title: [Nurturance of children during inpatient psychiatric treatment of their parents].
abstract: About a third of all inpatients in psychiatric hospitals are parents of children aged below 18 years. The mental illness of a parent and especially the need of inpatient treatment burdens families. This study was contributed to assess parental stress, behavioural and emotional problems of the children and the needs of psychiatric inpatients for support. Barriers and hindrances as well as positive experience with support for their children were assessed. All psychiatric hospitals in a county with about 1.5 million inhabitants in South-West Germany participated in this study. From 643 inpatients after drop-out 83 (54 female, 29 male) patients with non full aged children were questioned with inventories as the SDQ, the PSS and further assessments. Diagnoses and biographic data were assessed by the documentation of the German Association of psychiatry and psychotherapy. Parents reported about an increased level of stress by parenthood (PSS mean 41.9, SD 9.4). Psychopathology of the children influenced the stress of the mentally ill parents. 40% of the patients are dissatisfied with the care of their children during their inpatient treatment, but 51% have strong resentments against the youth welfare custodies and do not ask for support. Our results prove the high negative attitude of mentally ill parents against youth welfare service which must be reduced by active information policy and offers in collaboration with the treating psychiatrist of the parents.
authors.affiliation: Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm, Ulm. michael.koelch@uniklinik-ulm.de
authors.forename: Michael
authors.initials: M
authors.lastname: Kölch
authors.forename: Marc
authors.initials: M
authors.lastname: Schmid
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000342:Affective Symptoms / Q000175:diagnosis / Q000523:psychology; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000628:therapy; D002655:Child Custody; D002669:Child Welfare / Q000523:psychology*; D016241:Child of Impaired Parents / Q000523:psychology*; D002675:Child, Preschool; D017281:Cost of Illness; D006301:Health Services Needs and Demand; D006760:Hospitalization; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D017060:Patient Satisfaction; D012944:Social Support; D013315:Stress, Psychological / Q000150:complications