Provided by David Satcher, M.D., Ph.D.
Surgeon General of the United States of America
Chapter 3: Children and Mental Health
Support and Assistance for Families
Family Support Groups
The primary focus of family support groups is to provide
information and emotional support to members who share a common problem or
concern (e.g., disability, substance abuse, bereavement). Support groups for
families of children with emotional or behavioral disorders are expanding.
Although there is a wide variation in membership, format, and duration of these
groups, most share some characteristics. Usually, from 4 to 20 parents meet
regularly to discuss the problems and issues associated with parenting a child
with emotional and behavioral disorders and to provide mutual encouragement and
suggestions for dealing with problematic situations. Support services may be
informal, organized, and parent led and are often associated with organizations
such as the National Mental Health Association, Children and Adults with
Attention Deficit Disorders, the National Alliance for the Mentally Ill, or the
Federation of Families for Children’s Mental Health. Mental health professionals
may also participate in support groups (Koroloff & Friesen, 1991).
It was found that support groups for parents of children hospitalized with
mental illness make parents feel more positive about themselves and increase
their understanding of and communication with their children (Dreier & Lewis,
1991). Participation in a six-session education and support group for parents of
adolescents with schizophrenia led to increased relaxation and concentration,
less worry, changed attitudes toward discipline, and greater ease in discussing
feelings. The support from parents in similar situations was highly valued
(Sheridan & Moore, 1991).
Another approach to support for parents of children receiving mental health
services is education: knowledge of the services; skills needed to interact with
the system; and the caregivers’ confidence in their ability to collaborate with
service providers (self-efficacy). A training curriculum for parents was tested
in a randomized controlled trial involving more than 200 parents who either did
or did not receive the training curriculum. Three-month and 1-year followup
results demonstrated significant improvement in parents’ knowledge and
self-efficacy with the training curriculum, whereas there was no effect on the
mental health status of their children, service use, or caregiver involvement in
treatment (Heflinger & Bickman, 1996; Bickman et al., 1998).
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