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Use of structured clinical documentation to identify patients' parental concerns and their childrens' wellbeing

Georgios Liangas1, Adrian Falkov

  • 1, 1B Grose St, North Parramatta, NSW, 2151, Australia.

Community Mental Health Journal
|February 18, 2014
PubMed

Insights

Community mental health teams often manage parents with mental illness. This study found that documentation of children's needs and safety in these cases is inconsistent, indicating a need for systematic identification of parental status.

Area of Science:

  • Mental Health Services Research
  • Child Welfare
  • Clinical Documentation Auditing

Background:

  • Children of parents with mental illness face elevated risks for adverse health and functional outcomes.
  • Current understanding of how community mental health staff identify and document these risks is limited.

Purpose of the Study:

  • To examine the recording of children's needs and safety by case managers for parents with mental illness.
  • To assess the use of New South Wales' Mental Health Structured Clinical Documentation in identifying parental status.

Main Methods:

  • A file audit of 280 parental case files within community mental health services.
  • Analysis of recorded information on children's needs and safety within structured clinical documentation.

Main Results:

  • Parenting issues represent a significant workload for community mental health teams.
  • Inconsistent identification and documentation of children's needs and safety were observed.

Conclusions:

  • There is a critical need for systematic identification and documentation of parental status in mental health patients.
  • Improved documentation practices are essential to address the risks faced by children of parents with mental illness.

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