{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T15:07:11Z","timestamp":1790089631812,"version":"4.0.1"},"reference-count":41,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T00:00:00Z","timestamp":1638921600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["U54-GM104941"],"award-info":[{"award-number":["U54-GM104941"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["1K12HS026393-01"],"award-info":[{"award-number":["1K12HS026393-01"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Health Care"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>This study aimed to identify barriers and facilitators to discussing parent mental health within child health care for parents of children with congenital heart disease (CHD). Seventy-nine parents of young children with CHD who received care across 40 hospitals in the United States responded to questions about barriers and facilitators to discussing their mental health with their child\u2019s health care providers. Responses were analyzed using qualitative research methods. Parents described multiple barriers: (1) belief that parent mental health support was outside the care team\u2019s scope of practice, (2) perceived expectation to \u201cstay strong,\u201d (3) fear of negative judgment or repercussion, (4) individual preferences for communication\/support, (5) desire to maintain care resources on their child, (6) perceived need to compartmentalize emotions, and (7) negative reactions to past emotional disclosure. Parents also described several facilitators: (1) confidence in the care team\u2019s ability to provide support, (2) intentional efforts by the care team to provide support, (3) naturally extroverted tendencies, and (4) developing personal connections with health care providers. It is important that health care providers normalize the impact of child illness on the family and create an environment in which parents feel comfortable discussing mental health challenges.<\/jats:p>","DOI":"10.1177\/13674935211058010","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:35:11Z","timestamp":1639010111000},"page":"360-373","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Barriers and facilitators to discussing parent mental health within child health care: Perspectives of parents raising a child with congenital heart disease"],"prefix":"10.1177","volume":"27","author":[{"given":"Melanie K","family":"Franklin","sequence":"first","affiliation":[{"name":"Division of Behavioral Health, Department of Pediatrics, Nemours Children\u2019s Health, Wilmington, DE, 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Demianczyk","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Behavioral Sciences & Cardiac Center, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"L Brosig","sequence":"additional","affiliation":[{"name":"Herma Heart Institute, Children\u2019s Wisconsin and Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"A Jackson","sequence":"additional","affiliation":[{"name":"Department of Patient and Family Services, Nemours Children\u2019s Health, Wilmington, DE, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"Lihn","sequence":"additional","affiliation":[{"name":"Sisters by Heart, El Segundo, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinai","family":"C 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