Children's Needs – Parenting Capacity - Digital Education Resource ...

Children's Needs – Parenting Capacity - Digital Education Resource ... Children's Needs – Parenting Capacity - Digital Education Resource ...

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12.07.2015 Views

How mental illness, learning disability, substance misuse anddomestic violence affect parenting capacity 55People with learning disabilities are more likely than other people to have otherdisabilities and certain health problems (Royal College of Psychiatrists 2008). Forexample, they are six times more likely than other people to have a mental healthproblem; up to a third of adults with learning disabilities may have epilepsy and halfare likely to have problems with hearing and/or eyesight (Foundation for People withLearning Disabilities 2009). However, gaining access to services may be hamperedby the difficulties many people with learning disabilities have in expressing theirfeelings in words, and by professional or service attitudes to working with peoplewith learning disabilities within generic mental health services (Hassiotis et al.2000).Learning disability also affects opportunities to learn how to parent. For example,some adults with a learning disability will have spent their childhood and adolescencein institutions of one kind or another, although this is much less likely today thanpreviously. Others will have experienced poor parenting themselves (McGaw et al.2007) or been brought up in a very sheltered and protected environment, possiblyhaving been assigned the role of the perennial child where there was no expectationthat they might become parents themselves. Many young people with learningdisabilities will have received inadequate sex education and are unaware of thesignificance of changes to their body. There is still a widely held belief that adultswith learning disabilities should not have children.People try to stop them having a relationship, having sex, having a baby, keepingthe baby. Why are some professionals so shocked that people with learningdifficulties want to start a family?(Andrew Holman, quoted in Community Care 2006)Finally, the life experiences of parents with learning disabilities have left manyfeeling particularly powerless to deal effectively with the negative attitudes andprejudices from those with whom they come into contact. Small-scale studies (e.g.Cooke 2005) and messages from parents with learning disabilities themselves (e.g.CHANGE 2005) indicate that harassment and bullying, and sometimes violenceand financial or sexual exploitation, can be a major problem for parents with learningdisabilities and their children (Department of Health et al. 2007).Shortage of money, debt, unemployment, chronic housing problems, fraughtrelationships, the hardships of single parenthood, personal harassment,victimization and skill deficits all contribute to their vulnerability.(Booth and Booth 1996)Physical and psychological impact of drugs,including alcoholAlcohol, and to a lesser extent drug use, is well integrated into the lives of manyparents. For example, drinking alcohol is an intrinsic element of most religiousceremonies, festive celebrations, meals and everyday entertainment. Drinking or

56 Children’s NeedsParenting Capacitydrug use may also be used to alter undesirable states such as depression, anxiety,withdrawal, symptoms of mental illness or the low self-esteem resulting fromdomestic violence. In examining the impact of different drugs it is important tobear in mind that most people do not consistently consume excessive amounts ofalcohol or drugs, and the occasional use of alcohol or some of the less harmful drugssuch as cannabis result in few, if any, lasting adverse effects.There are many types of drugs and each has an individual profile in terms of itsmain effects. However, the same drug may affect different people in different ways.Excessive consumption of alcohol will cause some people to simply fall asleep whileothers become aggressive and violent. The situation is further complicated becausethe same drug may have very different behavioural consequences, even within thesame individual, depending on their:current mental stateexperience and/or tolerance of the drugexpectationspersonalitymeans of administration (i.e. injecting, oral, smoking, nasal inhalation)dosage.In some cases the way a drug is administered may be the main risk or cause ofharm. For instance, intravenous drug use carries the additional risk of HIV/AIDSand hepatitis. Up to 50% of injecting drug users will have contracted hepatitis C(Foster 2008). There are long-term consequences of the hepatitis C virus, whichinclude liver disease such as cirrhosis and cancer. Treatment for hepatitis C can beeffective for most injecting drug users but the side effects can be difficult, includingdepression, low tolerance of frustration and low resistance to disease.The severity of the withdrawal symptoms from any particular drug, whetherphysical or psychological, will depend on the type of drug and how much and forhow long the drug has been used. With opiates (such as heroin) many physicalsymptoms can be reduced by substitute prescribing of methadone or bupremorphine.The psychological withdrawal symptoms often go on for longer than the physicalsymptoms and almost always include a degree of craving. Skilled professionalinterventions can help at this point through the use of psychological strategies andtherapies. Anxiety, insomnia, difficulties in remaining attentive, frustration anddepression (at least temporary) can be expected in almost all withdrawal states. Theydo not always require intervention, especially if the parent is well supported by familyand friends. However, when symptoms are at their maximum they could interfere,at least for a while, with the capacity to carry out parenting responsibilities.

How mental illness, learning disability, substance misuse anddomestic violence affect parenting capacity 55People with learning disabilities are more likely than other people to have otherdisabilities and certain health problems (Royal College of Psychiatrists 2008). Forexample, they are six times more likely than other people to have a mental healthproblem; up to a third of adults with learning disabilities may have epilepsy and halfare likely to have problems with hearing and/or eyesight (Foundation for People withLearning Disabilities 2009). However, gaining access to services may be hamperedby the difficulties many people with learning disabilities have in expressing theirfeelings in words, and by professional or service attitudes to working with peoplewith learning disabilities within generic mental health services (Hassiotis et al.2000).Learning disability also affects opportunities to learn how to parent. For example,some adults with a learning disability will have spent their childhood and adolescencein institutions of one kind or another, although this is much less likely today thanpreviously. Others will have experienced poor parenting themselves (McGaw et al.2007) or been brought up in a very sheltered and protected environment, possiblyhaving been assigned the role of the perennial child where there was no expectationthat they might become parents themselves. Many young people with learningdisabilities will have received inadequate sex education and are unaware of thesignificance of changes to their body. There is still a widely held belief that adultswith learning disabilities should not have children.People try to stop them having a relationship, having sex, having a baby, keepingthe baby. Why are some professionals so shocked that people with learningdifficulties want to start a family?(Andrew Holman, quoted in Community Care 2006)Finally, the life experiences of parents with learning disabilities have left manyfeeling particularly powerless to deal effectively with the negative attitudes andprejudices from those with whom they come into contact. Small-scale studies (e.g.Cooke 2005) and messages from parents with learning disabilities themselves (e.g.CHANGE 2005) indicate that harassment and bullying, and sometimes violenceand financial or sexual exploitation, can be a major problem for parents with learningdisabilities and their children (Department of Health et al. 2007).Shortage of money, debt, unemployment, chronic housing problems, fraughtrelationships, the hardships of single parenthood, personal harassment,victimization and skill deficits all contribute to their vulnerability.(Booth and Booth 1996)Physical and psychological impact of drugs,including alcoholAlcohol, and to a lesser extent drug use, is well integrated into the lives of manyparents. For example, drinking alcohol is an intrinsic element of most religiousceremonies, festive celebrations, meals and everyday entertainment. Drinking or

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