Faculty of Education, Monash University, Clayton, Vic., Australia.
J Psychiatr Ment Health Nurs. 2011 Apr;18(3):257-64. doi: 10.1111/j.1365-2850.2010.01660.x. Epub 2010 Nov 22.
Parents with a mental illness experience the same parenting stressors that other parents do, and at the same time need to manage their mental illness. However, few programmes are designed for parents who have a mental illness, with older children (as opposed to interventions for mothers with infants). This study identified the common components across six programmes developed for parents with a mental illness who have older children. Australian clinicians, responsible for six parenting programmes for those with a mental illness, participated in individual, semi-structured interviews, during 2008. Programme manuals and evaluation reports were also sourced. Analyses involved thematic analysis, inter-rater reliability and respondent validation. Data were organized in three main areas: (1) programme description (format, goals, length and participants' inclusion criteria); (2) theoretical framework (including clinicians' beliefs and evidence underpinning programmes); and (3) evaluation designs and methodologies. It was found that clinicians facilitated education and support via a peer intervention model for parents with various mental illness diagnoses, responsive to the needs of parents and in a time flexible manner. At the same time, clinicians found it difficult to articulate the theoretical framework of their programmes and employed mostly simplistic evaluation strategies.
患有精神疾病的父母会经历与其他父母相同的育儿压力,同时还需要应对自身的精神疾病。然而,针对有年长子女的精神疾病父母的项目很少,而针对有婴儿的母亲的干预措施却很多。本研究确定了针对有年长子女的精神疾病父母的六个项目的共同组成部分。2008 年,澳大利亚的临床医生负责六个针对精神疾病父母的育儿项目,他们参加了个人半结构化访谈。同时还收集了项目手册和评估报告。分析包括主题分析、评分者间可靠性和受访者验证。数据分为三个主要领域:(1)项目描述(格式、目标、长度和参与者的纳入标准);(2)理论框架(包括临床医生的信念和项目的证据基础);(3)评估设计和方法。结果发现,临床医生通过针对各种精神疾病诊断的家长同伴干预模式提供教育和支持,以满足家长的需求并灵活安排时间。同时,临床医生发现很难阐明其项目的理论框架,并且主要采用简单的评估策略。