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Particular issues relating to adult mental health problems are: Child's own development and mental health The child's understanding and response to the mental illness.
Adult Mental Illness and its impact on Parenting Capacity Mental state of the parent; Effect of symptoms and treatment on parenting capacity; Quality of social supports; Stresses involved in becoming a parent; Relationship with and mental health of partner or other significant family members.
Assessing the impact of the mental illness on parenting capacity. Children may not be exposed to or involved with specific symptoms, yet parenting can still be altered. For example, a parent may become less emotionally involved, less interested, less decisive or more irritable with the child.
This will affect the quality of the parent-child relationship, parenting capacity and the child's well-being. When assessing the impact of parental illness on children, differentiate between: The nature of the child's experiences associated with their exposure to parental symptoms; How the parent's actual parenting has changed due to the illness; The quality of parenting skills when well.
This information may not always be available. Consideration should be given to the protective factors as well as stressors and should include: This includes practical tasks such as chores, caring for siblings, shopping and emotional concerns like worrying about the ill parent.
The impact on children following admission to hospital of a single, socially isolated parent will have quite different implications compared to hospitalisation of a mentally ill adult in a family where good quality alternative carers are available. The specific needs and safety of the children must be assessed directly and not assumed.
Please note the Laming requirements of a pre-discharge meeting to discuss these. Be aware that young carers can receive help from both local and health authorities. They are entitled to an assessment of their ability to care under section 1 1 of the Carers Recognition and Services Act and the local authority must take that assessment into account in deciding what community care services to provide for the parent.
In addition, consideration must be given as to whether a young carer is a child in need or in need of protection and whether the child's welfare or development might suffer if support is not provided to the child or family.
Recognise that treating symptoms in isolation is not sufficient.
Difficulties in parent-child relationships have been shown to persist well beyond the period of parental mental illness. Addressing the social context of parents and children is essential. In particular, practitioners should not assume that resolution of the episode of illness would also mean an automatic return of good quality and appropriate parenting nor should they assume that children will accept their parent back easily into the family home.
In situations where there are serious concerns about parental inability to meet a child's needs when unwell, professionals will need to reassess the adequacy of parenting and the parent-child relationship once psychiatric symptoms have resolved.
Good links between children's and adult services, across agencies, are therefore essential. Be aware of the dilemmas, which can arise in terms of the times required for a parent to recover and the continuing uncertainty this generates for children, carers and professionals.
Ways need to be found to support children while parents are being rehabilitated. However, there will be situations where the likely duration of parental rehabilitation will pose unacceptable delays and risks to children's development. Alternative care arrangements may be necessary and, in conjunction with the local authority, permanent fostering and adoption will need to be considered.
Find out about availability of local services to ensure a range of systems to support families -for adults with mental health problems who have responsibilities for children, for parents with mental health problems and for children including young carers.
Psychotic beliefs particularly if involving the child; Persistent negative views expressed about a child, including rejection; Ongoing emotional unavailability, unresponsiveness and neglect, including lack of praise and encouragement, lack of comfort and love and lack of age-appropriate stimulation; Inability to recognise a child's needs and to maintain appropriate; Parent-child boundaries; Ongoing use of a child to meet a parent's own needs; Distorted, confusing or misleading communications with a child including involvement of the child in the parent's symptoms or abnormal thinking.
Other Negative Indicators The following factors suggest riskier situations. They do not predict abuse in individual families.
When more than one of these factors below are present the risk is increased. Combinations of depression, substance dependence and personality disorders at various points in time are the most frequently reported psychiatric conditions affecting parents who abuse their children; Mental illness or another mental disorder combined with a background of domestic violence; Both parents have a mental disorder or a lone parent with limited support has a mental disorder; Poor compliance with treatment; Lack of insight into the disorder and its likely impact on the child; Self-harming behaviour and suicide attempts; Parental learning difficulties and mental illness.
Examples of mental illness and its impact are: Severe post natal depression, which is likely to pose a greater risk to children; Psychotic illness including puerperal psychosis.
The risks to children increase if the mentally ill parent has delusional ideas involving the children e. Particular attention should be paid to concerns about personality disorder.
NICE guidance was published in January on: Anti-social personality disorder and; Borderline Personality Disorder. A parent with a personality disorder may have very limited ability to cope with the symptoms of relatively moderate mental health problems e.
Such parents will find it much harder to priorities their children's needs than some other parents with severe mental illnesses but without serious personality disorders. Parents with personality disorders may also be less likely to comply with treatment and may be antagonistic to Social Care and Health Professionals.
The challenge for professionals is then to keep their focus firmly on the child's welfare and safety. People with emotionally unstable personality disorder or sociopathic personality disorder present particularly strong risks to children for different reasons.RIDDED also benefits people who have been injured at work and want compensation, health and safety executives follow up on the case and evaluate if the accident was because of the employee being put at risk or if they didn’t follow procedure.
Children and young people will usually be judged by the objective standard of the ordinarily prudent and reasonable child of the same age, as in Mullins v Richards, though children cannot plead infancy as a . Oct 21, · Young people whose mother and father split up are also three times as likely to become aggressive or badly behaved, according to the comprehensive survey carried out by .
Health and safety practice in early years settings UNIT 4 How infection spreads Preventing the spread of infection Young children are vulnerable .
When children or young people are ill or injured Essay Sample. Describe with examples the importance of recognising and responding to concerns about young people and development. If you were to have a concern about a pupils development, you should share them with other members of staff.
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