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Taking a broader, psychosocial, family-orientated approach, this book emphasises that most mentally ill parents do not maltreat their children. There is a risk of 'parentification' of children, but caring can also cement the child-parent relationship. Moreover, parental mental health problems, of themselves present little risk of significant harm to children, unless these problems coexist with family disharmony - another strong argument for offering family interventions.
Children are either "seen or not heard" or subject to a knee-jerk response from social services, based on misconceptions about dangerousness. One childcare social worker admitted that, because their focus is on children, they are "not very kind to parents with mental health problems." The authors dispel the myth, expounded by earlier researchers that parental mental illness 'inevitably' leads to emotional and psychological abuse of children. Families must be considered on a case by case basis and assessments based on family observation, not assumptions. Much depends on the skills and discretion of individual practitioners in implementing children's and carers' policy at 'street-level'.
There are frightened accounts of young carers' impressions of inpatient care, one describing the ward as a 'wacko room'. Services must do more to make facilities child- and family-friendly. More widely, practitioners need to assess and work with whole families. Children and parents should be seen, heard and helped. With its critique of earlier literature, its new evidence and its useful overview of law and policy, this important book needs to be widely read and translated into practice.
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