Discuss at least two beliefs or other factors that are related to pediatric or perinatal mental healthcare that create barriers to mental health treatment.
Identify at least two specific education strategies or resources the PMHNP can provide to clients and families to address these barriers.
Identify one policy at either the federal, state, or local level that impacts mental health services for children and adolescents or clients in the perinatal period. Explain whether the policy supports or inhibits services.
Describe at least two advocacy strategies the PMHNP can use to advance mental health services for children and adolescents or clients in the perinatal period. Identify other professionals the PMHNP can collaborate with to bring about change.
Sample Answer
Beliefs and Factors as Barriers to Mental Health Treatment
Two key beliefs and factors that create significant barriers to mental health treatment for pediatric and perinatal populations are stigma and a belief in self-reliance or "toughing it out."
Stigma: In many communities, there is a pervasive social stigma associated with mental illness. For children and adolescents, this can manifest as fear of being seen as "crazy" or "weird" by their peers. They may worry about being bullied, or their parents may fear judgment from family members or the community. In the perinatal period, stigma is particularly powerful. New mothers may feel immense pressure to be "perfect" and happy, and admitting to struggles with their mental health is often seen as a sign of weakness or a failure of motherhood. This can lead to a woman suffering in silence for months, or even years, before seeking help. .
Belief in Self-Reliance: This factor, often rooted in cultural or familial beliefs, suggests that mental distress is a personal failing that can be overcome through sheer willpower. For children, this may translate to parents dismissing their emotional pain as a phase or a lack of discipline. For perinatal clients, this belief can lead to a dismissive attitude towards their symptoms, with comments like "you'll get over it" or "it's just the baby blues." This invalidates the client's experience and can prevent them from recognizing the need for professional help, as they may feel they should be able to manage their emotions alone.