Hanze University Department of Rehabilitation Parenting with success and satisfaction A research based program for parents with psychiatric disabilities

Hanze UniversityDepartment of Rehabilitation

Parenting with success and satisfaction

A research based program for parents with psychiatric disabilities


Peter van der Ende, MSc ( Ph.D)(Researcher/psychologist)

Department or RehabilitationHanze University of applied sciences

GroningenSchool of Social StudiesSchool of Nursing

The Netherlands


website

www.ouderschap-psychiatrie.nl


Subjects

• 1. The Netherlands vs USA

• 2. Parenting and psychiatric disabilities

• 3. The project – Assessment of needs research– Program

• 4. Exercise


1Comparison The Netherlands-USA

• United States 290 millon inhabitants

• The Netherlands 16 million inhabitants The state Florida has the same population in an area 4

times larger

New Hampshire and Massachussets

The Netherlands

Area




2. Parenting and psychiatric disabilities


Psychiatric Rehabilitation

To help persons with psychiatric disabilities increase their functioning so they can be successful and satisfied in the environments of their choice with the least amount of ongoing professional intervention" (Anthony et al, 2001).


Background

• Living in community

• Parents with psychiatric disabilities are in many cases single

• Low income / struggle for life

• High barrier for using services


Balance

Own life Parenting

+ enhanced

vulnerability


Evaluation research

Training forproviders

Program develop-mentNeed

assessmentResearch(N=47)

Literature research

3. Project


Research question

What needs for support have parents with psychiatric disabilities?


Questionnaire Scale for Satisfaction in the parent role

(Cronbach’s α=.79)

Four factors in scale

• Giving emotional support and warmth

• Stimulating child’s development

• Listening to child’s needs

• Organizing and guiding activities


-more topics-

• Making a balance between parenthood

and own needs

• Improving the communication with the child


-questionnaire continued-

After each part:

• Resources

• Need for a change

• Need for support


Research sample (N=47)

Selected sample

• Female 87%

• Living without partner 61%

• Independent living 74%


Conclusions

• This whole group has contact with mental health institutions

• 94% (N=47) of this group are satisfied with the quantity of care

• But half of the group want different help around parenthood– Support in the relationship with the child– Starting a conversation about ones problems– Educational and legal support


more conclusions

Needs related to the disabilities:– Handling discrimination and stigma, for self

and child– Support with mourning (loss of possibilities)

• 70% have needs to change (in several fields)


Advices

• Teach the program for parents in all kind of institutions

• Improve communication about own problems with children (Nicholson et. al. 2001)

• Make a plan for the support of children when psychiatric problems increase

• Organize small meeting groups for parents


Program ‘Parenting with success and satisfaction’

©Marrie Venderink and Peter van der Ende

For parents with psychiatric disabilities


I The actual functioning in the parent role

IIa Strengthening the parent role

IIb Take back/broadening the parent role


Topics for the development

• Join the existing programs

• Autonomy, possibilities for selfactualisation

• Combining parent role with other roles

• Empowerment

• Communication with environment


Characteristics

• Based on Psychiatric Rehabilitation (Boston- Appraoch)

(Choose-Get)- Keep

• Consumer and provider in individual meetings or parents in groups

• Parts are self-help

• Selfcontrol

• Duration ½ to 1 ½ year


I “The actual functioning in the parent role”

• Who am I and who is my child?

• With what am I satisfied and where am I succesful?

• Division between time to spend and attention for the child

• Support, self confidence and expectations Appropiate next steps


IIa. “Strengthen the parent role”

• Who put demands on this parent?

• What asks the parent role from this parent?

• Who gives support?

• Chosing for solutions

• Tune with environment

• Stay satisfied and keep the succes


IIb“ Take back the parent role”

• Parents’ needs

• Possible activities

• Who have demands and what kind

• Who supports

• Tune with environment


• [email protected]

• Websites:www.ouderschap-psychiatrie.nl

www.kopopouders.nl/

home.planet.nl/~pcvanderende


4. Exercise

Documents

Hanze University Department of Rehabilitation Parenting with success and satisfaction A research based program for parents with psychiatric disabilities