Impact of parental mental health problems
Many parents with mental health problems are able to manage their condition and minimise its impact on their children, particularly if they are able to access appropriate support. But sometimes it does affect their ability to cope with family life.
Parental mental health problems may affect children differently according to the severity and type of mental health condition, the child’s age and stage of development, and the child’s personality.
Coping with challenges
Some parents experience mental health problems along with other challenges such as:
- divorce or separation
- financial hardship
- poor housing
- a lack of social support
- domestic abuse
- substance misuse.
If they are facing several challenges at once, it can be very hard for parents to provide their children with safe and loving care, particularly if they are isolated or aren't getting the support they need (Cleaver, Unell and Aldgate, 2011; Gatsou et al, 2017; Grove, Reupert and Maybery, 2015; Hogg, 2013; Wolpert et al, 2015).
Research has found there is a greater risk to children’s safety if parents with mental health problems are also experiencing domestic abuse or substance misuse (Cleaver, Unell and Aldgate, 2011).
Caring for children
Some parents and carers with mental health problems may need support to cope with the routines of daily life, such as housework, mealtimes, bedtimes, taking children to school, and taking children to medical and dental appointments.
They may also find it more difficult to:
- control their mood and emotions around their children
- recognise and respond to children's physical and emotional needs
- engage socially with their children
- set and maintain safe and appropriate boundaries and manage their children's behaviour.
If parents don't get the support they need from family, friends, neighbours and/or professionals, these challenges may escalate. In extreme cases, children may experience abuse and/or neglect.
Babies and younger children
Babies and young children rely on their parents and carers to give them the warm, nurturing care they need to grow.
If parents experience mental health problems in pregnancy or the first year of a baby’s life, this can affect the way they are able to bond with and care for their child. This can have an impact on the child’s intellectual, emotional, social and psychological development (Gajos and Beaver, 2017; Hogg, 2013).
This means it’s important that practitioners are able to recognise if a new parent or carer is struggling with their mental health and help them access appropriate support.
Many children whose parents have a mental health problem do not experience any negative effects. But if parents are not getting the right support to care for their family, this can have an impact on their children's wellbeing.
Signs that a child might need extra support include:
- being worried about their parent or carer’s condition
- taking on a caring role for parents and other family members
- putting the needs of their family above their own
- having negative feelings about their parent’s condition
- finding it hard to make friends, feeling isolated or being bullied
- not feeling able to talk to their parents or another trusted adult about their worries.
"My mum has depression and sometimes she overreacts and gets angry at little things…she makes me feel bad about myself but I don’t want to tell anybody, I feel like I’m being selfish by thinking of myself because she has her own problems"
Girl, 15 (NSPCC, 2018)
If a parent has severe mental health problems, children may have to cope with frightening and upsetting situations such as:
- being separated from their parents, either because parents need to go into hospital and/or because the child is taken into care
- a parent attempting to take their own life
- a parent displaying extremely volatile behaviour.
If these things happen, it’s important to consider how this has affected the wellbeing of everyone in the family and what support can be put in place.
Sometimes families experience stigma related to mental health problems. This can make it harder for parents and their children to socialise, speak out and ask for support.
Parents and their families may experience discrimination from others, and this may be displayed consciously or unconsciously. For example, parents might find it harder to get work or access support services. Some children whose parents have mental health problems report being bullied.
Professionals have an important role to play in raising awareness about mental health problems, taking action to tackle discrimination and making sure families get the support they need.
Risk and vulnerability factors
All families experience challenges from time to time. This doesn’t necessarily mean children are at greater risk of abuse. But when problems mount up, it can be more difficult for parents to cope – particularly if they are isolated or lack support.
The risks to children are greater when parental mental health problems exist alongside domestic abuse and parental substance misuse (Cleaver, Unell and Aldgate, 2011).