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RESEARCH
This
page contains links to relevant research. Links are arranged by
date of report on the topic of parents with psychiatric disabilities.
If you have information on relevant research that is not listed,
please e-mail Lorraine McMullin
with your information. Thank you.
Latest
Research
Building
on Practice-Based Evidence: Using Expert Perspectives to Define
the Wraparound Process: Janet
S. Walker, Ph.D. and Eric J. Bruns, Ph.D. in Psychiatric Services,
57:1579-1585, November 2006
In order to expand the research base on effective community-based
mental health treatments, methods are needed to define and evaluate
promising interventions that have not been systematically developed
and tested. In this report, the authors describe the results of
an effort to better define the wraparound process for children
and adolescents with serious emotional and behavioral problems.
http://psychservices.psychiatryonline.org
/cgi/
content/abstract/57/11/1579
Treating
Mother's Depression Can Have Benefits for Children: Children
whose mothers have depression are less likely to develop either
depression or anxiety disorders if their mothers receive effective
treatment for depression, a study in the Journal of the
American Medication Association indicates. Although the
development of depression has a strong genetic component, the
researchers note that it often takes an environmental influence
to trigger the onset of the disorder. Such a trigger may often
be mothers' attempts to cope with their own disorder. (Intelihealth/The
Associated Press, 3/21/06)
Depression
drugs given to pregnant mothers may affect newborn babies –
Infants withdraw from SSRIs: A new study, published in the
Archives of Pediatrics and Adolescent Medicine, addresses
concerns for women taking Serotonin Reuptake Inhibitors (SSRIs)
while pregnant. The researchers examined 120 babies born in 2002
- 2004 in Israel. Half of them were exposed to SSRIs. Researchers
found that 18 of the exposed infants (30%) had “neonatal
abstinence syndrome”. While none of these infants required
treatment, their symptoms included tremors, gastrointestinal problems,
an abnormal increase in muscle tone, sleep disturbances and high-pitched
cries. None of the infants that were not exposed to SSRIs had
the syndrome. The authors recommend that doctors should prescribe
the “minimum dose and number of drugs that would be effective”
for the mother’s condition.
Read original
article (Best Syndication, Feb. 6, 2006)
“The
Consequences of Official Labels: An Examination of the Rights
Lost by the Mentally Ill and Mentally Incompetent Ten Years Later.”
By Craig Hemmens, J.D., Ph.D.; Milo Miller; Ph.D., Velmer S. Burton
Jr., Ph.D.; Susan Milner, J.D. in Community Mental Health Journal,
Vol. 38, No. 2, April 2002.
This study presents a survey of state statutes which restrict
the civil rights of persons who also have mental illness or who
have been declared mentally incompetent. Five civil rights (jury
service, voting, holding public office, marriage, and parenting)
are examined. The results of the 1999 study are compared with
the results of a 1989 study, to reveal any trends in the restriction
of the civil rights of those suffering from mental problems. This
comparison reveals that states continue to restrict the rights
of this group, and that there is a trend toward increased restriction
of the familial rights of marriage and parenting.
“Invisible
Children's Project: A Family – Centered Intervention for
Parents with Mental illness” April 15, 2002.
The Federal Office of Policy, Planning, and Administration concluded
a policy study on the nationally recognized Invisible Children's
Project in Orange County, NY. This program, which provides home-based,
family-centered case management services, is one of few programs
available to meet the needs of parents and children in families
with a parent who has a mental illness. The project came about
as a result of the need to learn more about what is helpful for
families and what is effective with respect to enhancing family,
family member functioning, and quality of life. It was founded
upon the assumption that mental illness does not preclude good
parenting and that all parents want to be the best parents they
can be. The final report provides an evaluation of the project
as it affects families with a history of child welfare involvement.
The evaluation concluded that parents with mental illness and
their children who received family-centered case management services
through the project showed improvement across multiple outcomes.
Department of Social Services workers stated unequivocally that
children were returned home, or maintained in the home, as a direct
result of project involvement. While service costs increased for
some families, benefits were significant. Parent and agency goals
were achieved, and expensive, disruptive, and potentially damaging
out-of-home placements, such as hospitalization and residential
care or foster care, were avoided. For more information about
the report, contact Judith Katz-Leavy, CMHS senior policy analyst,
at 301-594-2707 or by e-mail at jkatz@samhsa.gov.
http://www.mentalhealth.org/publications/allpubs/KEN02-0130/page4.asp
“Summit
On Women and Depression” April, 2002.
The American Psychological Association (APA) convened this Summit
as a follow up to its first Task Force on Women and Depression
meeting that reviewed the knowledge base on this topic. The Summit
held on October 5-7, 2000) brought together internationally renowned
experts from a variety of disciplines to present current findings
on women and depression, and to make recommendations on how these
findings can be incorporated into practice. The Summit also sought
to generate a targeted research agenda and add to a comprehensive
understanding of this topic. This report does include a look into
depression of mothers with children. Its findings suggest that
a great deal more research is needed in this and many other areas.
You can find the 58-page report at http://www.apa.org/pi/wpo/women&depression.pdf
“Steps
Toward Evidence-based Practices for Parents With Mental Illness
and Their Families” March 15, 2002.
The Federal Office of Policy, Planning, and Administration has
concluded a policy study. The project came about as a result of
the need to develop an empirically supported evidence base before
conclusions could be drawn about practices for parents with mental
illness and their families. The project goal was to take the next
steps toward determining evidence-based practices for parents
with mental illness and their families by identifying and systematically
describing existing interventions. Data were reported from two
studies. The combined data from the two studies were used to identify
core program components, key ingredients, and relevant outcomes.
The project concluded that the rigorous evaluation of programs
for parents with mental illness will only be possible when the
necessary resources and technical assistance are provided to support
the standardization and manualization of current interventions.
This will require identifying or developing methods and tools
that reflect participant and program goals and theories of change,
capture program process and fidelity, and objectively measure
meaningful outcomes related to adult, child, parent, and family
functioning. To find the entire report go to the following website:
http://www.mentalhealth.org/publications/allpubs/KEN02-0133/ack.asp.
“Critical
Issues for Parents with Mental Illness and their Families”
July 30, 2001.
This resport was created through a Center for Mental Health Services
Research Grant to the Department of Psychiatry at the University
of Massachusetts Medical School. It integrates the available knowledge
regarding parents with mental illness and their families. It provides
an extensive overview of the scope of the issue. Sections of the
report include: The Experiences of Parents with Mental Illness,
Service Needs and Barriers, Child Outcomes, Policy Implications
and What We Can Learn From Other Systems and Fields, Programs
for Parents with Mental Illness and their Families, and Steps
for Stakeholders: A Consumer-Researcher's Perspective and more.
The full report can be found at http://www.mentalhealth.org/publications/allpubs/ken-01-0109/default.asp.
The lead researcher was Joanne Nicholson, Ph.D.
“Children
of Parents Affected by Mental Illness Scoping Project”
March 2001, Published by the Australian Infant, Child, Adolescent
and Family Mental Health Association.
This report can be found at: http://www.aicafmha.net.au/projects/intro.htm
This study draws together theoretical information and reports
on the current situation in Australia. The report offers a comprehensive
listing of programs across Australia and makes a listing of issues
and recommendations.
“Parenting
Among Mothers With a Serious Mental Illness” July 2000
Volume 70 No. 3, American Journal of Orthopsychiatry. By
Daphna Oyserman, Ph.D., Carol T. Mowbray, Ph.D., Paula Allen Meares,
Ph.D., Kirsten B. Firminger, B.A.
In the past few decades, deinstitutionalization and community-based
rehabilitation and support programs have increased the likelihood
that women with serious mental disorders will be parents and will
raise their children. This review describes what is known about
the parenting of these women, focusing on diagnosis, child characteristics,
and other contextual effects.
“Depression in Women: Issue Summary 4 ” 1998,
Author(s): O'Campo, P., Ruderman, M., Health and Human Services
Administration, Health Resources and Services Administration.
This booklet highlights policy and program areas that need to
be addressed to ensure improvement in health care and services
related to perinatal and women's health. Focuses on the risk factors
for depression in women. This 5 page report can be ordered online
at http://www.ask.hrsa.gov/detail.cfm?id=MCHK152
or by telephone 1-888-ASKHRSA (275-4772). HRSA offers publications,
resources, and referrals on health care services for low-income,
uninsured individuals and those with special health care needs.
Treatment of Depression During Pregnancy a listing of professional
journal articles, research and links can be found at http://www.pregnancyanddepression.com.
For
further information, contact Lorraine McMullin at MHANYS at (518)
434-0439 ext. 211, or e-mail pwpd@mhanys.org