Cargando…
Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians
BACKGROUND: Parental psychiatric disorders can have a significant impact on child development and the parent-infant bond, with a high risk of attachment disorders. Early identification of difficulties in the parent–child relationship is essential to prevent consequences for the child. Childcare prac...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506299/ https://www.ncbi.nlm.nih.gov/pubmed/37718455 http://dx.doi.org/10.1186/s12875-023-02145-y |
_version_ | 1785107094043623424 |
---|---|
author | Ribette, Cécile Rosenthal, Lucie Raynaud, Jean-Philippe Franchitto, Ludivine Revet, Alexis |
author_facet | Ribette, Cécile Rosenthal, Lucie Raynaud, Jean-Philippe Franchitto, Ludivine Revet, Alexis |
author_sort | Ribette, Cécile |
collection | PubMed |
description | BACKGROUND: Parental psychiatric disorders can have a significant impact on child development and the parent-infant bond, with a high risk of attachment disorders. Early identification of difficulties in the parent–child relationship is essential to prevent consequences for the child. Childcare practitioners have a major role to play in this early detection process, through regular mandatory consultations during the first two years of a child's life. Thus, the aim of this study was to collect the experience of private practitioners in their care of children of parents with a mental health illness. METHOD: This is a cross-sectional, observational, qualitative study. Data were collected by means of semi-structured interviews with eleven general practitioners and private paediatricians between February and July 2021 in Toulouse and its suburbs. We only included practitioners who had followed children of parents with a mental health illness. The interviews were recorded with the agreement of the participants, before being transcribed anonymously. The data were analysed with NVivo software using interpretative phenomenological analysis. RESULTS: Three main themes emerged from the results, which were further divided into several sub-themes. Addressing psychiatric disorders presents a risk for the therapeutic relationship. Practitioners express a need to preserve this relationship with the parent in joint care. Care is difficult and is permeated by the parents' emotional issues. Furthermore, practitioners face a conflict between their concerns for the parent–child bond and their desire not to stigmatise these families. They express a feeling of isolation in these follow-ups. This stressful care has a significant emotional impact on the doctors. Access to psychiatric training and multidisciplinary collaboration seem to be essential to improve the follow-up experience for practitioners, as these factors strengthen inter-professional connections. CONCLUSION: Practitioners describe a parent-doctor relationship at risk, which is underpinned by the fear of care placement. This study illustrates the need to strengthen multidisciplinary work by promoting interprofessional exchanges, in order to improve the experience of practitioners in this care process. Addressing practitioners’ fear of discussing parental psychiatric illness is very important, so as not to delay the implementation of preventive actions that are likely to improve the developmental prognosis for children. |
format | Online Article Text |
id | pubmed-10506299 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105062992023-09-19 Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians Ribette, Cécile Rosenthal, Lucie Raynaud, Jean-Philippe Franchitto, Ludivine Revet, Alexis BMC Prim Care Research BACKGROUND: Parental psychiatric disorders can have a significant impact on child development and the parent-infant bond, with a high risk of attachment disorders. Early identification of difficulties in the parent–child relationship is essential to prevent consequences for the child. Childcare practitioners have a major role to play in this early detection process, through regular mandatory consultations during the first two years of a child's life. Thus, the aim of this study was to collect the experience of private practitioners in their care of children of parents with a mental health illness. METHOD: This is a cross-sectional, observational, qualitative study. Data were collected by means of semi-structured interviews with eleven general practitioners and private paediatricians between February and July 2021 in Toulouse and its suburbs. We only included practitioners who had followed children of parents with a mental health illness. The interviews were recorded with the agreement of the participants, before being transcribed anonymously. The data were analysed with NVivo software using interpretative phenomenological analysis. RESULTS: Three main themes emerged from the results, which were further divided into several sub-themes. Addressing psychiatric disorders presents a risk for the therapeutic relationship. Practitioners express a need to preserve this relationship with the parent in joint care. Care is difficult and is permeated by the parents' emotional issues. Furthermore, practitioners face a conflict between their concerns for the parent–child bond and their desire not to stigmatise these families. They express a feeling of isolation in these follow-ups. This stressful care has a significant emotional impact on the doctors. Access to psychiatric training and multidisciplinary collaboration seem to be essential to improve the follow-up experience for practitioners, as these factors strengthen inter-professional connections. CONCLUSION: Practitioners describe a parent-doctor relationship at risk, which is underpinned by the fear of care placement. This study illustrates the need to strengthen multidisciplinary work by promoting interprofessional exchanges, in order to improve the experience of practitioners in this care process. Addressing practitioners’ fear of discussing parental psychiatric illness is very important, so as not to delay the implementation of preventive actions that are likely to improve the developmental prognosis for children. BioMed Central 2023-09-18 /pmc/articles/PMC10506299/ /pubmed/37718455 http://dx.doi.org/10.1186/s12875-023-02145-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Ribette, Cécile Rosenthal, Lucie Raynaud, Jean-Philippe Franchitto, Ludivine Revet, Alexis Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians |
title | Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians |
title_full | Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians |
title_fullStr | Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians |
title_full_unstemmed | Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians |
title_short | Primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among French general practitioners and paediatricians |
title_sort | primary care physicians' experience of caring for children with parents with mental health illness: a qualitative study among french general practitioners and paediatricians |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506299/ https://www.ncbi.nlm.nih.gov/pubmed/37718455 http://dx.doi.org/10.1186/s12875-023-02145-y |
work_keys_str_mv | AT ribettececile primarycarephysiciansexperienceofcaringforchildrenwithparentswithmentalhealthillnessaqualitativestudyamongfrenchgeneralpractitionersandpaediatricians AT rosenthallucie primarycarephysiciansexperienceofcaringforchildrenwithparentswithmentalhealthillnessaqualitativestudyamongfrenchgeneralpractitionersandpaediatricians AT raynaudjeanphilippe primarycarephysiciansexperienceofcaringforchildrenwithparentswithmentalhealthillnessaqualitativestudyamongfrenchgeneralpractitionersandpaediatricians AT franchittoludivine primarycarephysiciansexperienceofcaringforchildrenwithparentswithmentalhealthillnessaqualitativestudyamongfrenchgeneralpractitionersandpaediatricians AT revetalexis primarycarephysiciansexperienceofcaringforchildrenwithparentswithmentalhealthillnessaqualitativestudyamongfrenchgeneralpractitionersandpaediatricians |