Evidence map›Paper›PMID 32164683›Full record

ArticleBMC health services research2020

Promoting children's health when a parent has a mental health problem: a mixed methods study of the experiences and views of health visitors and their co-workers.

Louise Condon, Timothy Driscoll, Joy Merrell, Mel Storey, Amanda Thomas, Beryl Mansel, Sherrill Snelgrove

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Louise CondonCollege of Human and Health Sciences, Swansea University, Swansea, Wales, UK. L.J.Condon@Swansea.ac.uk.
Timothy DriscollCollege Of Medicine, Swansea University, Swansea, Wales, UK.
Joy MerrellCollege of Human and Health Sciences, Swansea University, Swansea, Wales, UK.
Mel StoreyHywel Dda University Health Board, Carmarthen, Wales, UK.
Amanda ThomasCollege of Human and Health Sciences, Swansea University, Swansea, Wales, UK.
Beryl ManselCollege of Human and Health Sciences, Swansea University, Swansea, Wales, UK.
Sherrill SnelgroveCollege of Human and Health Sciences, Swansea University, Swansea, Wales, UK.
Swansea University · GBHywel Dda University Health Board · GB

Funding

General Nursing Council for England and Wales Trust 2018
6 · The paper itself

Abstract

backgroundUnrecognised and untreated parental mental illness is a major adverse childhood experience with potentially life-long consequences for health and wellbeing. In the United Kingdom (UK) health visitors provide a universal health promotion service to children aged 0-5 years, which includes safeguarding. This preventive work is highly relevant to policy aims of improving outcomes for children living with adverse childhood experiences, but is currently under researched. The aim of this study was to explore how health visitors promote young children's wellbeing when a parent has a mental health problem, and to co-produce strategies to improve child health outcomes.

methodsA mixed methods study was conducted, consisting of a cross-sectional survey and consensus workshops in Wales, UK. In phase 1 health visitors (n = 174) responded to an online questionnaire designed to explore the nature and scope of their preventive work with families experiencing mental ill health. For phase 2 providers of health and other support services (n = 38) took part in Nominal Group Technique workshops to co-produce strategies for better joint working to protect the wellbeing of children living with parental ill health.

resultsWe identified that health visitors routinely provide support to families where parents have a range of mental health problems, including severe mental illness. Most practice is focused on mothers with depression, and fewer respondents were confident about working with fathers. Unmet training needs were identified in relation to adult mental illness, particularly the impact upon children. Solutions to working more effectively with professional and voluntary agencies included raising awareness of professional roles and responsibilities, timely two-way communication, taking a strengths-based approach and maintaining a focus on the child.

conclusionsThis study provided evidence on the range of parental mental ill health encountered by health visitors and the strategies they use to protect children's wellbeing. Increasing the effectiveness of joint working is key to improving outcomes for babies and young children, including greater use of voluntary sector services. This study has implications for those who commission and provide health and welfare services for children, and adult mental health services.

Indexed as

Child HealthChild of Impaired ParentsHealth PromotionMental DisordersChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleNurses, Community HealthSurveys and QuestionnairesWalesChild healthHealth promotionMental healthMixed methods

Identifiers

PMID32164683
PMCPMC7068942
OpenAlexW3011565566

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.