OBJECTIVES Ascertaining whether mental health service users have children is a clinical requirement in UK health services, and acknowledgement of a patient's parenting role is necessary to enable engagement with their parenting experience and to facilitate support, both of which are associated with improved outcomes for the parent-child dyad. The current study sought to investigate the practice of mental health practitioners working in UK adult mental health services with regard to the following: Ascertaining whether patients have children; engagement with the parenting role of patients; engagement with the construct of 'think patient as parent'. METHODS Self-report online/paper survey of 1105 multi-disciplinary adult mental health practitioners working in 15 mental health trusts in England. RESULTS A quarter of adult mental health practitioners did not routinely ascertain whether patients had dependent children. Less than half of practitioners engaged with the parenting experience or the potential impact of parental mental health on children. CONCLUSIONS The parenting role of patients is not routinely captured by large numbers of practitioners working in adult mental health settings. This is despite it being a mandatory requirement and an integral component of the systematic care of the adult, and preventative care for the offspring. Failure to engage with patients who are parents is a missed opportunity with profound downstream public health implications. The practice deficits identified in this study should be viewed in terms of broader structural failures to address the intergenerational transmission of poor mental health. PRACTITIONER POINTS Some parents who have mental health difficulties may struggle to provide appropriate and effective care to their children. The parenting role can also exacerbate mental health difficulties. Identification of dependent children is a mandatory component of adult mental health clinical practice and is necessary to understand a parent's support needs. A quarter of adult mental health practitioners are failing to do so. A missed opportunity to engage with the support needs of the parent-child dyad.

中文翻译：

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成人心理健康服务与父母患者的接触：来自 15 个英国心理健康信托的证据。

目标 确定心理健康服务使用者是否有孩子是英国卫生服务的一项临床要求，承认患者的养育角色对于参与他们的养育经历和促进支持是必要的，这两者都与改善父母的结果有关-孩子二人组。目前的研究旨在调查在英国成人心理健康服务机构工作的心理健康从业者的以下方面的实践： 确定患者是否有孩子；参与患者的育儿角色；参与“将患者视为父母”的构建。方法 对在英格兰 15 个心理健康信托机构工作的 1105 名多学科成人心理健康从业者进行自我报告在线/纸质调查。结果 四分之一的成年心理健康从业者没有定期确定患者是否有受抚养的孩子。不到一半的从业者参与了育儿经验或父母心理健康对儿童的潜在影响。结论 大量在成人心理健康机构工作的从业者并没有经常抓住患者的养育子女角色。尽管这是一项强制性要求，也是成人系统护理和后代预防性护理的组成部分。未能与作为父母的患者接触是错失的良机，会对下游公共卫生产生深远的影响。本研究中发现的实践缺陷应该从更广泛的结构性失败的角度来看待，以解决不良心理健康的代际传递。从业者的观点 一些有心理健康问题的父母可能难以为他们的孩子提供适当和有效的照顾。养育子女的角色也会加剧心理健康问题。识别受抚养儿童是成人心理健康临床实践的强制性组成部分，对于了解父母的支持需求是必要的。四分之一的成年心理健康从业者没有这样做。错过了满足亲子对的支持需求的机会。识别受抚养儿童是成人心理健康临床实践的强制性组成部分，对于了解父母的支持需求是必要的。四分之一的成年心理健康从业者没有这样做。错过了满足亲子对的支持需求的机会。识别受抚养儿童是成人心理健康临床实践的强制性组成部分，对于了解父母的支持需求是必要的。四分之一的成年心理健康从业者没有这样做。错过了满足亲子对的支持需求的机会。