International Journal of Humanities and Social Science Invention (IJHSSI)
Invisible Lives of Children with Parents Struggling with Mental Illness
1. INVISIBLE LIVES
Shining light on the
Children of Parents with
Mental Illness and
Addiction in New Zealand
brontë jefferies brontejefferies@gmail.com
2. HOW DO CHILDREN EXPERIENCE PARENTAL MENTAL ILLNESS
AND ADDICTION IN THEIR DAY-TO-DAY LIVES?
WHY THEY ARE SO INVISIBLE IN RESEARCH AND SERVICE
PROVISIONS?
RESEARCH QUESTIONS:
3. 1 IN 5 FAMILIES HAVE A PARENT WITH
MENTAL ILLNESS
50% OF PEOPLE WITH MENTAL ILLNESS
ARE PARENTS
THESE NUMBERS ARE UNDERESTIMATED!
IT CAN “AFFECT ALMOST EVERY ASPECT
OF [A] CHILD[‘S] DEVELOPMENT”.
THE PREVALENCE OF PARENTAL MENTAL ILLNESS
5. INVISIBLE LIVES, BUT WHY?
MEDICALISATION
BIOMEDICALISED IDENTITIES
CULTURAL UNDERSTANDINGS OF CHILDREN
STIGMA OF MENTAL ILLNESS
NO COLLABORATION BETWEEN SOCIAL AND
MEDICAL PROVIDERS
LIMITED RESOURCES AND FUNDING FOR
PROGRAMMES
7. GOOD DAYS
• WHEN THE PARENT IS “DOING
WELL”, THE CHILDREN “FEEL
HAPPY”.
• PARENTS WILL “READ THEM
STORIES, PLAY GAMES, HELP
WITH HOMEWORK AND ASK
ABOUT SCHOOL”, AND “DO THE
DISHES”.
• CHILDREN WORRY LESS AND
RELAX MORE
8. BAD DAYS
ON “BAD DAYS” PARENTS CAN
BECOME WITHDRAWN, “YELL”,
“GET ANGRY”, OR “CRY ALL THE
TIME”
MANY CHILDREN ASSUME THEIR
PARENT’S ROLE BY “DOING JOBS
AT HOME”.
9.
10. THE FAMILY SECRET: NEGATIVE IDEAS
OF MENTAL ILLNESS HURT
“I THINK IT IS SOMETHING THAT OTHER PEOPLE THINK BAD ABOUT”
“THE WORSE THING IS, ACTUALLY, IS OTHER PEOPLES REACTIONS”
EXCLUSION
OTHERING
SHAMING
STIGMA
DISCRIMINATION
LABELLING
11. INDIRECT HARDSHIPS:
THE BIG PROBLEMS
SOCIAL MARGINALIZATION
UNEMPLOYMENT
LOW INCOME
POOR HOUSING
DISCRIMINATION
SOLO PARENTING
LACK OF SOCIAL SUPPORT
12. COPMIA WORKSHOP IN
TARANAKI
“IN MENTAL HEALTH, AH THE FOCUS IS
ON THE ADULT, NOT ON THE CHILD, IT
MIGHT BE TO DO WITH THE PARTNER,
BUT NOT THE CHILD. IN MY
EXPERIENCE…. THE CHILD IS NOT
LOOKED AT…
AT ALL”.
ROLLER, PERINATAL AND INFANT
MENTAL HEALTH SOCIAL WORKER,
2014.
13. COPMIA WORKSHOP
IN TARANAKI
• “THERE IS A TREMENDOUS GAP IN THE COMMUNITY IN
SUPPORT AND HELP WITH LITTLE ONES IN THIS AREA
AND AH HALF OF MY TIME IS SPENT IN ADVOCACY. AND
THAT IS PERSISTENT ADVOCACY, TO TRY AND GET SOME
SORT OF HELP FOR THESE CHILDREN” (LOWE, 2014).
• “SERVICES WORKERS FEEL THE NEED TO GO OUTSIDE
THEIR ROLE TO LOOK AFTER THESE KIDS, BECAUSE
THERE’S NOBODY UM WHO’S MEETING THEIR NEEDS”
(MUNRO, 2014).
• “WHEN WE WERE DOING THE NEEDS ASSESSMENT WE
WOULD IDENTIFY AND MENTION THE CHILDREN, BUT
THEIR NEEDS WERE NEVER TAKEN INTO ACCOUNT”
(TENNEJ, 2014).
14. “THEY’RE FALLING THROUGH THE
GAP AND BECAUSE THEY’RE
FALLING THROUGH THE GAP,
•IT EFFECTS THEIR EDUCATION;
• IT AFFECTS HOW THEY
SOCIALIZE;
•IT EFFECTS THE WHANAU;
IT EFFECTS EVERY ASPECT OF
THEIR LIVES”
(Lowe, Social worker in schools, August 2014).
15. PARENTIFIED CHILDREN
“THEY FEEL A TREMENDOUS SENSE OF
RESPONSIBILITY TOWARDS THEIR PARENT, WHO MAY
WELL BE IN HOSPITAL, THEY [CAN] START TO LIE, TO
DECEIVE FOR THEM, AND THEY START TO TAKE ON
RESPONSIBILITY. THE ISSUE HERE IS HUGE” (LOWE,
2014).
“THEY BECOME RESPONSIBLE FOR THEIR PARENTS,
SIBLINGS, AND OR, BOTH” (BONES, 2014).
16. “THEY DON’T WANT THEIR PARENTS TO GET INTO
TROUBLE BECAUSE THEY’RE SCARED THEY’RE GOING TO
BE REMOVED” (TENNEJ, 2014).
SLIENCED
FEAR
17. OUR CONCLUSIONS
1.
CHILDREN OF PARENTS WITH
MENTAL ILLNESS OR ADDICTION
FACE SIGNIFICANT “STRUGGLES”
IN CHILDHOOD.
THEY ARE “FALLING THROUGH THE
GAP”, AND “THEY NEED SUPPORT
NOWAND THEY NEED HELP NOW”.
18. 2.
THERE IS A “TREMENDOUS GAP”
IN SUPPORT FOR THESE
CHILDREN AND THERE NEEDS
TO BE MUCH MORE DONE FOR
COPMIA FAMILIES TODAY.
19. 3.
IN THE FUTURE SUPPORTIVE
AND PRACTICAL INITIATIVES
THAT SHOULD BE DEVELOPED
INCLUDE PEER SUPPORT
GROUPS FOR SCHOOL
CHILDREN, AND AFTER
SCHOOL AND HOLIDAY
PROGRAMMES ARE THAT FUN
AND ‘MANA ENHANCING’.
20. MOVING FORWARD
•OPEN DIALOGUE
•THINK PARENT, THINK CHILD, THINK
FAMILY
•CHALLENGE STIGMA
•POLICY CHANGE
•RESEARCH
•PEER SUPPORT GROUPS
•COPMIA DEVELOPED CHECKLIST
21. A SIMPLE CHECKLIST
1. Introduce yourself. Tell us who you are. What your job is.
2. Give us as much information as you can.
3. Tell us what is wrong with our Mum or Dad.
4. Tell us what is going to happen next.
5. Talk to us and listen to us. Remember it is not hard to speak to us. We are not aliens.
6. Ask us what we know, and what we think. We live with our mum or dad. We know how they have been
behaving.
7. Tell us it is not our fault. We can feel really guilty if our mum or dad is ill. We need to know we are not to
blame.
8. Please don’t ignore us. Remember we are part of the family and we live there too!
9. Keep on talking to us and keeping us informed. We need to know what is happening.
10. Tell us if there is anyone we can talk to. MAYBE IT COULD BE YOU!
22. REFERENCES
Beardslee, W., Solantaus, T., Morgan, B., Gladstone, T. & Kowalenk, N. (2012) Preventive interventions for children of parents with depression: International
perspectives. MJA Open 1(1), 23-28.
Blanch, A., K., Nicholson, J. & Purcell, J. (1994). Parents with severe mental illness and their children: The need for human services integration. Journal of
Mental Health Administration, 21, 388-398
Bones, C. (2014, August) COPMIA workshop Taranaki. New Zealand
Darlington, Y., &. Feeney, J. (2008). Collaboration between mental health and child protection services: Professionals' perceptions of best practice. Children
and Youth Services Review, 30, 187–198.
Gladstone, B., Boydell, K., Seeman, M., & McKeever, P. (2011). Children’s experiences of parental mental illness: A literature review. Early Intervention in
Psychiatry 5, 271-289.
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Prentice-Hall.
Gopfert, M., Webster, J., & Seeman, M. V. (1996). Parental psychiatric disorder: Distressed parents and their families. New York: Cambridge University Press.
Hacking, I. (1986). ‘Making up people’ in Thomas C. Heller (ed.) Reconstructing individualism: Autonomy, individuality and the self in Western thought.
Stanford, California: Stanford University Press. 222-36.
Horwitz, A. (2001). Creating mental illness. Chicago: University of Chicago Press.
Jackson, C. (2008). Mental health services need to realise that patients may be parents too. Mental Health Today, 5: 16-19.
Korhonen, T., Vehviläinen-Julkunen, K. & Pietilä, A. (2010). Do nurses support the patient in his or her role as a parent in adult psychiatry? A survey of
mental health nurses in Finland. Archives of Psychiatric Nursing, 24(3), 155–167.
Lowe, E. (2014, August) COPMIA workshop Taranaki. New Zealand.
23. REFERENCES
Mackereth, S., Gopfert, M., Harrison, P., & Mahoney, S. (1999). Keeping the family in mind: Participative research into mental ill-health and how it affects
the whole family. North Mersey Community NHS Trust, Barnado’s, and Save the Children: Liverpool
Maybery, D, Reupert, A. Patrick, K., Goodyear, M., & Crase, L. (2012). Report of children at risk in families affected by parental mental illness. Melbourne:
Victorian Health Promotion Foundation (VicHealth), Mental Health Wellbeing Unit.
Montgomery, P. (2005). Mothers with a serious mental illness: A critical review of the literature. Archives of Psychiatric Nursing, 19(5), 226-235.
Munro, O. (2014, August) COPMIA workshop Taranaki. New Zealand.
Murdoch, E., & Hall, W. (2002). Children living with a parent who has a mental illness: A critical review of the literature and research implications.
Archives of Psychiatric Nursing, XVI (5), 208-216.
Nicholson, J., Biebel, K., Hinden, B., Henry, A., & Stier, L. (2001). Critical issues for parents with mental illness and their families. Rockville, MD: Center for
Mental Health Services, Substance Abuse and Mental Health Services Administration.
Online only: http://www.vichealth.vic.gov.au/assests/contentFiles/Research_Report_COMPI.pdf
Oyserman, D., Mowbray, C. T., Allen-Meares, P., & Firminger, K. (2000). Parenting among mothers with a mental illness. American Journal of
Orthopsychiatry, 70, 296–315.
Repetti, R., Taylor, S., & Seeman, T. (2002) Risky families: Family social environments and the mental and physical health of offspring. Psychological
Bulletin, 128 (2), 330–366.
Reupert, A.; Maybery. D; & Kowalenko, N. (2012) Children whose parents have a mental illness: Prevalence, need and treatment. MJA Open, 1(1), 7–9.
Riebschleger, J. (2004). Good days and bad days: The experiences of children of a parent with a psychiatric disability. Psychiatric Rehabilitation Journal,
28(1), 25-32.
Roller, S. (2014, August) COPMIA workshop Taranaki. New Zealand.
Rose, N. (2006). The politics of life itself: Biomedicine, power, and subjectivity in the twenty-first century. Princeton, NJ: Princeton University Press
Sherman, M. (2007) Reaching out to children of parental with mental illness. Social Work Today, 7(6), 26-33.
Tennej, J. (2014, August) COPMIA workshop Taranaki. New Zealand.
Walters, E. (2010). The mega-marketing of depression in Japan, in Crazy like us: The globalisation of the American psyche. New York: Free Press. 187-248
Editor's Notes
An anthropological inquiry into would offer holistic and culturally reflexive insights into subjective experiences of children experiencing parental mental illness. An appreciation for the interconnectedness of cultural, social and political factors shaping COPMIA lives is necessary, because it is clear these experiences are shaped by social and cultural environments, personal attributes, and access to support systems.
Held on August the 22nd 2014 at Tu Tama O Wahine, a Māori health organization in New Plymouth, Taranaki, this workshop was an hour and a half long, and involved fifteen professionals from family and child wellbeing and safety initiatives. Participants selected based on their involvement and expertise on mental health and child wellbeing, and included social workers from schools; youth and child protection workers; counselors, psychotherapists, mental health and perinatal nurses; antiviolence programme facilitators, and Supporting Families in Mental Illness Taranaki, and Tu Tama O Wahine.
Held on August the 22nd 2014 at Tu Tama O Wahine, a Māori health organization in New Plymouth, Taranaki, this workshop was an hour and a half long, and involved fifteen professionals from family and child wellbeing and safety initiatives. Participants selected based on their involvement and expertise on mental health and child wellbeing, and included social workers from schools; youth and child protection workers; counselors, psychotherapists, mental health and perinatal nurses; antiviolence programme facilitators, and Supporting Families in Mental Illness Taranaki, and Tu Tama O Wahine.