Introduction
Sometimes people can face difficulties with their thoughts, feelings or behaviour and this can make everyday life and relationships harder to manage. This is often described as mental ill health. It can affect anyone, whatever their age, gender, ethnicity or background. Mental ill health problems range from depression, anxiety, stress and phobias to rarer problems such as postpartum psychosis, schizophrenia and bipolar disorder.
Our mental health can be shaped by many things, including our biology and the circumstances we are born into, grow up in, live with and experience during our lifetimes. People who face greater disadvantages in life may also face greater risks to their mental health. The Mental Health Foundation point out that when these risks are not shared equally across society, then this is mental health inequality.
There also remains much stigma attached to mental health problems which often remain hidden, and many people do not receive the support they need.
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For some children, the presence of parental mental ill-health may have little or no impact on the day-to-day parenting that they receive, with the child or young person remaining safe and feeling loved and valued. For others, the impact may be more significant, meaning that the child or young person requires help and support to understand what is happening and reduce the impact on their own health and development.
Definition of good mental health
Mental health is a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn and work well, and contribute to their community. It has intrinsic and instrumental value and is a basic human right.
Prevalence
In a typical classroom of 30 children, an average of 8 children will have a parent with mental health problems.
What impacts on mental health?
Just like physical health conditions, several things can impact our mental health, and these can be because of specific events or can build up over time. As humans, we all have good and bad days, and you will know how an unexpected event can impact how you feel for the rest of the day or longer. Stress and duress can also have an impact on how we feel and how we relate to the world around us.
As noted above, factors which can impact mental health include relationship issues, financial worries, employment worries, housing issues, discrimination, victimisation and abuse. Mental ill-health can also be made worse by substance misuse and domestic abuse. For some people, events that happened earlier in their lives can be the cause of current mental health difficulties, for example, abuse that they experienced as a child or young person.
Impact of parental mental ill-health on children
Most children and young people can cope very well with upsets if they are short-lived and they know what is happening, but adults often feel the best way to help them is to protect them from the truth, so they do not explain what is happening.
This can leave children and young people feeling:
frightened of what will happen to them or their parent/carer;
to blame for the situation;
worried that they might develop the same condition;
stigmatised;
confused by their parent’s behaviour or presentation.
As a result of parental mental ill-health, children may:
become young carers;
have been neglected because their parents cannot look after them;
be teased and bullied by their peers;
experience periods of separation from parents who have to leave the home for treatment;
experience emotional abuse.
Spot the signs
Children and young people with a parent experiencing mental ill-health may:
be tired;
worry about what is happening at home;
have poor school attendance;
wear dirty or ill-fitting clothing;
display hunger, malnourishment, neglect;
be distressed;
develop poor mental health;
find stressful situations very difficult;
become isolated, have difficulties in their relationships, be bullied;
misuse alcohol and/or drugs;
show us behaviour that challenges.
What to do
Listen to the students you work with – what is life like for them, what are their fears, worries and wishes?
Create an open culture – avoid jumping to conclusions about what any student’s life must be like. Not all children and young people are affected in the same ways by their parent’s mental ill-health.
Understand what other things may be present – for example, what additional stress there may be in the family (e.g., financial, relationship, abuse, etc.)?
Look at what adaptations you can make to support young carers.
Check students have safe relationships – in their family, with their peers and with your staff. Create a culture where it’s okay to talk even about the most difficult things. Where do they go to get help and support? What about when things are difficult at home (e.g., in the late evening)?
Know the signs and know what to do – use the list above to consider what you are seeing, follow your safeguarding procedures and have the confidence to raise parental mental ill-health as a possibility.
Take action – and keep taking action until you know children and young people safe.
Building partnerships with parents and carers
When working with parents and carers, practitioners should prioritise a child-centred approach, fostering partnerships to ensure understanding, support and safety.
Remember:
Collaborative efforts are crucial, especially in cases of suspected harm.
Practitioners must engage effectively with diverse families, demonstrating empathy, respect and cultural awareness.
Communication should be clear, inclusive and accessible. Encouraging parental/carer involvement in decision-making and valuing their input is essential.
Involving families and communities in designing processes fosters a holistic approach to safeguarding children.
Continuous reflection and adaptation based on feedback from parents and carers enhances practice effectiveness.
Have you considered if:
the setting has inclusive ways for students and families to speak about homelife, so that experiencing mental ill-health feels less stigmatised for all?
the signposting and information regarding health, income and housing support is accessible to all families, with consideration given to language, literacy, learning needs?
the setting always offers practical assistance to families impacted by parental mental ill-health where possible? This might be things like donated items to support hygiene and nutrition, clothing, toys or space and time on site for students to complete their homework.
Free parental mental ill-health poster
This free, downloadable resource raises the profile of safeguarding for your staff team. For use in staff rooms, on safeguarding boards or on the back of toilet doors, the poster includes tips, a space for local contact details, plus a link and QR codes to this resource page. Download the poster from the resources below.
DSL Training Materials
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Parental Mental Ill-health Presentation
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Parental Mental Ill-health - Presenter Notes
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Handout for staff - Parental Mental Ill-health
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Parental Mental Ill-health – Quiz
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Parental Mental Ill-health – Quiz (Answer Sheet)
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Parental Mental Ill-health Scenario – Early Years Settings
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Parental Mental Ill-health Scenario – Early Years Settings – DSL Information Sheet
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Parental Mental Ill-health Scenario – Primary Schools
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Parental Mental Ill-health Scenario – Primary Schools – DSL Information Sheet
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Parental Mental Ill-health Scenario – Secondary Schools
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Parental Mental Ill-health Scenario – Secondary Schools – DSL Information Sheet
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Parental Mental Ill-health Scenario – 16+ Settings
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Parental Mental Ill-health Scenario – 16+ Settings – DSL Information Sheet
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Parental Mental Ill-health Scenario – SEND Settings
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Parental Mental Ill-health Scenario – SEND Settings – DSL Information Sheet
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Parental Mental Ill-health scenario – Care Settings
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Parental Mental Ill-health scenario – Care settings – DSL Information Sheet
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My mum’s got a dodgy brain
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Parental mental ill health – whole group exercise
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Parental mental ill health – whole group exercise – DSL sheet
Resources
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Parental Mental Ill-health Poster
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I had a black dog, his name was depression
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The Mental Health Foundation
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NHS 5 steps to mental wellbeing
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Parenting and mental health - MIND
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Parental mental illness
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