title: Parental mental illness: a review of barriers and issues for working with families and children.
abstract: Many consumers of psychiatric services are parents, making these services the opportunistic point for supporting consumers' children. While evidence suggests that assisting such children improves their mental health, there is a large gulf between what psychiatric services should (or could) provide and what they do in practice. This paper summarizes the constraining barriers and issues for the psychiatric workforce according to: (1) policy and management; (2) interagency collaboration; (3) worker attitude,skill and knowledge; (4) the parent-consumer; and (5) the consumer's family, including children. Potential solutions are presented, with a particular focus on the hierarchical nature of these barriers. Recommendations are made, including organizational audits to identify the most pressing barriers that impede family sensitive practice.
authors.affiliation: Gippsland Medical School, Monash University School of Rural and Indigenous Health, Monash, Vic., Australia. darryl.maybery@med.monash.edu.au
authors.forename: D
authors.initials: D
authors.lastname: Maybery
authors.forename: A
authors.initials: A
authors.lastname: Reupert
mesh_terms: D000328:Adult; D002648:Child; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000451:nursing / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011568:Psychiatric Nursing