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Empowerment of young people who have a parent living with dementia: a social model perspective

Published online by Cambridge University Press:  13 November 2015

Karen Hutchinson*
Affiliation:
NHMRC Cognitive Decline Partnership Centre, Old Leighton Lodge (Building 8), Hornsby Ku-ring-gai Hospital, Hornsby NSW 2077, Australia
Chris Roberts
Affiliation:
Northern Clinical School-Hornsby, Building 3, Hornsby Ku-ring-gai Hospital, Hornsby NSW 2077, Australia
Michele Daly
Affiliation:
Northern Clinical School-Hornsby, Building 3, Hornsby Ku-ring-gai Hospital, Hornsby NSW 2077, Australia
Caroline Bulsara
Affiliation:
The University of Notre Dame Australia, 19 Mouat Street (PO Box 1225), Fremantle, Western Australia 6959, Australia
Susan Kurrle
Affiliation:
NHMRC Cognitive Decline Partnership Centre, Old Leighton Lodge (Building 8), Hornsby Ku-ring-gai Hospital, Hornsby NSW 2077, Australia
*
Correspondence should be addressed to: Karen Hutchinson, Northern clinical school-Hornsby, Building 3, Hornsby Ku-ring-gai hospital, Palmerston Rd, Hornsby NSW 2077, Australia. Phone: +612-9477-9127; Fax: +612-9482-1642. Email: [email protected].

Abstract

Background:

Socially constructed disablement has marginalized young people in families where a parent has younger onset dementia (YOD). This has contributed to inadequate societal support for their complex situation. Impacts on such young people include significant involvement with mental health services for themselves. In this paper, we explored the young people's lived experiences in these families and the influencing factors to enable these young people to be included and supported within their community.

Methods:

In this qualitative research study, the social model of disability was used as the theoretical framework in conducting a thematic analysis of interviews with 12 participants.

Results:

Three themes emerged; invisibility highlighting the issues of marginalization; connectivity foregrounding the engagement of young people with family, friends and their social networks, and being empowered through claiming their basic human right to receive the age appropriate support they needed.

Conclusion:

The current plight of young people living with a parent with YOD demands a fundamental shift by society in developing inclusive cross-sectorial cooperation linking service providers across youth and dementia sectors. This requires working in partnership with the service users responding to the identified needs of individual family members.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2015 

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References

Aldridge, J. and Becker, S. (1999). Children as carers: the impact of parental illness and disability on children's caring roles. Journal of Family Medicine, 21, 303320.Google Scholar
Allen, J., Oyebode, J. and Allen, J. (2009). Having a father with young onset dementia—the impact on well being of young people. Dementia, 8, 455480.CrossRefGoogle Scholar
Alzheimer's Australia NSW. (2010). Addressing the Stigma associated with Dementia (P. a. I. unit, Trans.) (pp. 130). North Ryde NSW: Alzheimers Australia NSW.Google Scholar
Australian Institute of Health and Welfare. (2011). Young Australians: Their Health and Wellbeing 2011. Cat. no. PHE 140. Canberra: AIHW.Google Scholar
Australian Institute of Health and Welfare. (2012). Dementia in Australia. Cat. no. AGE 70. Canberra: AIHW.Google Scholar
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioural change Psychological review, 84, 191215.Google Scholar
Bandura, A. (1993). Perceived self-efficacy in cognitive development and functioning. Educational psychologist, 28, 117148.Google Scholar
Barca, M., Thorsen, K., Engedal, K., Haugan, P. and Johannessen, A. (2014). Nobody asked me how I felt: experiences of adult children of persons with younger onset dementia. International Psychogeriatrics, 26, 19351944. doi: 10.1017/S1041610213002639.Google Scholar
Barnes, C. (1992). An exploitation of the principles for media representations of disabled people. Krumlin, Halifax: The British Council of Organisations of Disabled People.Google Scholar
Barnes, C. and Mercer, G. (2011). Exploring Disability, 2nd edn. Cambridge: Polity Press.Google Scholar
Beresford, P. (2004). Madness, distress, research and a social model. In Barnes, C. and Mercer, G. (eds.), Implementing the Social Model of Disability: Theory and Research (pp. 208222). Leeds: The Disability Press.Google Scholar
Beresford, P., Nettle, M. and Perring, R. (2010). Towards a Social Model of Madness and Distress? Exploring what Service Users Say, 1st edn. York: Joseph Rowntree Foundation.Google Scholar
Bogosian, A., Moss-Morris, R. and Hadwin, J. (2010). Psychosocial adjustment in children and adolescents with a parent with multiple sclerosis: a systematic review. Clinical Rehabilitation, 24, 789801.CrossRefGoogle ScholarPubMed
Brodaty, H. and Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Science, 11, 217228.CrossRefGoogle ScholarPubMed
Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 6, 6572.CrossRefGoogle Scholar
CanTeen. (2014. CanTeen Mission and Values. Available at: www.canteen.org.au; last accessed 20 October 2014.Google Scholar
Christensen, H. (2014). Social media, big data and the next generation of e-health interventions. InPsych, 36, 1213.Google Scholar
Denny, S. et al. (2012). Caring for children of parents with frontotemporal degeneration: a report of the AFTD task forceon families with children American Journal of Alzheimer's Disease and Other Dementias, 27, 568577.CrossRefGoogle Scholar
Gelman, C. and Greer, C. (2011). Young children in early onset alzheimer's disease familiies: research gaps and emerging servicesneeds. American Journal of Alzheimers Disease and Other Dementias, 26, 2935.Google Scholar
Gilliard, J., Means, R., Beattie, A. and Daker-White, G. (2005). Dementia care in England and the social model of disability: lessons and issues. Dementia, 4, 571586. doi: 10.1177/1471301205058312.Google Scholar
Gilligan, R. (2000). Adversity, resilience and young people: the protective value of positive school and spare time experiences. Children and Society, 14, 3747. doi: 10.1111/j.1099-0860.2000.tb00149.x.Google Scholar
Gray, B., Robinson, C. and Seddon, D. (2008). Invisible children: young carers of parents with mental health problems — the perspective of professionals. Child and Adolescent Mental Health, 13, 169172.CrossRefGoogle ScholarPubMed
Gulliver, A., Griffiths, K. and Christensen, H. (2010). Perceived barriers and facilitators to mental health help seeking in young people; a systematic review. BMC Psychiatry, 10, 19.Google Scholar
Hagen, P., Collin, P., Metcalf, A., Nicholas, M., Rahilly, K. and Swainston, N. (2012). Participatory Design of Evidence-Based Online Youth Mental Health Promotion, Prevention, Early Intervention and Treatment. (pp. 19). Melbourne: Young and Well Cooperative Research Centre.Google Scholar
Henderson, C. and Thornicroft, G. (2009). Stigma and discrimination in mental illness: time to change. Lancet, 373, 19281930.Google Scholar
Hutchinson, K., Roberts, C., Kurrle, S. and Daly, M. (2014). The emotional wellbeing of young people having a parent with younger onset dementia. Dementia. doi: 10.1177/1471301214532111.Google ScholarPubMed
Johannessen, A. and Moller, A. (2013). Experiences of persons with early onset dementia in everyday life: a qualitative study. Dementia, 12, 410424. doi: 10.1177/1471301211430647.Google Scholar
Kauer, S.D., Mangan, C. and Sanci, L. (2014). Do online mental health services improve help seeking for young people? A systematic reveiw. Journal of Medical Internet Research, 16, e66.Google Scholar
Kawachi, I. and Berkman, L. (2001). Social ties and mental health. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 78, 458467.CrossRefGoogle ScholarPubMed
Masterton, S. and Owen, S. (2006). Mental health service user's social and individual empowerment: using theories of power to elucidate far-reaching strategies. Journal of Mental Health, 15, 1934.CrossRefGoogle Scholar
Mayberry, D., Ling, L., Szakas, E. and Reupert, A. (2005). Children of a parent with mental illness: perspectives on need. Australian e-Journal for the Advancement of Mental Health, 4, 111.Google Scholar
Maynard, A., Patterson, P., McDonald, F. and Stevens, G. (2013). What is helpful to adolescents who have a parent diagnosed with cancer? Journal of Psychological Oncology, 31, 675697.CrossRefGoogle ScholarPubMed
McAndrew, S., Warne, T., Fallon, D. and Moran, P. (2012). Young, gifted and caring: a project narrative of young carers, their mental health, and getting them involved in education, research and practice. International Journal of Mental Health Nursing, 21, 1219.Google Scholar
McDaid, S. and Delaney, S. (2011). The social approach to decision making: exploratory research with people with experience of mental health treatment. Disability and Society, 26, 729742.CrossRefGoogle Scholar
Montague, A., Varcin, K. and Parker, A. (2014) Putting Technology into Practice: Evidence and Opinions on Integrating Technology with Youth Health Services. Melbourne: Young and Well Cooperative Research Centre.Google Scholar
Moore, T. and McArthur, M. (2007). We’re all in it together: supporting young carers and their families in Australia. Health and Social Care in the Community, 15, 561568.Google Scholar
Mulvany, J. (2000). Disability, impairment or illness? The relevance of the social model of disability to the study of mental disorder. Sociology of Health and Illness, 22, 583601.Google Scholar
NVivo. (2012). NVivo qualitative data analysis software (Version 10): QSR International Pty Ltd.Google Scholar
Oliver, M. (2009). Understanding Disability from Theory to Practise, 2nd edn, England: Palgrave Macmillan.Google Scholar
Pakenham, K. (2012). Caregiving tasks in caring for an adult with mental illness and associations with adjustment outcomes. International Journal of Behavioural Medicine, 19, 186198. doi: 10.1007/s12529-011-9155-8.Google Scholar
Pakenham, K. and Bursnall, S. (2006). Relations between social support, appraisal and coping and both positive and negative outcomes for children of a parent with multiple sclerosis and comparisons with children of healthy parents. Clinical Rehabilitation, 20, 709723.Google Scholar
Patel, V., Flisher, A., Hetrick, S. and McGorry, P. (2007). The mental health of young people: a global public-health challenge. Lancet, 369, 13021313.Google Scholar
Ritchie, J., Lewis, J., Nicholls, C. and Ormston, R. (2013). Qualitative Research Practice: A Guide for Social Science Students and Researchers, 2nd edn. London: SAGE Publications Ltd.Google Scholar
Ritchie, J., Spencer, L. and O’Connor, W. (2003). Carrying out qualitative research. Qualitative Research Practise: A Guide for Social Science Students, 3rd edn, London: SAGE Publications Ltd. (Reprinted from: 2005).Google Scholar
Roach, P., Keady, J. and Bee, P. (2012). ‘It's easier just to separate them’: practice constructions in the mental health care and support of younger people with dementia and their families. Journal of Psychiatry and Mental Health Nursing, 19, 555562.Google Scholar
Robinson, M. and Cottrell, D. (2005). Health professionals in multi-disciplinary and multi-agency teams: Changing professional practice. Journal of Interprofessional Care, 19, 547560. doi: 10.1080/13561820500396960.CrossRefGoogle ScholarPubMed
Robson, E. (2004). Hidden child workers: young carers in Zimbabwe. Antipode, 36, 227248. doi: 10.1111/j.1467-8330.2004.00404.x Google Scholar
Rose, H. and Cohen, K. (2010). The experiences of young carers: a meta-synthesis of qualitative findings. Journal of Youth Studies, 13, 473487.Google Scholar
Singh, B. and Udainiya, R. (2009). Self efficacy and well being of adolescents. Journal of the Indian Academy of Applied Psychology, 35, 227232.Google Scholar
Smyth, C., Blaxland, M. and Cass, B. (2011a). ‘So that's how I found out I was a young carer and that I actually had been a carer most of my life’. Identifying and supporting hidden young carers. Journal of Youth Studies, 14, 145160. doi: 10.1080/13676261.2010.506524.
Smyth, C., Cass, B. and Hill, T. (2011b). Children and young people as active agents in care-giving: Agency and constraint. Children and Youth Services Review, 33, 509514.CrossRefGoogle Scholar
Svanberg, E., Spector, A. and Stott, J. (2011). The impact of young onset dementia on the family: a literature review. International Psychogeriatrics, 23, 358371.CrossRefGoogle ScholarPubMed
Tew, J. (2002). Going social: championing a holistic model of mental distress within professional education. Social work Education: The International Journal, 21, 143155.Google Scholar
Tew, J., Ramon, S., Slade, M., Bird, V., Melton, J. and Le Boutillier, C. (2012). Social factors and recovery from mental health difficulties: a review of the evidence. British Journal of Social Work, 42, 443460. doi: 10.1093/Bjsw/Bcr076.Google Scholar
Thomas, N., Stainton, T., Jackson, S., Cheung, W., Doubtfire, S. and Webb, A. (2003). ‘Your friends don't understand’: invisibility and unmet need in the lives of ‘young carers’. Child and Family Social Work, 8, 3546.Google Scholar
Wallerstein, N. (1992). Powerlessness, empowerment, and health: implications for health promotion program. American Journal of Health Promotion, 6, 197205.Google Scholar
Wenger, E. (2000). Communities of practise and social learning systems. Organisation, 7, 225246.Google Scholar