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[精神障碍与育儿:成人心理健康服务面临的挑战与机遇]

[Mental Disorders and Parenting: Challenges and Opportunities for Adult Mental Health Services].

作者信息

Krumm Silvia, Söderblom Bitta, Solantaus Tytti

机构信息

Universität Ulm Klinik für Psychiatrie und Psychotherapie II am Bezirkskrankenhaus Günzburg Ludwig-Heilmeyer-Str. 2 89312 Günzburg Deutschland Universität Ulm.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2020 Sep;69(5):463-480. doi: 10.13109/prkk.2020.69.5.463.

DOI:10.13109/prkk.2020.69.5.463
PMID:32886047
Abstract

Parenting can be a key element in the psychiatric rehabilitation process, but it may come with many challenges for parents with mental health problems. Illness symptoms, together with social and sociocultural factors, can have adverse effects on family life or parenting behaviors and entail severe consequences for a child's psychosocial development. Bidirectional interactions can increase parental burden and thus worsen a parent's course of illness. This vicious circle can be broken by the provision of early and adequate support of mothers and fathers with mental health problems. Adult mental health services can make an important yet often underestimated contribution here. This article refers to parents' resources and needs and introduces both opportunities and challenges for adult mental health services when it comes to dealing with parenting needs. Mental health professionals are in a pivotal position for extending adequate support to clients on their parental needs. These professionals' skills and knowledge regarding parenting are essential for the successful implementation of family-focused practices in adult mental health services. Beyond the individual level, there is a need for policies and guidelines stipulating the integration of family and child perspectives in adult mental health services. In a broader view, a program from Finland shows how mental health professionals as well as peers can support parents and their families during the treatment process.

摘要

养育子女可能是精神疾病康复过程中的一个关键因素,但对于有心理健康问题的父母来说,这可能会带来许多挑战。疾病症状,连同社会和社会文化因素,可能会对家庭生活或养育行为产生不利影响,并给孩子的心理社会发展带来严重后果。双向互动会增加父母的负担,从而使父母的病情恶化。为有心理健康问题的父母提供早期和充分的支持可以打破这个恶性循环。成人心理健康服务在这方面可以做出重要但往往被低估的贡献。本文探讨了父母的资源和需求,并介绍了成人心理健康服务在应对养育需求时面临的机遇和挑战。心理健康专业人员在为客户提供关于养育需求的充分支持方面处于关键地位。这些专业人员关于养育子女的技能和知识对于在成人心理健康服务中成功实施以家庭为中心的做法至关重要。除了个人层面,还需要政策和指导方针来规定在成人心理健康服务中纳入家庭和儿童视角。从更广泛的角度来看,芬兰的一个项目展示了心理健康专业人员以及同伴如何在治疗过程中支持父母及其家庭。

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