Awareness, understanding, and help seeking for behaviour problems by parents of primary school age children in Central Jakarta: A qualitative study
Abstract
Background Understanding children’s behaviour and emotional conditions will allow parents to help them cope with the tasks of growing up. The accuracy of parents to identify their children as needing mental health services, and the factor that might influence parental perceptions is important.
Objectives To explore parents’ recognition and help-seeking patterns for behavior and emotional problems of school age children; To identify parents’ perceived needs and barriers in achieving access to appropriate mental health services.
Methods We involved six parents who had primary school children with behavior and/or emotional problems identified by their class teacher. Parents were interviewed by using a semistructured clinical interview, some were adapted from the Arthur Kleinman’s explanatory model of illness. Data were presented in descriptive and interpretative accounts.
Results In general, parents were aware that their children had behavioural and emotional problems but assumed it was part of their normal development. Four parents did not take their children to seek any professional help, assuming they would be able to overcome this situation with the helping hand from the school class teachers. Parents perceived that they were weak in parenting their child.
Conclusion This study emphasizes the need to increase parents’ awareness and understanding and helping agencies so they can recognize the problems accurately and overcome the barriers appropriately. [Paediatr Indones. 2010;50:18-25].
References
2. McKelvey R, Baldassar LV, Sang DL, Roberts L. Vietnamese parental perceptions of child and adolescent mental illness. J Am Acad Child Adolesc Psychiatry. 1999;38:1302-9.
3. Solantaus-Simula T, Punamaki RL, Beardslee W. Children’s responses to low parental mood II: Associations with family perceptions of parenting styles and child distress. J Am Acad Child Adolesc Psychiatry. 2002; 41:287-9.
4. Najman JM, Behrens BC, Andersen M, Bor W, O’Callaghan M, Williams GM. Impact of family type and family quality on child behaviour problems: A longitudinal study. J Am Acad Child Adolesc Psychiatry. 1997; 36:1357-64.
5. Poduska JM. Parent’s perception of their first graders’ need for mental health and educational services. J Am Acad Child Adolesc Psychiatry. 2000; 39:584-91
6. Goldberg D, Huxley P. Mental illness in the community: The pathway to psychiatric care. London: Travistock Publication; 1980.
7. Kleinman A. Reducing health disparities in Asian and Pacific islander populations: techniques for taking a history. Available from: http://erc.msh.org/aapi/tt11.html.
8. Hoberman HM. Ethnic minority status and adolescent mental health services utilization. J Behav Health Serv Res. 1992;19:246-67.
9. Pavuluri MN, Luk Siu-Luen, McGee R. Help-seeking for behaviour problems by parents of preschool children: A community study. J Am Acad Child Adolesc Psychiatry. 1996:35:215-22.
10. Hornblow A, Bushell JA, Wells JE, Joyce PR, Oakley-Browne MA. Christchurch psychiatric epidemiological study: use of mental health services. N Z Med. 1990; 103:415-7.
11. Feehan M, McGee R, Stanton W. Helping agency contact for emotional problems in childhood and early adolescence and the risk of later disorder. Aust N Z J Psychiatry. 1993; 27:270-4.
12. Dulcan MK. The paediatrician as gatekeeper to the mental health care for children: do parents’ concerns open the gate? J Am Acad Child Adolesc Psychiatry. 1990; 29:453-8.
13. Mattison RE. School consultation. In: Sadock BJ, Sadock VA, editors. Comprehensive textbook of psychiatry, 7th. Philladelphia: Lippincott Williams & Wilkins, 2000; p. 2947-54.
14. Jensen PS, Bloedau L, Davis H. Children at risk II: Risk factors and clinic utilization. J Am Acad Child Adolesc Psychiatry.1990;29:804-12
15. Stager C, Lewis M. Agreement among parents, teacher, and children on internalising and externalising problems. J Clin Child Psychol. 1993;22:107-15.
16. McGee R, William S, Silva PA. Behaviour disorder and developmental characteristics of aggressive, hyperactive, and aggressive-hyperactive boys. J Am Acad Child Psychiatry. 1984; 23:270-90.
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Accepted 2016-08-15
Published 2010-03-03
