Abstract
A parent’s response to a young person’s mental illness can influence their recovery and wellbeing. Many parents devote considerable time and energy to supporting a young person experiencing mental illness and engage in numerous different practices to do so. Yet little is known about why parents use particular practices. This article explores this question through qualitative analysis of parent perspectives. Interviews with 32 parents of young people living with mental illness were analysed using constant comparative analysis. Findings suggest that parents’ choice of and ability to carry out particular practices are shaped by: their knowledge and beliefs; their personal resources and constraints; and their social and service networks. Further, parents took active measures to optimize these influences. By understanding the complexity of their own potential influence on both knowing what to do and being able to do it, health professionals can better enable parents to support young adults experiencing mental illness.
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References
Addington, J., van Mastrigt, S., Hutchinson, J., & Addington, D. (2002). Pathways to care: Help seeking behaviour in first episode psychosis. Acta Psychiatrica Scandinavica, 106(5), 358–364. doi:10.1034/j.1600-0447.2002.02004.x.
Australian Government Office for Youth. (2009). State of Australia’s young people. Canberra: Commonweatlh of Australia.
Australian Institute of Health and Welfare. (2011). Young Australians: Their health and wellbeing 2011. Canberra: Author.
Berrington, A., Stone, J., & Falkingham, J. (2009). The changing living arrangements of young adults in the UK. London: Office for National Statistics.
Boulter, E., & Rickwood, D. J. (2013). Parents’ experience of seeking help for children with mental health problems. Advances in Mental Health, 11(2), 131–142.
Butzlaff, R. L., & Hooley, J. M. (1998). Expressed emotion and psychiatric relapse: A meta-analysis. Archives of General Psychiatry, 55(6), 547–552. doi:10.1001/archpsyc.55.6.547.
Carpentier, N., Lessage, A., & White, D. (1999). Family influence on the first stages of the tragectory of patients diagnosed with severe psychiatric disorders. Family Relations, 48(4), 397–403.
Cleary, M., Freeman, A., & Walter, G. (2006). Carer participation in mental health service delivery. International Journal of Mental Health Nursing, 15(3), 189–194.
Commonwealth of Australia. (2009). National mental health policy 2008. Canberra: Commonwealth of Australia.
de Haan, L., Peters, B., Dingemans, P., Wouters, L., & Linszen, D. (2002). Attitudes of patients toward the first psychotic episode and the start of treatment. Schizophrenia Bulletin, 28(3), 431–442.
Department of Health. (2010). National standards for mental health services 2010. Canberra: Commonwealth of Australia.
Department of Health. (2011). No health without mental health: A cross-government mental health outcomes strategy for people of all ages. London: HMG.
Diamond, G., & Josephson, A. (2005). Family-based treatment research: A 10-year update. Journal of the American Academy of Child Psychiatry, 44(9), 872–887. doi:10.1097/01.chi.0000169010.96783.4e.
Glaser, B. G. (1978). Theoretical sensitivity: Advances in the methodology of grounded theory. Mill Valley: The Sociology Press.
Glaser, B. G. (1992). Basics of grounded theory analysis. Mill Valley: Sociology Press.
Glaser, B. C., & Strauss, A. L. (1969). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine.
Honey, A., Alchin, S. A., & Hancock, N. (2014). Promoting mental health and well-being for a young person with a mental illness: Parent occupations. Australian Occupational Therapy Journal, 61(3), 194–203.
Honey, A., Boughtwood, D., Clarke, S., Halse, C., Kohn, M., & Madden, S. (2008). Support for parents of children with anorexia: What parents want. Eating Disorders: The Journal of Treatment & Prevention, 16(1), 40–51.
Honey, A., Fraser, V., Llewellyn, G., Hazel, P., & Clark, S. (2013). Parental influence on the illness-related behavior of young people with mental illness: Young people's perceptions. Advances in Mental Health, 12(1), 63–74.
Jorm, A. F., Wright, A., & Morgan, A. J. (2007). Beliefs about appropriate first aid for young people with mental disorders: Findings from an Australian national survey of youth and parents. Early Intervention in Psychiatry, 1(1), 61–70.
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & Ustün, T. B. (2007). Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry, 20(4), 359–364. doi:10.1097/YCO.0b013e32816ebc8c.
Lock, J., Agras, W. S., Bryson, S., & Kraemer, H. (2005). A comparison of short- and long-term family therapy for adolescent anorexia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 632–639. doi:10.1097/01.chi.0000161647.82775.
Lu, & Honey. (submitted). Young people with mental illness: Managing parental involvement.
Lucksted, A., McFarlane, W., Downing, D., Dixon, L., & Adams, C. (2012). Recent developments in family psychoeducation as an evidence-based practice. Journal of Marital and Family Therapy, 38(1), 101–121. doi:10.1111/j.1752-0606.2011.00256.x.
McFarlane, W. R., & Cook, W. L. (2007). Family expressed emotion prior to onset of psychosis. Family Process, 46(2), 185–197. doi:10.1111/j.1545-5300.2007.00203.x.
McFarlane, W. R., Dixon, L., Lukens, E., & Lucksted, A. (2003). Family psychoeducation and schizophrenia: A review of the literature. Journal of Marital and Family Therapy, 29(2), 223–245. doi:10.1111/j.1752-0606.2003.tb01202.x.
Mental Health Council of Australia. (2012). Recognition and respect: Mental health carers report 2012. Sydney: MHCA.
Milliken, P. J., & Northcott, H. C. (2003). Redefining parental identity: Caregiving and schizophrenia. Qualitative Health Research, 13(1), 100–113.
Milliken, P. J., & Rodney, P. A. (2003). Parents as caregivers for children with schizophrenia: Moral dilemmas and moral agency. Issues in Mental Health Nursing, 24(8), 757–773. doi:10.1080/01612840390228031.
Minichiello, V., Fulton, G., & Sullivan, G. (1999). Posing qualitative research questions. In V. Minichiello, G. Sullivan, G. Greenwood, & R. Axford (Eds.), Handbook for research methods in health sciences (pp. 36–56). Sydney: Addison Wesley Longman.
Norman, R. M., Malla, A. K., Manchanda, R., Harricharan, R., Takhar, J., & Northcott, S. (2005). Social support and three-year symptom and admission outcomes for first episode psychosis. Schizophrenia Research, 80(2–3), 227–234. doi:10.1016/j.schres.2005.05.006.
Patton, M. Q. (2001). Qualitative research and evaluation methods (2nd ed.). Thousand oaks, CA: Sage.
Ramon, S., Shera, W., Healy, B., Lachman, M., & Renouf, N. (2009). The rediscovered concept of recovery in mental illness: A multicountry comparison of policy and practice. International Journal of Mental Health Nursing, 38(2), 106–126. doi:10.2753/IMH0020-7411380205.
Reavley, N. J., & Jorm, A. F. (2012). Public recognition of mental disorders and beliefs about treatment: Changes in Australia over 16 years. British Journal of Psychiatry, 200(5), 419–425.
Schizophrenia Fellowship, NSW. (2010). Turning Points: Inspirational stories of families living with schizophrenia and practical advice for carers. Retrieved 2 July 2012, from http://www.sfnsw.org.au/Awareness-and-Education/AE-Publications/default.aspx
Schreiber, R. S., & Stern, P. N. (2001). Using grounded theory in nursing. New York: Springer.
Shankar, J., & Muthuswamy, S. S. (2007). Support needs of family caregivers of people who experience mental illness, and the role of mental health services. Families in Society, 88(2), 302–310.
Sin, J., Moone, N., & Wellman, N. (2005). Developing services for the carers of young adults with early-onset psychosis: Listening to their experiences and needs. Journal of Psychiatric and Mental Health Nursing, 12(5), 589–597. doi:10.1111/j.1365-2850.2005.00883.x.
Stice, E., Ragan, J., & Randall, P. (2004). Prospective relations between social support and depression: Differential direction of effects for parent and peer support? Journal of Abnormal Psychology, 113(1), 155–159. doi:10.1037/0021-843X.113.1.155.
Tambuyzer, E., & Van Audenhove, C. (2013). Service user and family carer involvement in mental health care: Divergent views. Community Mental Health Journal, 49(6), 675–685.
Truman, C. (2005). The autonomy of professionals and the involvement of patients and families. Current Opinion in Psychiatry, 18(5), 572–575.
United States Census Bureau. (2011). More young adults are living in their parents’ home. Retrieved 20 June 2012, from http://www.census.gov/newsroom/releases/archives/families_households/cb11-183.html.
Yap, M. B., & Jorm, A. F. (2012). Parents’ beliefs about actions they can take to prevent depressive disorders in young people: Results from an Australian national survey. Epidemiology and Psychiatric Sciences, 21, 117–123. doi:10.1017/S2405796011000667.
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Honey, A., Chesterman, S., Hancock, N. et al. Knowing What to Do and Being Able to Do It: Influences on Parent Choice and Use of Practices to Support Young People Living with Mental Illness. Community Ment Health J 51, 841–851 (2015). https://doi.org/10.1007/s10597-015-9864-6
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DOI: https://doi.org/10.1007/s10597-015-9864-6