ‘think family’?Introduction to the SCIE
guideImpact of Children and
Young PeopleOur experience
Why Think Family?
Proportion of adults with mental health problems
1 in 4
Proportion of those who are parents at the time
25% - 50%
Proportion of children of mentally unwell parents who develop their own mental health problems
1/3 – 2/3
Proportion of young carers supporting a parent with mental health problems
29%
Proportion of serious case reviews with parental mental ill-health as key factor
1/3
Why think family?
3. Parenting and the
parent – child relationship
4. Risks, stressors and vulnerability factors
4. Protective factors and resources
1. Child mental health
and development
2. Adult mental health
The Family Model (Falkov, 1998)
Resilience
Family resilience derives fromPersonality of membersInter-relationshipsEnvironment
InformationGood quality support
The barriers where you are
StructuralResourcesPersonal
KnowledgeSkillsConfidence
Barriers to thinking family Challenge of interagency working Confidence and willingness to
work outside professional boundaries
Statutory thresholds Knowledge of services Workload Information sharing
Regulations Practicalities
Fear and stigma
Family StrategyBased on robust evidenceIncludes messages from parents
and childrenKey recommendations set out for
OrganisationsManagersFront-line staff
Characteristics of a successful service
Lots of good practice examples
Key messages from the guidance
Develop services that: Take a ‘no wrong door’ approach Look at the whole family throughout the care
pathway Co-ordinate and tailor support effectively Build on family strengths
In addition: Improving access via communications strategy Workforce development Strategic approach – ‘Think Family Strategy’
A successful service
Listens to parents and childrenManages crises, and stays on afterwardsIs creative, knowledgeable and flexibleShares informationPromotes the whole family’s strengths and
resilience
Staff Training
Training and Development of Staff
Building Staff Confidence and skills in talking to parents about the needs of children
Implementation of the Adapted Family Partnership Model
Crossing Bridges Joint trainingStaffs ability to comment on parenting
capacity
User Focused Monitoring
Continuing User Involvement
Being a parent
Being a parent is real challenge for everyone and is one of the most important jobs we will do.
As the strategy recognizes all of us will need support from strategic services while bring up our children slide.
One of the greatest strengths of this Family Strategy is it promotes working with users in a non-judgmental and compassionated way.
Parental Mental Health in Children centres team
Provides Individual and group workHome assessment and interventionsFull mental and social needs assessmentAssessment of parent infant attachment
and relationshipWorks closely with CAMHS,CSC and
Children's centres, AMHWorks to link vulnerable families into the
local network and services
Service Development
A Young Carers StoryTroubled Families Keeping the Family In Mind DVD
Think Family in a time of cuts
Asking the right questionsSharing informationThinking differentlyTalk to the ChildrenTalk to the ParentsShare resources
Overcoming the local barriers
What your service would need to changeWhat your staff would need to changeWhat you need to change
Useful Resources
www.scie.org.uk
www.barnados.org.uk/youngcarers
www.c4eo.org.uk
www.ncb.org.uk
www.family-action.org.uk
www.rethink.org.uk
www.mind.org.uk