Supporting children in families affected by mental illness

This Barnardo's report "Family Minded" is based on the experiences of a number of Barnardo’s services that work with children whose lives are affected by parental mental ill-health. It is informed by the academic literature in this field. The authors explore the challenges of parental mental illness for both policy and practice, addressing mental health policy and practice in all four nations of the UK.

The report makes the following recommendations:

Improve understanding of how mental illness affects parents
- Recognise that patients are often also parents and offer opportunities to discuss concerns they have about the impact of their illness on the family.
- Provide better information about the support available to families and if needed, help to access such services.
- Offer advice and support with parenting.
- Continue to raise awareness of the stigma that can surround mental illness and how this can prevent some families from asking for help.
- A named lead professional (or key-worker) to act as the main point of contact for the family, sharing information and advocating on their behalf.

Work in partnership with children to sustain the whole family
- Offer age-appropriate information to help children understand and cope with their parent’s mental illness.
- Provide the opportunity for children to be involved in planning support for themselves and for their parents.
- Work with schools and other children’s agencies so that, if necessary, social, emotional and practical support can be given.
- Make child-friendly visiting facilities available when parents are treated as hospital in-patients.

Put services and practitioners in the best position to ‘think family’
- Develop strategic commissioning and service design which ensures that children’s and adults’ services can work together.
- Offer ongoing professional development and training that raises awareness of the needs of parents with mental illness and their children.
- Disseminate best practice about how to ‘think family’ – such as how to communicate with children.
- Professional guidance, processes and protocols must contain clear expectations about the need to take children into account when treating parents.