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Parents with mental illness may experience disruptions in their relationship with their child, social isolation, disadvantage, and the effects of stigma. The emotional sensitivity and responsiveness of a parent is usually a key factor in outcomes for the child. Parental substance dependence in particular considerably increases the risk of poor outcome for the children.

Many adult mental health service providers do not, or have only recently begun to, record whether their clients have children. Child and adolescent mental health services CAMHS and service providers similarly have low rates of reliably recording whether their clients have parents with a mental illness and how their needs are addressed Gatsou et al, Careful assessment and consideration of treatment options for the offspring of parents with a mental illness is required. In addition to those children living with a parent with mental illness, there are some children who are separated from their parents while they receive mental health inpatient treatment.

In the case of children who have a parent detained in a secure mental health facility, such separation can be prolonged.

NEED FOR CLINICAL PRACTICE GUIDELINES

Children of parents with mental illness have an increased risk of adverse developmental outcomes and mental health problems. The impact on the mental health of the child is determined by a complex interplay of genetic and environmental factors. Risk factors can be bidirectional. Research highlights the importance of communication about parental mental illness with children. New Zealand Government.

Child and Adolescent Mental Health Services (CAMHS and ICAFS)

Ministry of Health, New Zealand. Supporting Parents, Healthy Children. American Academy of Child and Adolescent Psychiatry. Children of parents with mental illness. Facts for Families.

Beardslee W, Podoresfsky D Resilient adolescents whose parents have serious effective and other psychiatric disorders: Importance of self-understanding and relationships. Reiss D Parents and children: linked by psychopathology but not by clinical care.

Rutter M Commentary: Some focus and process considerations regarding effects of parental depression on children. Siegenthaler E, Munder T, Egger M Effect of preventative interventions in mentally ill parents on the mental health of offspring: Systemic review and meta analysis. South Island Alliance In-depth topic: Children of parents with mental illness and alcohol and other addictions.

Swartz H, Frank E, Zuckoff A Brief interpersonal psychotherapy for depressed mothers whose children are receiving psychiatric treatment. A Literature Review.

Guide Forensic Mental Health Assessment of Children and Adolescents

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