Issues for the safety and wellbeing of children in families with multiple and complex problems
- How do drug and alcohol misuse, mental health problems and domestic violence affect parenting?
- The co-occurrence of parental mental health problems, substance misuse and domestic violence
- Social exclusion: The wider context of multiple and complex problems
- Trauma histories of parents with multiple and complex problems
- Responding to families with multiple and complex problems
- The structure of the service system: A whole-of-government approach to service delivery
- Early intervention and capacity building in an integrated service system
The factors most commonly associated with the occurrence of child abuse and neglect, and identified in families involved with child protection services, are domestic violence, parental substance abuse and parental mental health problems (Cleaver, Nicholson, Tarr, & Cleaver, 2007; Cleaver, Unell, & Aldgate, 1999; Scott, 2009). The significance of parental substance misuse, mental health problems and domestic violence is made clear in the National Framework for Protecting Australia's Children, which states "A particular focus is sustained on key risk factors of mental health, domestic violence and drug and alcohol abuse" (Council of Australian Governments, 2009, p. 21). Families in which parents present with these problems are often situated within a wider context of exclusion and disadvantage (e.g., housing instability, poverty, low education, social isolation and neighbourhood disadvantage). Parents may also be struggling to come to terms with their own experiences of trauma and victimisation. These types of problems are complex, often inter-related, and chronic in nature and rarely occur in isolation. Where these problems occur within families, the families are described as "families with multiple and complex problems".
This paper investigates the separate impacts of parental substance misuse, domestic violence and parental mental health problems. It presents evidence regarding the extent to which these problems co-occur and a discussion of the wider context of exclusion and disadvantage, its causes and its consequences. Finally, it provides an overview of research and theory for working with families with multiple and complex problems.
Families with multiple and complex problems are families with multiple, chronic and inter-related problems, the constellation of which can result in children's needs being unmet, and children being at heightened risk of abuse and neglect (Cleaver et al., 2007; Cleaver et al., 1999).