While splitting from a mate is rarely easy, it can be hugely difficult for couples that have children together. In this situation, it is most likely that you will still remain in one another’s life for a very long time in order to co-parent your children. For most couples, the stress and conflict of divorce gradually subsides to reasonable levels over the first few years. For others, however, the conflict rages on and oftentimes it is the children who suffer the most.

Research suggests that divorce in and of itself is not destructive to children, but rather it is ongoing parent conflict that takes the lead in negative child outcomes. For high conflict parents, those that cannot seem to work cooperatively and respectfully on behalf of their children, who drag out parenting decisions, spend inordinate amounts of time in litigation, and/or do not follow through with parenting agreements even when court ordered, there is a service worth considering. In fact, it will oftentimes be court ordered when the abovementioned get too severe. That service is parenting coordination.

Parenting coordination is intended to provide support, guidance, education, and sometimes decision-making for separated and divorced parents that are in long-term high conflict. In quick sum, it is put in place to help parents carry out their parenting agreement. The service is typically provided by an attorney or mental health professional who has completed intensive training in the area of parenting coordination. This person is called a parenting coordinator or PC.

While PCs have been practicing for years, there has been a lot of variation in the way that they practice due to a lack of universal guidelines. The Association of Family and Conciliation Courts (AFCC) is a major contributor to the formal development of parenting coordination services and released a set of guidelines developed in 2005. The American Psychological Association has now taken on the task of developing PC guidelines specific to psychologists that operate as PCs and they have published those in this month’s American Psychologist.

While the guidelines are designed for psychologists, they can be applied to PCs with other professional backgrounds as well. I write about these guidelines not just for the sake of PCs, but for those parents who work with PCs. My intention is to give parents a clearer picture of what goes into the process of parenting coordination as PCs attempt to move parents from entrenched conflict to cooperative, productive parenting.

The guidelines cover several key areas. They are not mandated. Rather, the guidelines are to be used as a framework for how a PC operates.

  1. PCs are expected to understand and appreciate how extremely complex this role is.
  2. They are to receive ongoing training to keep up with the psychological and legal knowledge needed for the role.
  3. They are to practice only if they have competencies in the many skills and areas of knowledge (such as cultural awareness and domestic violence) required for parenting coordination.
  4. PCs are to work to ensure family safety and recognize when that safety is at risk.
  5. PCs are to adhere to APA’s ethical guidelines and seek guidance when needed to address issues related to diversity.
  6. PCs must maintain clear, complete, and timely record keeping.
  7. PC work and billing are to be done in a responsible and timely manner.
  8. PCs are to work collaboratively with other professionals involved in a case.

To read the full guidelines online, go here.

I’ve been exposed to PC work enough to know that many parents in the situation of having to have a PC are resentful of the presence of this person, feel as if their hands are tied and their parenting powers stripped. It is my wish that these guidelines can shed light on the true complexities and intentions behind the process and, hopefully, parents can work with their PC in a collaborative manner to move forward both for the sake of their children and of themselves. In other words, I hope that you can make your PC obsolete. Thanks for reading. –Anita

Sources:
AFCC Task Force on Parenting Coordination (2006). Guidelines for Parenting Coordination. Family Court Review, 44 (1), 164-181 DOI: 10.1111/j.1744-1617.2006.00074.x

American Psychological Association (2012). Guidelines for the practice of parenting coordination. American Psychologist, 67 (1), 63-71 DOI: 10.1037/a0024646


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The American Psychiatric Association is in the process of revising its Diagnostic and Statistical Manual of Mental Disorders (DSM) , a handbook used by clinicians when making diagnoses of conditions such as depression, and some believe it may be going too far.

A new report by researchers at Columbia and New York universities argues that the newly proposed definition of depression, which includes grief after the loss of a loved one under the umbrella of depression, is opening the door for false-positive diagnosis of depression and the unnecessary treatment of people who are simply going through the normal process of grieving.

Other experts, however, argue that clinical depression can and often does occur as a result of grief.  These proponents of the proposed changes feel that changing the criteria for a depression diagnosis will aid these people in getting the help that they need.

The 5th edition of the DSM, which is the first major update the manual has undergone since 1994, is due to be published in May 2013.

If you would like to learn more about the proposed changes, please visit http://www.dsm5.org/.

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DSM-V: Proposed Changes in Depression Criteria Too Broad? originally appeared on About.com Depression on Wednesday, January 25th, 2012 at 05:48:42.

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Antidepressants Increase Risk for Nursing Home Falls in Patients With Dementia

January 21, 2012

<p>Nursing home patients with dementia who were taking a class of antidepressants called serotonin reuptake inhibitors – which includes such drugs as Prozac, Paxil, Lexapro, Zoloft and Celexa – were three times more likely to experience a fall than other dementia patients, according to a new study out of the Netherlands.</p>

<p>Falls are a problem for patients with dementia, said the study authors, because about one-third of these falls will result in an injury.</p>

<p>The effect of SSRIs was examined because depression is very common in dementia patients and SSRIs are the most commonly prescribed antidepressant type in this population.</p>

<p>Lead author Carolyn Shanty Sterke and her team found that the increased risk for falls was present even at low doses and increased proportionately as the dose rose.</p>

<p>Concurrent use of antidepressants with certain other drugs, such as hyponotics or sedatives, increased the risk even more.</p>

<p>Sterke says that doctors should be careful about prescribing SSRIs to older patients with dementia and suggests that they should develop new treatment protocols that take into account the risk of falls.</p>

<p>The study was published online in the <em>British Journal of Clinical Pharmacology</em> on January 18, 2012.</p>

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<p><br class="spacer_" /></p><p style="background:#f5f3ef;border:1px solid #d5d0bf;clear:both;padding:.5em;"><a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/b/2012/01/21/antidepressants-increase-risk-for-nursing-home-falls-in-patients-with-dementia.htm">Antidepressants Increase Risk for Nursing Home Falls in Patients With Dementia</a> originally appeared on <a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/">About.com Depression</a> on Saturday, January 21st, 2012 at 08:07:18.</p><p><a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/b/2012/01/21/antidepressants-increase-risk-for-nursing-home-falls-in-patients-with-dementia.htm">Permalink</a> | <a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/b/2012/01/21/antidepressants-increase-risk-for-nursing-home-falls-in-patients-with-dementia.htm#gB3">Comment</a> | <a href="http://depression.about.com/gi/pages/shareurl.htm?PG=http://depression.about.com/b/2012/01/21/antidepressants-increase-risk-for-nursing-home-falls-in-patients-with-dementia.htm&zItl=Antidepressants Increase Risk for Nursing Home Falls in Patients With Dementia">Email this</a></p>

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Depression during pregnancy may lower your child’s IQ.

January 19, 2012

Can depression during pregnancy impact your child’s intelligence? How about postpartum depression?

Maternal depression has some significant negative consequences on kids. Among them, some studies have shown that maternal depression may impact the cognitive development of the offspring. But it is still unknown how maternal depression impacts the child’s cognitive skills. For example, are there [...]

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Depression, a Battle Again!

January 18, 2012

I wonder if it’s just this time of year that has me fighting the battle of depression again.  I know the holidays are famous for people being depressed but my worst time is after they are over.  It’s probably because the weather gets cold and…

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When Things Go From Bad to Worse

January 12, 2012

Sometimes, just when you think things are going pretty badly, they get worse.  That’s when a person feels like crawling under the covers and never coming out.  That’s what has happened while I’ve tried to deal with my sisters.  Life was …

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Low Vitamin D Associated With Depression

January 8, 2012

<p>According to a study conducted by UT Southwestern Medical Center psychiatrists, low levels of vitamin D have been linked with depression.</p>

<p>When the researchers looked at the results gathered from 12,600 participants in the Cooper Center Longitudinal Study between 2006 and 2010, they found that low levels of vitamin D were associated with depressive symptoms, especially in those with a history of depression.  High vitamin D levels, however, were associated with a significantly decreased risk for current depression.</p>

<p>The study did not attempt to assess whether vitamin D supplementation would reduce depression symptoms.</p>

<p>Nor is it known exactly what the relationship is between vitamin D and depression.  It could be that low vitamin D levels trigger depression or that depression in some way lowers vitamin D levels.</p>

<p>"Our findings suggest that screening for vitamin D levels in depressed patients – and perhaps screening for depression in people with low vitamin D levels – might be useful," said senior author Dr. E. Sherwood Brown, "but we don’t have enough information yet to recommend going out and taking supplements."</p>

<p>Vitamin D is a fat-soluble vitamin that is produced by natural processes within the body when ultraviolet radiation from the sun hits the skin.  It can be obtained in the diet by eating foods such as cod liver oil, salmon, mackerel, tuna, sardines and vitamin D fortified milk.   The current recommended dietary allowance for vitamin D is 600 IU for persons between the ages of one and 70.</p>

<p>The study was published in Mayo Clinic Proceedings.</p><p style="background:#f5f3ef;border:1px solid #d5d0bf;clear:both;padding:.5em;"><a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/b/2012/01/09/low-vitamin-d-associated-with-depression.htm">Low Vitamin D Associated With Depression</a> originally appeared on <a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/">About.com Depression</a> on Monday, January 9th, 2012 at 04:59:14.</p><p><a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/b/2012/01/09/low-vitamin-d-associated-with-depression.htm">Permalink</a> | <a href="http://clk.about.com/?zi=1/1hc&zu=http://depression.about.com/b/2012/01/09/low-vitamin-d-associated-with-depression.htm#gB3">Comment</a> | <a href="http://depression.about.com/gi/pages/shareurl.htm?PG=http://depression.about.com/b/2012/01/09/low-vitamin-d-associated-with-depression.htm&zItl=Low Vitamin D Associated With Depression">Email this</a></p>

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Race, Ethnicity Influence Depression Treatment in the Elderly

January 8, 2012

<p>According to a study out of Rutgers University, significant differences exist in the diagnosis and treatment of depression in older patients, with the differences being divided along racial and ethnic lines.</p>

<p>In particular, the researchers found that African Americans were less likely to be diagnosed with depression than their non-Hispanic white counterparts.  And, when they were diagnosed, they were less likely to receive treatment.</p>

<p>Lead author Ayse Akincigil, an assistant professor in Rutgers’ School of Social Work, and her team gathered data for the study from the U.S. Medicare Current Beneficiary Survey, 2001-2005, looking at 33,708 Medicare beneficiaries.  When they examined rates of depression diagnosis, they found that 7.2% of Hispanics, 6.4% of non-Hispanic whites, 4.2% of African Americans and 3.8% of all others had received a depression diagnosis.</p>

<p>Hispanics and African Americans, however, were less likely to receive treatment for their depression.</p>

<p>Akincigil suggests that these differences may arise because of cultural differences in how various racial or ethnic groups seek help.  For example, she says that African Americans may be more likely to turn to a pastor or lay counselor for support.  They may also feel more stigma or shame associated with depression or turn to more dysfunctional means of coping with the illness due to income restraints.</p>

<p>Akincigil also notes that whites tend to have higher incomes and live in neighborhoods where mental health professionals are more likely to be located, possibly making it easier for them to access professional care.</p>

<p>Due to the diverse makeup of the Hispanic community, it is more difficult to draw conclusions about why they might be undertreated.</p>

<p>The study authors suggest that ethnic minorities could be better served if universal depression screening and access to treatment for low-income and minority neighborhoods was ensured.  Increased reimbursement of case management services for depression treatment might also be helpful, they add.</p>

<p>The study appears online ahead of print on the American Journal of Public Health website. It will appear in print February 2012.</p>

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The Many Benefits, for Kids, of Playing Video Games

January 7, 2012

Video games do not promote obesity, ill health, social isolation, or violence. They do promote friendships, cooperation, self-control, and brainpower.read more

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Aggression in the Toddler Can Be Traced to Hostility in the Marriage

January 6, 2012

It makes sense if you think about it.  Mom and Dad are angry and at each other more often than they care to admit.  In comes junior.  It may not be so easy to put aside the hurt and anger caused by the marital conflict and turn toward the tot with a warm and patient [...]

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