How children with experiences of intimate partner violence towards the mother understand and relate to their father
The aim of this study was to describe how, in the aftermath of intimate partner violence against the mother, children understand and relate to their father. Face-to-face interviews with four girls and four boys, aged between eight and twelve, were analysed using an interpretative phenomenological approach. All of the children had been exposed to the father’s violence towards the mother. Two super ordinate themes were identified in the analysis: the disjunctive image of the father and being entangled in a conflict. The children’s understanding of the father and their relationship with him was built on different ...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Staf, A. G., Almqvist, K. Tags: Articles Source Type: research

Cognitive-behavioral treatment of a second-generation child of Pakistani descent: Ethnocultural and clinical considerations
Ethnocultural variables in cognitive behavioral therapy (CBT) are gaining an increasing amount of attention. This is a welcome development since cultural responsiveness is a core element in ethical and effective CBT practice. However, the literature is sparse and generally silent regarding CBT with children of Pakistani descent. Accordingly, this case based article attempts to close the knowledge gap by reviewing the extant literature pertaining to the role of religion, help seeking behavior, and emotional expression in Pakistani families. The literature review is followed by a case discussion of an 11 year old second gene...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Mahr, F., McLachlan, N., Friedberg, R. D., Mahr, S., Pearl, A. M. Tags: Articles Source Type: research

Children affected by maternal HIV/AIDS: Feasibility and acceptability trial of the Children United with Buddies (CUB) intervention
Past research has shown that young children affected by maternal HIV present with elevated stress/anxiety and negative well-being. This pilot intervention for children aged 7–14 affected by maternal HIV targeted improving positive child–mother communication, improving HIV/AIDS knowledge and reducing anxiety (especially related to transmission), and lessening feelings of stigma. Each of the three child intervention sessions included behavioral skills training and a themed craft exercise; mothers attended an open discussion group while the children attended their sessions. Study participants were 37 child–m...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Murphy, D. A., Marelich, W. D., Graham, J., Payne, D. L. Tags: Articles Source Type: research

Stressful life experiences and mental health problems among unaccompanied asylum-seeking children
Unaccompanied asylum-seeking children aged 10–16 years (N = 93, M = 13.8, SD = 1.4, 81% boys) were assessed 6 months after arrival in Norway (SD = 5 months). Participants originated from 14 countries (63% Asia; 36% Africa). Severe life events (SLE) and psychological symptoms were measured by self-report. Participants reported a mean of 5.5 SLE (SD = 2.4), the most prevalent being death of a close person (68%), witnessing violence (63%), and war (62%). Some 54% scored above clinical cutoff on posttraumatic stress symptoms, 30% on anxiety symptoms, 20% on depressive symptoms, and 7% on externalizing symptoms. Number of...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Jensen, T. K., Fjermestad, K. W., Granly, L., Wilhelmsen, N. H. Tags: Articles Source Type: research

Improving antenatal risk assessment in women exposed to high risks
Antenatal substance use and related psychosocial risk factors are known to increase the likelihood of child protection involvement; less is known about the predictive nature of maternal reflective functioning (RF) in this population. This preliminary study assessed psychosocial and psychological risk factors for a group of substance dependent women exposed to high risks in pregnancy, and their impact on child protection involvement. Pregnant women on opiate substitution treatment (n = 11) and a comparison group (n = 15) were recruited during their third trimester to complete measures of RF (Pregnancy Interview), childhood ...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Perry, N., Newman, L. K., Hunter, M., Dunlop, A. Tags: Articles Source Type: research

Drawing helps children to talk about their presenting problems during a mental health assessment
When children require mental health services, clinicians need to conduct assessments that are developmentally sensitive and that include the child’s point of view. Drawing is a popular tool that is commonly used in clinical settings. Research on drawing in experimental settings has confirmed that the opportunity to draw while talking increases the amount of verbal information that children report during an interview. The present research examined whether drawing also facilitates children’s self reports during a mental health assessment. A total of 33 5–12-year-old children were asked either to draw and te...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Woolford, J., Patterson, T., Macleod, E., Hobbs, L., Hayne, H. Tags: Articles Source Type: research

Online support for children of parents suffering from mental illness: A case study
From epidemiologic research, we know that children of parents with a mental illness (COPMI) have an elevated risk of developing a serious mental disorder. Aside from studies based on risk and resilience, there has been little research on the children’s own perceptions. The aim of this study was to expand our understanding of key variables influencing COPMI’s seeking support and to explore whether a website targeted at COPMI could help them improve their ability to cope with their circumstances and to find professional help. This case study illustrates one visitor’s use of a website that was specifically d...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Drost, L. M., Schippers, G. M. Tags: Articles Source Type: research

Measuring outcomes in outpatient child psychiatry: Reliable improvement, deterioration, and clinically significant improvement
Given the increasing interest in demonstrating effectiveness in psychiatric treatment, the current paper seeks to advance outcome measurement in child psychiatry by demonstrating how more informative analytic strategies can be used to evaluate treatment in a real world setting using a brief, standardized parent-report measure. Questionnaires were obtained at intake for 1294 patients. Of these, 695 patients entered treatment and 531 (74%) had complete forms at intake and follow-up. Using this sample, we analyzed the data to determine effect sizes, rates of reliable improvement and deterioration, and rates of clinically sign...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Murphy, J. M., Blais, M., Baer, L., McCarthy, A., Kamin, H., Masek, B., Jellinek, M. Tags: Articles Source Type: research

Parental cognitive appraisals and coping behaviours following child's epilepsy diagnosis: A qualitative study
Management of childhood epilepsy places significant demands and increased stress on the family unit. How parents adjust to this illness-related stress is believed to be shaped by their cognitive appraisals of the situation and the coping behaviours that are employed (Wallander & Varni, 1992). We investigated the cognitive and behavioural strategies that regulated psychological symptomatology in mothers following an epilepsy diagnosis of their child. Twenty-one mothers participated in this qualitative study. Interview data was analyzed using theory-driven thematic analysis. The analysis revealed common effective cogniti...
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Nguyen, S., Pertini, M., Kettler, L. Tags: Articles Source Type: research

Emergency mental health admissions for children: A naturalistic study
Conclusions: EA for children are an appropriate, clinically indicated and safe alternative to PA, associated with higher parental satisfaction. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Kyriakopoulos, M., Ougrin, D., Fraser, C., Thomas, G., McMahon, R. Tags: Articles Source Type: research

Celebrating 20 years of enduring passions and changing contexts: A question of Continuing Professional Development?
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - December 16, 2014 Category: Psychiatry Authors: Brazier, A. Tags: Editorial Source Type: research

Families changing families: The protective function of multi-family therapy for children in education
The Marlborough Family Education Centre (MFEC) uses a specific multi-family group approach with families where children exhibit (primarily) conduct problems and function poorly in school. Research indicates that failure to intervene with these children carries great potential cost to both the family and society. Outcomes for 50 families receiving intervention from the MFEC were compared with a control group of 28 who had access to a range of interventions, but not the multi-family group approach pioneered by the MFEC. Data on child and family social, emotional and behavioural functioning were collected at the point of refe...
Source: Clinical Child Psychology and Psychiatry - September 25, 2014 Category: Psychiatry Authors: Morris, E., Le Huray, C., Skagerberg, E., Gomes, R., Ninteman, A. Tags: Regular Articles Source Type: research

Self-reported peer victimization and suicidal ideation in adolescent psychiatric inpatients: The mediating role of negative self-esteem
The current study investigated relationships among self-reported peer victimization, suicidality, and depression in adolescent psychiatric inpatients. Sixty-seven adolescent psychiatric inpatients at a Midwestern children’s hospital completed measures of bullying and peer victimization, suicidal ideation, and depression during their inpatient stay. Analyses indicated significant moderate correlations among victimization, suicidal ideation, and depression in adolescents. Results from mediational analyses found that negative self-esteem mediated the relationship between peer victimization and suicidal ideation. To date...
Source: Clinical Child Psychology and Psychiatry - September 25, 2014 Category: Psychiatry Authors: Jones, H. A., Bilge-Johnson, S., Rabinovitch, A. E., Fishel, H. Tags: Regular Articles Source Type: research

Therapeutic clowning in paediatric practice
Over the past 30 years, there has been much research into the health benefits of humour and laughter. Although often viewed very positively, rigorous evaluation of the therapeutic effect of clowning is complex. Clowning is a multi-modal intervention, which may have an impact on medical conditions, procedures, family functioning and health care teams. Clowns help children to adapt to their hospital surroundings and can distract from, and demystify, painful or frightening procedures through ‘doses of fun’ to complement traditional clinical interventions. This paper provides a review of the paediatric literature a...
Source: Clinical Child Psychology and Psychiatry - September 25, 2014 Category: Psychiatry Authors: Finlay, F., Baverstock, A., Lenton, S. Tags: Regular Articles Source Type: research

Clinical practitioner's attitudes towards the use of Routine Outcome Monitoring within Child and Adolescent Mental Health Services: A qualitative study of two Child and Adolescent Mental Health Services
Routine Outcome Monitoring (ROM) is held as a greatly important part of practice across many Health Care Services, both in the NHS and in private practice. Yet despite this, there has been little research into the attitudes of practitioners towards ROM. This paper looks at the attitudes of 50 clinicians from two Child and Adolescent Mental Health Services in greater London. The findings showed that although the practitioners were not overwhelming positive in their attitudes to ROM, neither were they overwhelming negative, and many of their concerns involved practical issues surrounding ROM that are potentially soluble. Pra...
Source: Clinical Child Psychology and Psychiatry - September 25, 2014 Category: Psychiatry Authors: Norman, S., Dean, S., Hansford, L., Ford, T. Tags: Regular Articles Source Type: research