Parenthood and severe mental illness
نویسندگان
چکیده
Objective: Parenting is an important life domain for many people, but little research examines the parenting experience and its role in recovery for those with a severe mental illness (SMI). The current study provides preliminary evidence of how these concepts are related in a sample of individuals living with severe mental illness attending a community mental health center. We also explored potential differences between mothers and fathers, which could help better tailor services to meet the needs of parents with SMI. Methods: Data were obtained during baseline interviews for a study testing an intervention designed to increase shared decision-making in psychiatric treatment. Participants (N = 167) were administered measures of patient activation, recovery, autonomy preference, hope, and trust in providers. We compared parents and non-parents and compared mothers and fathers using chisquare, t-tests, and, where appropriate, analysis of covariance. Results: Parents had a significantly higher level of trust in their psychiatric care provider than non-parents. Contrary to hypotheses, parents were less active in their treatment and preferred less information-seeking autonomy than did non-parents, but did not differ on other recoveryrelated indices. No differences on recovery-related indices were detected between mothers and fathers. Secondary analyses revealed parents with minor children had more hope than parents of older children. Conclusions and Implications for Practice: Although parents may have higher levels of trust in their physicians, our preliminary findings suggest that parents with SMI may benefit from increased efforts to help them be more active and interested in information about their illnesses.
منابع مشابه
A Comparative Study of Nurses as Case Manager and Telephone Follow-up on Clinical Outcomes of Patients with Severe Mental Illness
Background: Providing community-based mental health services is crucial and is an agreed plan between the Iranian Mental Health Office and the Regional Committee for the Eastern Mediterranean (affiliated with WHO). The aim of this study was to determine the effectiveness of home-visit clinical case-management services on the hospitalization rate and other clinical outcomes in patients with seve...
متن کاملThe Prevalence of Parenthood in Adults with Mental Illness: Implications for State and Federal Policymakers, Programs, and Providers
متن کامل
The meaning of work in people with severe mental illness (SMI) in Iran
Background: Work is the key component for most people in regard to financial, social and wellbeing matters. Employment is an important factor underpinning mental health disorders. However, unemployment remains an unsolved issue worldwide. Numerous studies have focused on employment outcomes in people with severe mental illness (SMI) but, only a few have explored their perspective on employmen...
متن کاملDiscrimination in relation to parenthood reported by community psychiatric service users in the UK: a framework analysis
BACKGROUND Experienced discrimination refers to an individual's perception that they have been treated unfairly due to an attribute and is an important recent focus within stigma research. A significant proportion of mental health service users report experiencing mental illness-based discrimination in relation to parenthood. Existing studies in this area have not gone beyond prevalence, theref...
متن کاملClinical outcomes and cost effectiveness of two aftercare models provided by general physicians and nurses to patients with severe mental illness
Background: Implementing community-based psychiatric services is one of the priorities of the WHO/EMRO mental health programs. This study presents an aftercare service, as a community based-service, for patients with severe mental illness (SMIs). Methods : In this randomized controlled clinical trial design, 176 patients, who attended selective hospitals with SMI, were allocated into three ...
متن کامل