title: Getting "to the point": the experience of mothers getting assistance for their adult children who are violent and mentally ill.
abstract: BACKGROUND
  If individuals with mental illness become violent, mothers are most often victims, yet there is little available research addressing how, when, and from whom mothers seek help for themselves or their children when they become victims of this form of familial violence.
  
  
  OBJECTIVE
  To describe how mothers understood violence their adult children with mental illness exhibited toward them and to articulate the process mothers used to get assistance and access mental health treatment when this violence occurred.
  
  
  METHODS
  : Grounded theory methods were used to explore and analyze mothers' experiences of violence perpetrated by their adult children with mental illness. Eight mothers of adult children who are violent with a diagnosed Diagnostic and Statistical Manual of Mental Disorders Axis I disorder participated in one to two open-ended interviews. Mothers were of diverse ethnic backgrounds.
  
  
  RESULTS
  Getting immediate assistance involved a period of living on high alert, during which mothers waited in frustration for their children to meet criteria for involuntary hospitalization. This was a chaotic and fearful period. Fear and uncertainty eventually outweighed mothers' abilities to manage their children's behavior, at which time they called the police or psychiatric evaluation teams who served as gatekeepers to mental health treatment. Mothers accepted the consequences of being responsible for their children's involuntary hospitalization or of being left home with their children if the gatekeepers did not initiate involuntary hospitalization.
  
  
  CONCLUSIONS
  Mothers can identify signs of decompensation in their children who are ill and recognize their need for hospitalization. They cannot, however, always access mental health treatment due to their children's refusal or failure to meet legal criteria for involuntary hospitalization. Mothers' inability to intervene early sometimes results in their own violent victimization.
authors.affiliation: School of Nursing, University of Portland, Oregon 97203, USA. copeland@up.edu
authors.forename: Darcy Ann
authors.initials: DA
authors.lastname: Copeland
authors.forename: MarySue V
authors.initials: MV
authors.lastname: Heilemann
mesh_terms: D000328:Adult; D017579:Domestic Violence / Q000523:psychology; D005260:Female; D020793:Gatekeeping; D006297:Health Services Accessibility; D006801:Humans; D007406:Interview, Psychological; D001523:Mental Disorders; D008605:Mental Health Services; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D015399:Nursing Research; D012449:Safety; D012923:Social Class