A Safe and Supportive Family Environment for Children: Key Components and Links to Child Outcomes

2014 ◽  
Author(s):  
Killian Mullan ◽  
Daryl Higgins
Author(s):  
Michael T Compton ◽  
Beth Broussard

As discussed in previous chapters, psychosis often first begins in late adolescence or young adulthood. Thus, many people who experience a first episode of psychosis live with and rely on their families for support. In addition to providing a place to live and other basic support, families are key in the recovery process because they love and care for the person with the illness and they want to help. Family members may need to provide emotional support, arrange for treatment, and find new ways to cope with the signs and symptoms of psychosis or other problems that result from the illness. Families are a very important part of the team that is necessary to properly manage psychosis. In fact, now that more effective antipsychotic medicines and psychosocial treatments are available, many people with psychosis often can receive treatment in the community and with their families rather than having extended stays in the hospital. Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively. This chapter focuses on three essential domains of a supportive family environment: reducing stress, enhancing coping, and ensuring effective communication. First, we begin by defining …Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively.… stress and the ways that the early stages of psychosis can lead to stress. We discuss three ways to reduce stress in the family as well as three related ways the family can help the patient to reduce stress. Second, we define coping and talk about the importance of coping with a stressful event, like an episode of psychosis in a family member. We offer three ways of coping effectively for family members as well as three ways that patients can practice effective coping. Third, we address the value of good communication and how the symptoms of psychosis can sometimes interfere with productive communication patterns. We then provide eight points of advice for effective communication within the family.


2016 ◽  
Vol 33 (14) ◽  
pp. 2225-2240 ◽  
Author(s):  
Antonio Prunas ◽  
Elisa Bandini ◽  
Alessandra D. Fisher ◽  
Mario Maggi ◽  
Valeria Pace ◽  
...  

The present study aims to provide an overview of experiences of discrimination, harassment, and violence in a sample of Italian transsexuals who have undergone sex-reassignment surgery (SRS). Lack of support for gender transition from family members was also assessed, before and after SRS. Data were collected in the context of a multicentric study (Milan, Florence, and Bari) on SRS outcome. Patients who underwent SRS were contacted and asked to fill out a questionnaire concerning experiences of discrimination, harassment, violence, and crime they might have experienced in previous years. Seventy-two participants took part in the research: 46 were male-to-female (MtF; 64%) and 26 were female-to-male (FtM; 36%). Thirty-six percent of the total sample (with no differences between MtF and FtM) experienced at least one episode of harassment, violence, or discrimination. The workplace was reported to be the social area with the highest risk of discrimination and harassment (22% of participants). Reports of more than one incident of discrimination, harassment, and violence characterized the majority of participants in the MtF sample. Compared with previous studies carried out in other countries, a much larger proportion of participants could count on a supportive family environment before and after transition. Our results show that Italian society at large is prejudiced against transsexuals, but at a more “micro” level, having a trans person as a family member might result in a protective and tolerant attitude.


2009 ◽  
Vol 30 (11) ◽  
pp. 1527-1555 ◽  
Author(s):  
Yongmin Sun ◽  
Yuanzhang Li

Three waves of panel data from 7,897 adolescents in the National Education Longitudinal Studies have been used to investigate whether a stabilized postdivorce family environment benefits adolescents’ academic performance trajectories. The analyses indicate that compared with peers who grow up in stable postdivorce families, children of divorce who experience additional family transitions during late adolescence make less progress in their math and social studies performance over time. Furthermore, family resource differences before and during late adolescence either partially or completely account for the less positive performance trajectories in two types of divorced families. Finally, daughters in unstable postdivorce families appear to make less academic progress over time than sons. The study illustrates the importance of incorporating both postdivorce family transitions and repeatedly measured child outcomes in the investigation of divorce effects.


2014 ◽  
Vol 49 (12) ◽  
pp. 1951-1960 ◽  
Author(s):  
Karri Silventoinen ◽  
Salla-Maarit Volanen ◽  
Eero Vuoksimaa ◽  
Richard J. Rose ◽  
Sakari Suominen ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e028760 ◽  
Author(s):  
Mary McCauley ◽  
Ayesha Rasheeda Avais ◽  
Ritu Agrawal ◽  
Shumaila Saleem ◽  
Shamsa Zafar ◽  
...  

ObjectiveTo explore what women consider health and ill health to be, in general, and during and after pregnancy. Women’s views on how to approach screening for mental ill health and social morbidities were also explored.SettingsPublic hospitals in New Delhi, India and Islamabad, Pakistan.Participants130 women attending for routine antenatal or postnatal care at the study healthcare facilities.InterventionsData collection was conducted using focus group discussions and key informant interviews. Transcribed interviews were coded by topic and grouped into categories. Thematic framework analysis identified emerging themes.ResultsWomen are aware that maternal health is multidimensional and linked to the health of the baby. Concepts of good health included: nutritious diet, ideal weight, absence of disease and a supportive family environment. Ill health consisted of physical symptoms and medical disease, stress/tension, domestic violence and alcohol abuse in the family. Reported barriers to routine enquiry regarding mental and social ill health included a small number of women’s perceptions that these issues are ‘personal’, that healthcare providers do not have the time and/or cannot provide further care, even if mental or social ill health is disclosed.ConclusionsWomen have a good understanding of the comprehensive nature of health and ill health during and after pregnancy. Women report that enquiry regarding mental and social ill health is not part of routine maternity care, but most welcome such an assessment. Healthcare providers have a duty of care to deliver respectful care that meets the health needs of women in a comprehensive, integrated, holistic manner, including mental and social care. There is a need for further research to understand how to support healthcare providers to screen for all aspects of maternal morbidity (physical, mental and social); and for healthcare providers to be enabled to provide support and evidence-based care and/or referral for women if any ill health is disclosed.


2001 ◽  
Vol 16 (4) ◽  
pp. 525-537 ◽  
Author(s):  
Shulamit Natan Ritblatt ◽  
Sarah Maury Brassert ◽  
Ronn Johnson ◽  
Francisco Gomez

2020 ◽  
pp. 105381512092290
Author(s):  
Maria Nicastri ◽  
Ilaria Giallini ◽  
Giovanni Ruoppolo ◽  
Luca Prosperini ◽  
Marco de Vincentiis ◽  
...  

Deaf children with cochlear implants (CIs) need a supportive family environment to facilitate language development. The present study was designed to assess the effects of parent training (PT) on enhancing children’s communication development. The PT was based on the “It Takes Two to Talk” model, with specific adaptations for families of deaf children. Before and after the PT, 14 participating families and matched no-treatment controls were assessed using the Parent Stress Index and Cole’s interaction checklist. The children’s language was assessed with the MacArthur–Bates Communicative Development Inventory and, after 3 years, with the Boston Naming, the Peabody, and the Test for Reception of Grammar–Version 2 (TROG-2). The families’ quality of interaction and the children’s language increased significantly more in the trained group than in controls and differences were still present after 3 years. The parents seemed to benefit from PT that focused on strategies to empower and promote communication skills in children with CIs.


2020 ◽  
Vol 65 (1) ◽  
pp. 29-51
Author(s):  
Jolande Schuur ◽  
Marjolijn van Weerdenburg ◽  
Lianne Hoogeveen ◽  
Evelyn H. Kroesbergen

Gifted students who experienced grade-based acceleration in primary or secondary education have to meet the challenges of adjusting to university at a younger age than students who did not accelerate. This systematic review critically evaluates the research on social–emotional characteristics and adjustment of these gifted accelerated university students. Based on a review of 22 studies, we may conclude that accelerated students did not differ very much in domains of social–emotional characteristics from their nonaccelerated gifted and nongifted peers. Factors that facilitated adjustment and well-being were cheerfulness, resilience, self-efficacy, a positive self-concept, high prior academic achievement, and supportive family environment. Furthermore, it was found that studies were incomplete in reporting the previous acceleration experiences of the students and that research on students who individually accelerated by 1 or 2 years was scarce. Future research should include individually accelerated students, previous acceleration experiences, gender differences, and comparison groups.


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