Advice for general practitioners

When you are working with children and youth

Consider the advice below...

  

 

Assess child development

Child development refers to children's growth and development across physical, mental, emotional and social domains. Children develop through the relationships they have with their caregivers, particularly in the early years. If parenting is affected by mental illness or other stresses there can be developmental impacts. Conversely, if a child has developmental or behavioural delays or a disability, a parent's mental health can also be impacted.

You can assess child development through a combination of asking questions of the child, their caregivers and through observation. If developmental concerns are identified, support families to access an appropriate service for assessment.

See the information below on child developmental stages.

Support networks

An important protective factor for children is having access to other supportive adults who they can go to when they have concerns or when their parent is unwell and they are in need of support.

  • Ensure that children have the telephone numbers of about four trusted adults (including their parents) to call in an emergency, and that they know about the Kid's Helpline (1800 55 1800). It's free (even from mobiles), runs 24-hours-a-day and is confidential.
  • Suggest that the child and family make a care plan for times when their parent may be unwell or hospitalised. You can help the child develop this plan, or suggest that caregivers may develop it with the child.
  • Use the templates we've created below to help you develop your own plans. You may like to fill these in, or just use them as a guide.
  • Ask children whether they are required to do more around the house than others their age due to their parent being unwell. Do they take responsibility for their parent's medication regime, for example? If so, consider referring children who are providing care for their parents to a Young Carer service for social support, information, advocacy and respite (e.g. the Commonwealth Carer Resource Centre, ph. 1800 242 636).

School and community activities

Protective factors for children in this area include the child participating in a range of activities outside of the home, pursuing their own interests and having close friends.

  • Find out if the child has opportunities to play and mix with others. Are there any barriers to attendance at playgroup, pre-school, school, after school activities, etc? How can you help to address any barriers?
  • Ask the child how they are going at school. Things to look out for include attendance, friendships, difficulties with schoolwork and behavioural concerns. Ask the child if there is anyone at their school they feel comfortable talking to if they have concerns, such as a favourite teacher, school counsellor or principal. You may be able to support the young person to negotiate school support.
  • Ask about friendships and hobbies. What types of activities are children involved with outside of school that are important to them? Consider how these activities can be supported if parents are unwell.
  • If children don't have any community activities or opportunities outside of school or home due to their responsibilities at home, consider referring them to a young carer support service (e.g. the Commonwealth Carer Resource Centre, ph. 1800 242 636).
    • Some states run camps and other programs for children and young people who have parents with a mental illness. Check the help services and helplines section of this website for local details.

Information needs

Protective factors for children in this area include the child understanding their parent's mental illness, the child being able to communicate with parents about the mental illness, the child knowing they are not to blame or responsible for their parent's mental illness and the child having a sense of hope about the future.

  • Find out what information may be needed by the child. Always gain permission from the parent first to discuss their illness with the young person. Then find out their understanding of their parent's mental illness by asking them to describe it as they see it and correct any misconceptions.
  • Invite the child to ask questions about the mental illness and respond at a level they can understand.
  • Help the child to access age-appropriate information. As the child passes through different developmental stages, remember to check their information needs.

Safety

  • When assessing safety, you may find this Child Development and Trauma Guide useful.
  • If you are concerned about the safety or wellbeing of a young person, contact your local child protection service. Child protection services aim to keep the family together and are able to offer lots of programs and services to families to ease pressure and support parenting roles.
  • If a family is referred to child protection services, remember to seek supervision and support from your team to consider how the family may continue to be supported by your service. It is important that your involvement and support continues.

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