Evidence map›Paper›PMID 36553932›Full record

ArticleHealthcare (Basel, Switzerland)2022

Risks and Barriers in Substitute Care for the Children of Parents with Serious Mental Illness: A Mixed-Method Study in Kerala, India.

Saju Madavanakadu Devassy, Lorane Scaria, Lynette Joubert

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2022. 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
–field-weighted citation impact, top 76% 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, 0 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

3 authors at 2 institutions in 2 countries.

Saju Madavanakadu DevassyDepartment of Social Work, Rajagiri College of Social Sciences (Autonomous), Kochi 683104, Kerala, India.ORCID 0000-0002-6188-9267
Lorane ScariaDepartment of Social Work, Rajagiri College of Social Sciences (Autonomous), Kochi 683104, Kerala, India.ORCID 0000-0002-9992-2587
Lynette JoubertDepartment of Social Work, Melbourne School of Health Sciences at the University of Melbourne, Parkville 3010, Australia.
The University of Melbourne · AURajagiri Hospital · IN

Funding

Rajagiri College of Social Sciences (Autonomous) RCSS2022/10
6 · The paper itself

Abstract

backgroundMental illness in parents impairs their parenting capability, which has a lifelong detrimental impact on their children's physical and psychological health. In the current Indian context, due to weak social security nets, family is the only plausible intervention to ensure adequate substitute child care. Therefore, this study explores various risk factors and barriers to providing substitute family care.

methodsWe used a mixed-method approach to gather information from 94 substitute family caregivers. Quantitative screening data were collected from four hospitals using a clinical data mining tool and an interview guide to gather caregiver perspectives on economic, familial, and social risks and barriers associated with caring. We used thematic analysis to consolidate the qualitative findings.

resultsMost of the substitute caregivers were females from low-income households. The study identified 11 sub-themes and 23 specific themes associated with risks and barriers to substitute care. These themes fell into four broad areas: economic, familial, school-related risks, and specific cultural and service access barriers. Focus on economic interventions is likely to result in strengthening the substitute family caregiver.

conclusionThe paradigmatic shift of treatment focus from the patient to the entire household would benefit the children just as it does the patient.

Indexed as

childrenfamily careIndiaparental mental illnessrisk factors

Identifiers

PMID36553932
PMCPMC9777689
OpenAlexW4311005459

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.