Nick Kowalenko - Early Intervention Involving Family Support


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A presentation given by Nick Kowalenko at The Journey, CHA Conference 2012, in the 'Innovations in Mental Health Care for Children and Young People' stream.

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  • Mary
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  • BradRange of studies completed around the world looking at different outcomes.
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  • We are grateful for lessons learnt of the last 10 years, the people we’ve met and worked alongside and the broader COPMI family both near and far. Hopefully this presentation has given to some ‘food for thought’ about how you can enhance the COPMI agenda in your country and/or has reminded you too of where your country’s program has come from and what’s its strengths are. If so, we’d love to hear and learn from you.Photos are of the COPMI team, EF and LS (and photogenic child to make us look good!) at the recent launch of the fathers information resources.
  • Nick Kowalenko - Early Intervention Involving Family Support

    1. 1. PREVENTING MENTAL HEALTH PROBLEMS IN FAMILIES AFFECTED BY PARENTAL DEPRESSION Putting Prevention into PracticeNick KowalenkoDeputy Chair, AICAFMHASenior Lecturer University of SydneyChair, Faculty of Child & Adolescent Psychiatry, RANZCP
    2. 2. Depression and Families1 million Australian children live with a parent who has depression(estimate)Mental illness: 2-4 times higher 40-70 %Social, developmental, educational and emotional difficulties (Beardslee, Solantaus, Morgan, Gladstone & Kowalenko, 2012)Paternal and Maternal Depression (Fletcher et al 2011)
    3. 3. PPEI Concepts
    4. 4. Ottowa CharterDeveloping personal often via family members & people whoskills and knowledge work with children, parents and families Developing locally supportive through key partnerships that can environments influence local change Supporting facilitating broad participation in the community action planning, development, implementatio n & evaluation of strategies including development of accessible, high Reorientation of quality resources & guidance for services organisations Influencing the especially as it relates to identification of development of strengths, needs & support for families. public policy
    5. 5. Developing personal skillsand knowledge
    6. 6. Developing locallysupportive environments
    7. 7. Supporting community actionInclusion of People recovering from mental illness and those that care for them (including young people)in the development ofguidelines, information, and workforcedevelopment resources within the COPMInational initiative
    8. 8. Reorientation of Services:Sustainable systems change Children of Parents with a Mental illness. Systems Change in Australia Report Owen Educational Consultancy
    9. 9. Developing Quality Resources
    10. 10. Family Focus: Prevention in PracticeCOPMI national initiativeFunded by Department of Health and Ageing in 2010-2012 to develop: DVD – for families where a parent has depression or anxiety elearning resource – to train mental health clinicians in a preventive family intervention
    11. 11. Family Focus OriginsStudies on risk/resilience in COPMIBeardslee ‘Family Talk’ interventionPilot version developed in USARCT: Lecture material Vs clinician facilitated intervention (Beardslee, 2008)
    12. 12. Outcomes of Family FocusChild/Parent Family/ProfessionalChild Family Diminished internalising  increased family symptoms communication about parental Increased understanding of the mental illness parent’s illness  increased positive family increased recognition and interactions treatment of children with  improved family functioning depression. 6 7  increased family problem-Parent/s solving regarding experiences of increased understanding of parental depression. 6 9 mental illness Mental health professional improved understanding of their  increased satisfaction and job children motivation at work felt assisted with child and illness  improved collaborative related concerns relationships with local improved outlook for the familys organisations. 2 future. 4 6 8
    13. 13. Keeping familiesand children in mind
    14. 14. Family Focus DVDChildren Observe Build parent awareness that mental illness is a family experienceChildren make sense Communicate with children about mental illness to help them make sense of what it happeningChildren respond Support parents to recognise that they can influence this response (and future outcomes)
    15. 15. Family Focus DVDParent only section Lived experience interviews Fictional storylines (promote key messages)
    16. 16. Family Focus DVDChildren’s sectionParents can show children (8-12 year olds)Starting point for communication about parent depression or anxiety
    17. 17. Family Focus: e - learning Six modules 1 Working with us Working with families Why focus on families? Prevention Determinants Risks &protective factors Your practice Mental health promotion ...etc 2 Building understanding 3 Dialogue with the child 4 Partnering with parents 5 Resilient families 6 Enabling the future
    18. 18. Family Focus intervention
    19. 19. The futureDissemination into routine practiceSkills training for primary, secondary & tertiary workforceRights agenda & legal initiativesYounger age groupsCoordinate and support evaluation & research initiativesGrowing consumer leadershipMarketing strategies (especially to rural areas)
    20. 20. The future (continued)Key partnerships AOD Physical illness Child protection IncarcerationCollaborations Professional Academic Non government & government Care pathways Consumers
    21. 21. New COPMI website
    22. 22. COPMI couldn’t do what it does without input from so many people ...
    23. 23. Thank you ... Australian Government Department of Health and Ageing
    24. 24. Useful resources
    25. 25. Resources for dads
    26. 26. Challenges Impact is difficult to assess Evidence base limitations Preventive health is poorly funded Mental health is poorly funded relative to physical health Child and adolescent mental health is poorly funded relative to adult mental health (WHO, 2003)
    27. 27. The futureDissemination into routine practiceSkills training for primary, secondary & tertiary workforceRights agenda & legal initiativesYounger age groupsCoordinate and support evaluation & research initiativesGrowing consumer leadershipMarketing strategies (especially to rural areas)