Norwegian health personnel's contacts and referrals for children of ill parents: an exploratory cross-sectional multi-centre study.
Children of ill parents
Law
Legislation
Mentally ill parents
Parental illness
Parents with substance abuse
Physically ill parents
Referrals
Somatically ill parents
The Act
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
17 Jun 2023
17 Jun 2023
Historique:
received:
04
10
2022
accepted:
26
05
2023
medline:
19
6
2023
pubmed:
18
6
2023
entrez:
17
6
2023
Statut:
epublish
Résumé
In 2010, changes were made to the Norwegian Health Personnel Act. This led to all health personnel being obliged to support the patients' children and families. The aims of this study were to investigate whether health personnel contacted or referred the patients' children to family/friends or public services. We also investigated if there were factors in the family or the services that increased or decreased the degree of contacts and referrals. In addition the patients were asked whether the law had been a help or even a burden. This study was part of a larger multi-site study of children of ill parents conducted in five health trusts in Norway. We used cross-sectional data from 518 patients and 278 health personnel. The informants completed a questionnaire addressing the law. Data were analyzed by factor analysis and logistic regression. The health personnel contacted/referred children to different services, but not to the degree desired by their parents. Only a few contacted family/friends, or the school and/or the public health nurse, those representing the helpers who live closest to the child, and thus well situated to participate in help and preventive efforts. The service most often referred to was the child welfare service. The results indicate a change in contacts/referrals for children from their parents' health personnel but also reveal remaining needs for support/help for these children. Health personnel should strive to write more referrals and take more contacts than the current study suggests, to secure adequate support for children of ill parents in Norway, as intended in The Health Personnel Act.
Sections du résumé
BACKGROUND
BACKGROUND
In 2010, changes were made to the Norwegian Health Personnel Act. This led to all health personnel being obliged to support the patients' children and families. The aims of this study were to investigate whether health personnel contacted or referred the patients' children to family/friends or public services. We also investigated if there were factors in the family or the services that increased or decreased the degree of contacts and referrals. In addition the patients were asked whether the law had been a help or even a burden. This study was part of a larger multi-site study of children of ill parents conducted in five health trusts in Norway.
METHOD
METHODS
We used cross-sectional data from 518 patients and 278 health personnel. The informants completed a questionnaire addressing the law. Data were analyzed by factor analysis and logistic regression.
RESULTS
RESULTS
The health personnel contacted/referred children to different services, but not to the degree desired by their parents. Only a few contacted family/friends, or the school and/or the public health nurse, those representing the helpers who live closest to the child, and thus well situated to participate in help and preventive efforts. The service most often referred to was the child welfare service.
CONCLUSION
CONCLUSIONS
The results indicate a change in contacts/referrals for children from their parents' health personnel but also reveal remaining needs for support/help for these children. Health personnel should strive to write more referrals and take more contacts than the current study suggests, to secure adequate support for children of ill parents in Norway, as intended in The Health Personnel Act.
Identifiants
pubmed: 37330496
doi: 10.1186/s12913-023-09607-0
pii: 10.1186/s12913-023-09607-0
pmc: PMC10276906
doi:
Types de publication
Multicenter Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
649Informations de copyright
© 2023. The Author(s).
Références
J Clin Epidemiol. 2008 Jan;61(1):1-5
pubmed: 18083456
Int J Nurs Stud. 2018 Jan;77:54-80
pubmed: 29035733
Cancer Nurs. 2018 Nov/Dec;41(6):473-483
pubmed: 28731883
J Psychosom Res. 2014 Mar;76(3):213-20
pubmed: 24529040
Int J Ment Health Syst. 2018 Dec 19;12:77
pubmed: 30574174
Child Psychiatry Hum Dev. 2014 Aug;45(4):408-21
pubmed: 24158304
BMC Health Serv Res. 2018 Aug 6;18(1):609
pubmed: 30081882
J Am Acad Child Adolesc Psychiatry. 2011 Nov;50(11):1098-109
pubmed: 22023998
Soc Work Public Health. 2013;28(3-4):194-205
pubmed: 23731414
BMC Health Serv Res. 2017 May 15;17(1):349
pubmed: 28506296
Eur J Cancer Care (Engl). 2019 Jan;28(1):e12907
pubmed: 30179280
Br J Gen Pract. 2016 Oct;66(651):e693-707
pubmed: 27621291
Int J Qual Stud Health Well-being. 2016 Apr 20;11:30673
pubmed: 27104341
Qual Life Res. 2003 Dec;12(8):1003-12
pubmed: 14651418
J Child Psychol Psychiatry. 2011 Jan;52(1):100-8
pubmed: 20722879
J Clin Nurs. 2019 Aug;28(15-16):3021-3032
pubmed: 30941831
Nordisk Alkohol Nark. 2018 Jun;35(3):179-195
pubmed: 32934526
J Consult Clin Psychol. 1993 Jun;61(3):448-54
pubmed: 8326046
Int J Ment Health Nurs. 2021 Feb;30(1):6-26
pubmed: 33283387
Front Psychiatry. 2022 Mar 09;13:778236
pubmed: 35356710
Schizophr Bull. 2014 Jan;40(1):28-38
pubmed: 23960245
Psychiatr Serv. 2003 Jan;54(1):60-6
pubmed: 12509668
J Child Adolesc Psychiatr Nurs. 2011 Aug;24(3):137-49
pubmed: 21810129
Front Psychiatry. 2019 Apr 02;10:163
pubmed: 31001149
J Psychiatr Ment Health Nurs. 2009 Nov;16(9):784-91
pubmed: 19824972
BMJ. 2016 Sep 23;354:i4803
pubmed: 27662893
J Am Acad Child Adolesc Psychiatry. 2009 Apr;48(4):400-403
pubmed: 19242383
Addict Behav. 2017 Feb;65:193-197
pubmed: 27835858
J Child Psychol Psychiatry. 2006 Jul;47(7):649-59
pubmed: 16790000
Perspect Psychol Sci. 2014 Jan;9(1):94-108
pubmed: 26173248
Clin Psychol Rev. 2000 Apr;20(3):311-37
pubmed: 10779897
Clin Rehabil. 2006 Aug;20(8):709-23
pubmed: 16944828
Front Psychiatry. 2022 Jan 14;12:815526
pubmed: 35095621
Arch Intern Med. 2010 Aug 9;170(15):1302-7
pubmed: 20696951
Scand J Prim Health Care. 2014 Mar;32(1):17-23
pubmed: 24533845
BMC Health Serv Res. 2019 Nov 5;19(1):793
pubmed: 31684933
Soc Sci Med. 1995 Apr;40(7):903-18
pubmed: 7792630
Nord J Psychiatry. 2003;57(2):113-8
pubmed: 12745773
Med J Aust. 2013 Aug 5;199(3 Suppl):S18-22
pubmed: 25369843
Fam Pract. 2011 Apr;28(2):233-7
pubmed: 20937663
Psychiatr Serv. 2005 May;56(5):544-50
pubmed: 15872162
Behav Sci. 1974 Jan;19(1):1-15
pubmed: 4808738
Scand J Prim Health Care. 2016 Dec;34(4):360-367
pubmed: 27845596
Psychosomatics. 2015 Sep-Oct;56(5):521-9
pubmed: 25596021
Clin Child Fam Psychol Rev. 2015 Dec;18(4):281-99
pubmed: 26445808
Qual Life Res. 2005 Apr;14(3):665-73
pubmed: 16022060
Clin Child Fam Psychol Rev. 2010 Dec;13(4):384-97
pubmed: 20640510