Predictors of behavioral and emotional issues in children involved in custody disputes: A cross sectional study in urban Bengaluru.

BACKGROUND: The increasing rates of divorce in urban India has led to the subsequent parental battle for the child's custody. This paper discusses the behavioral and emotional issues of these children in relation to their psychosocial environmental factors and other relevant socio-demographic variables. METHODS: We used samples from parent interviews concerning 52 children aged 7-17-years-old, involved in child custody cases in the Family court of urban Bengaluru. The Strengths and Difficulties Questionnaire was used to measure response variables of behavioral and emotional issues in these children. Predictor models of quantile and multiple linear regression were used to assess the influence of psychosocial environmental factors and socio-demographic variables on the response variables. RESULTS: The predictor models revealed that risk of child suffering emotional and behavioral issues increased with factors such as excessive parental control, change of academic environment, general unrest at school, frequency of child's court visit, child's visitation of non-custodian parent on occasions and vacations, and negatively altered family relationship. The model however intriguingly showed that residing in nuclear household rather than with their grandparents in a non-nuclear household, decreased the risk of mental health issues in these children. CONCLUSIONS: This study is a novel attempt to understand the influence of the psychosocial issues on the child's mental health in the context of custody cases in India. Despite the minimum sample size, the findings imply that family-based intervention is the need of the hour in these cases. The implications for clinical practice and research are discussed.

Family support and well-being programme (FSWP): A specialized family strengthening psychosocial services for parents of children in conflict with law.

Background: A multidimensional family support and well-being programme (FSWP) was initiated to support the families of children in conflict with law (CICL) and strengthen their participation in the integration process. This programme aims to successfully reintegrate children into the family and build parental capacity to manage them. This study presents the overview of the multidimensional FSWP initiated in an observation home, facility for CICLs, Bengaluru, a metropolitan city of India. Methods and Materials: The team of psychiatric social workers systematically delivered the family support programme to promote families' involvement at multiple levels (individual, relationships, community, and societal) for successful reintegration of children in communities. The preliminary data about the participants was collected using strengths and difficulties questionnaire and parent interview schedule. Results: The programme activities consisted of engaging parents and family members in the parenting management training programme, addressing their psychosocial issues, identifying resources for postrelease rehabilitation and promotive interventions with children and their parents. The FSWP activities are developed to increase positive outcomes like favorable behavioral changes in children and emotional regulation, frequent participation and support of parents in the trial and rehabilitation process, and encouraging parental involvement in for successful community reintegration and placements of children. Conclusion: The family characteristics are integrally related to delinquency and practioners need to integrate such factors to improve parenting behaviors and enhance positive relationships between families and children.

Swatantra Clinic: A descriptive study on the specialized child mental health service for children in difficult circumstances at a tertiary care center in India.

In India, children in difficult circumstances, like institutionalized children have higher mental health morbidity and complex psychosocial concerns than the non-institutionalized children. To cater to the complex needs of these children referred by the Juvenile Justice System, a specialized service called 'Swatantra Clinic' was initiated by the Department of Child and Adolescent Psychiatry at the National Institute of Mental Health and Neurosciences, India. This article thereby aims to describe the psychosocial characteristics of these children, along with the array of specialized interventions provided during the first year of its inception in June 2018. It was found that majority of these children were girls and were from lower socio-economic, urban background, primarily referred for externalizing or internalizing concerns. The majority of them reported experiences of physical and verbal abuse along with family stressors and almost half of them had a diagnosable psychiatric condition. The nature of the psychosocial services rendered at the clinic mostly comprised of brief, individual and family counseling along with liaison work with various governmental agencies for rehabilitation services. These form the key components of a comprehensive, collaborative, time-bound and holistic care model to cater to the distinct psychosocial issues of this vulnerable population of children in low - middle resource settings. Policy implications are discussed.