Graduate School of Health, University of Technology Sydney, Ultimo, Australia.
Disabil Rehabil. 2020 Aug;42(16):2311-2317. doi: 10.1080/09638288.2018.1558460. Epub 2019 Jan 29.
Parents of children with intellectual disability often experience heightened levels of psychological distress compared to parents of typically developing children due to increased parenting demands. Given these demands, parents may also have difficulty accessing mental health treatment for themselves. This research investigated whether parents of children with intellectual disability experience barriers in accessing mental health treatment for themselves related to the increased parenting demands of having a child with an intellectual disability. 80 parents of children with intellectual disability were surveyed about barriers to accessing mental health treatment for themselves and interest in an e-treatment. Parents who experienced mental health difficulties were more likely to experience barriers in accessing treatment. For parents who had experienced mental health difficulties, cost, arranging childcare, and availability of providers were significant barriers to accessing treatment. Older participants were less likely to report cost as a barrier. Participants with higher incomes were less likely to report work scheduling as a barrier. Participants reported interest in an e-treatment, with younger participants more likely to express interest. These preliminary findings suggest that parents of children with intellectual disability experience barriers to accessing treatment. Research directions include developing e-treatments for these carers.Implications for rehabilitationHaving a child with an intellectual disability is associated with increased parenting demands, and significant stress for parentsThe results of this survey suggest that for parents who are experiencing mental health difficulties, cost, arranging childcare and availability of providers may act as barriers to accessing treatment for their own mental health concernsRehabilitation professionals can assist parents in addressing these barriers and encourage parents to seek treatment for themselves by offering flexibility in appointment times, reduced cost services and options for childcareAccessible and affordable treatment options, such as e-treatments may further assist these parents in accessing care for themselves.
与发育正常的儿童的父母相比,智力残疾儿童的父母通常会经历更高水平的心理困扰,这是由于育儿需求的增加所致。由于这些需求,父母可能也难以为自己获得心理健康治疗。这项研究调查了智力残疾儿童的父母在为自己获得心理健康治疗方面是否会遇到障碍,这些障碍与照顾残疾儿童的育儿需求增加有关。80 名智力残疾儿童的父母接受了关于他们为自己获得心理健康治疗的障碍以及对电子治疗的兴趣的调查。有心理健康问题的父母更有可能在获得治疗方面遇到障碍。对于有心理健康问题的父母来说,治疗费用、安排儿童保育和提供服务的可用性是获得治疗的重大障碍。年长的参与者不太可能将费用视为障碍。收入较高的参与者不太可能将工作安排列为障碍。参与者对电子治疗表示有兴趣,年轻的参与者更有可能表示有兴趣。这些初步发现表明,智力残疾儿童的父母在获得治疗方面存在障碍。研究方向包括为这些照顾者开发电子治疗方法。
康复意义
有一个智力残疾的孩子会增加育儿需求,给父母带来很大的压力。
这项调查的结果表明,对于那些有心理健康问题的父母来说,费用、安排儿童保育和服务提供者的可用性可能会成为他们寻求自己心理健康问题治疗的障碍。康复专业人员可以通过提供灵活的预约时间、降低成本的服务和儿童保育选择,帮助父母解决这些障碍,并鼓励他们为自己寻求治疗。可及且负担得起的治疗选择,如电子治疗,可以进一步帮助这些父母为自己获得护理。