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Ill and substance-abusing parents: how can the general practitioner help their children? A qualitative study
Frøydis Gullbrå1,2, Tone Smith-Sivertsen3, Guri Rortveit3,4
1Research Unit for General Practice, Uni Research Health, Bergen, Norway. froydis.gullbra@uib.no.
BMC Family Practice
|November 9, 2016
Summary
Ill parents need support in parenting and want to be seen as competent. General practitioners (GPs) should listen to parents
Area of Science:
- Family Medicine
- Pediatrics
- Psychiatry
- Public Health
Background:
- Parental severe illness, including mental health conditions and substance abuse, poses significant risks to children's well-being.
- Children of ill or substance-abusing parents are vulnerable to developing their own health problems and psychosocial difficulties.
- Healthcare systems must proactively identify and support families facing parental illness to mitigate adverse child outcomes.
Purpose of the Study:
- To identify key factors for general practitioners (GPs) to consider when interacting with parents experiencing severe illness or substance abuse.
- To enable GPs to provide effective support for children of ill and substance-abusing parents.
- To understand parental perspectives on seeking and receiving help for parenting challenges related to their health conditions.
Main Methods:
- Qualitative study employing semi-structured individual interviews with 12 parents experiencing mental illness, substance abuse, or severe somatic illness.
- Participants were recruited through general practitioner (GP) practices in Norway.
- Systematic text condensation was used for data analysis.
Main Results:
- Parents emphasized the importance of GPs understanding their family and children's situations.
- Participants desired recognition as competent parents, acknowledging their illness's impact on parenting.
- Parents expressed a need for guidance on communicating their illness to children and utilizing support services, highlighting the importance of inter-agency collaboration.
Conclusions:
- Ill parents present a dual message: a desire to be seen as responsible while needing parenting support.
- GPs should actively listen to parents' accounts of daily life and explore their specific worries and support needs.
- Effective support requires GPs to acknowledge parents' intentions while addressing their practical parenting challenges.
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