Adolescents with a mentally ill parent are at high risk for developing a disorder themselves. It is widely recommended that these adolescents be provided with preventive interventions designed especially for them, but their avoidance of professional help is a common problem. Because most teenagers in Western societies use the World Wide Web as a means of social interaction, use of the Internet for reaching these young people would appear to be a promising option. In this article, the authors describe the development of Survivalkid.nl, an interactive, Internet-delivered, preventive intervention for supporting adolescents with a mentally ill family member. Usage statistics with regard to frequency and duration of visits and amount of activity during visits suggest that: (a) the target group has been better served than before the site was launched; and (b) we have accomplished our goal of expanding the range of support.
American Academy of Child & Adolescent Psychiatry. ( 2002). Children of parents with mental illness. Washington, DC: American Academy of Child & Adolescent Psychiatry.
2.
Australian Infant, Child, Adolescent and Family Mental Health Association. (2004). Principles and actions for services and people working with children of parents with a mental illness . Stepney, South Australia: Australian Infant Child Adolescent and Family Mental Health Association.
3.
Barak, A., & Dolev-Cohen, M. (2006). Does activity level in online support groups for distressed adolescents determine emotional relief . Counselling and Psychotherapy Research, 6(3), 186-190.
4.
Beardslee, W.R., Gladstone, T.R.G., Wright, E.J., & Cooper, A.B. ( 2003). A family-based approach to the prevention of depressive symptoms in children at risk: Evidence of parental and child change. Pediatrics, 112, 119-131.
5.
Beardslee, W.R., Versage, E.M., & Gladstone, T.R.G. (1998). Children of affectively ill parents: A review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 37(11), 1134-1141.
6.
Beardslee, W.R., Versage, E.M., Velde, P.V.D., Swatling, S., Hoke, L., McMahon, R.J., et al. (2002). Preventing depression in children through resiliency promotion: The Preventive Intervention Project. New York, NY: Kluwer Academic/Plenum Publishers .
7.
Beardslee, W.R., Wright, E.J., Gladstone, T.R.G., & Forbes, P. ( 2007). Long-term effects from a randomized trial of two public health preventive interventions for parental depression. Journal of Family Psychology, 21(4), 703-713.
8.
Beardslee, W.R., Wright, E.J., Salt, P., & Drezner, K. ( 1997). Examination of children’s responses to two preventive intervention strategies over time. Journal of the American Academy of Child & Adolescent Psychiatry, 36(2), 196-204.
9.
Bijl, R.V., Cuijpers, P., & Smit, F. ( 2002). Psychiatric disorders in adult children of parents with a history of psychopathology. Social Psychiatry and Psychiatric Epidemiology, 37(1), 7-12.
10.
Bool, M., Smit, F., Bohlmeijer, E., & Sambeek, D. v. (2001). Kinderen van ouders met psychische problemen. Factsheet 2: preventie [Children of mentally ill parents. Factsheet 2: Prevention]. Utrecht: Trimbosinstituut.
11.
Borzekowski, D.L.G., & Rickert, V.I. ( 2001). Adolescents, the internet, and health: Issues of access and content. Applied Developmental Psychology, 22, 49-59.
12.
Brouwer, W., Oenema, A., Crutzen, R., de Nooijer, J., de Vries, N.K., & Brug, J. ( 2008). An exploration of factors related to dissemination of and exposure to internet-delivered behavior change interventions aimed at adults: A Delphi study approach. Journal of Medical Internet Research, 10(2), e10.
13.
Clarke, G.N., Hornbrook, M., Lynch, F., Polen, M., Gale, J., Beardslee, W., et al. (2001). A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Archives of General Psychiatry, 58(12), 1127-1134.
14.
Crutzen, R., de Nooijer, J., Brouwer, W., Oenema, A., Brug, J., & de Vries, N.K. (2008a). Internet-delivered interventions aimed at adolescents: A Delphi study on dissemination and exposure. Health Education Research, 23(3), 427-439.
15.
Crutzen, R., De Nooijer, J., Brouwer, W., Oenema, A., Brug, J., & De Vries, N.K. (2008b). Qualitative assessment of adolescents’ views about improving exposure to internet-delivered interventions. Health Education, 108, 105-116.
16.
Cuijpers, P., van Straten, A., & Andersson, G. ( 2008). Internet-administered cognitive behavior therapy for health problems: A systematic review. Journal of Behavioral Medicine, 31, 169-177.
17.
Cunningham, M., Rapee, R., & Lyneham, H. ( 2006). Feedback to a prototype self-help computer program for anxiety disorders in adolescents. Australian e-Journal for the Advancement of Mental Health, 5(3). Retrieved from www.auseinet.com/journal/vol5iss3/cunningham.pdf
18.
Diefenbach, D.L., & West, M.D. ( 2007). Television and attitudes toward mental health issues: Cultivation analysis and the third-person effect. Journal of Community Psychology, 35(2), 181-195.
19.
Drost, L.M., Sytema, S., Windmeijer, P.M.A., Witteman, J.J., & Schippers, G.M. (2009). Survivalkid.nl. Eerste ervaringen met internetsteun voor KOPP-jongeren [First experiences with online support for youth with a mentally ill family member]. Maandblad voor Geestelijke volksgezondheid, 64(4), 256-272.
20.
Emmelkamp, P. ( 2005). Technological innovations in clinical assessment and psychotherapy. Psychotherapy and Psychosomatics, 74, 336-343.
21.
Falkov, A., & Lindsey, C. (Eds.). (2002). Patients as parents: Addressing the needs, including the safety, of children whose parents have mental illness . London: Royal College of Psychiatrists .
22.
Fraser, C., James, E.L., Anderson, K., Lloyd, D., & Judd, F. ( 2006). Intervention programs for children of parents with a mental illness: A critical review. International Journal of Mental Health Promotion, 8(1), 9-20.
23.
Fudge, E., & Mason, P. ( 2004). Consulting with young people about service guidelines relating to parental illness. Australian e-Journal for the Advancement of Mental Health, 3(2). Retrieved from www.auseinet.com/journal/vol3iss2/fudgemason.pdf
24.
Fukkink, R.G., & Hermanns, J. M. A. (2009)Children’s experiences with chat support and telephone supportJournal of Child Psychology and Psychiatry, 50(6), 759-766.
25.
Garley, D., Gallop, R., Johnston, N., & Pipitone, J. ( 1997). Children of the mentally ill: A qualitative focus group approach. Journal of Psychiatric and Mental Health Nursing , 4(2), 97-103.
26.
Gerrits, R., Zanden, R. v. d., Visscher, R.F.M., & Conijn, B.P. ( 2007). Master your mood online: A preventive chat group intervention for adolescents. Australian e-Journal for the Advancement of Mental Health (AeJAMH), 6(3). Retrieved from www.auseinet.com/journal/vol6iss3/gerrits.pdf
27.
Goepfert, M., Webster, J. , & Seeman, M. V. (Eds.). (1996). Parental psychiatric disorder. Cambridge: Cambridge University Press.
28.
Goepfert, M., Webster, J. , & Seeman, M. V. (Eds.). (2004). Parental psychiatric disorder (2nd ed.). Cambridge: Cambridge University Press.
29.
Gould, M.S., Munfakh, J.L., Lubell, K., Kleinman, M., & Parker, S. ( 2002). Seeking help from the internet during adolescence . Journal of the American Academy of Child & Adolescent Psychiatry, 41(10), 1182-1189.
30.
Gray, B., & Robinson, C. ( 2009). Hidden children: Perspectives of professionals on young carers of people with mental health problems. Child Care in Practice, 15(2), 95-108.
31.
Gray, N.J., Klein, J.D., Noyce, P.R., Sesselberg, T.S., & Cantrill, J.A. (2005). The internet: A window on adolescent health literacy. Journal of Adolescent Health , 37(3), 243, e241-243, e247.
32.
Handley, C., Farrell, G.A., Josephs, A., Hanke, A., & Hazelton, M. ( 2001). The Tasmanian children’s project: The needs of children with a parent/carer with a mental illness. Australian and New Zealand Journal of Mental Health Nursing, 10, 221-228.
33.
Hansen, D.L., Derry, H.A., Resnick, P.J., & Richardson, C.R. (2003). Adolescents searching for health information on the internet: An observational study. Journal of Medical Internet Research, 5(4), e25.
34.
Harvey, K., Churchill, D., Crawford, P., Brown, B., Mullany, L., Macfarlane, A., et al. (2008). Health communication and adolescents: What do their emails tell us? Family Practice, 25, 304-311.
35.
Hetherington, R., & Baistow, K. ( 2001). Supporting families with a mentally ill parent: European perspectives on interagency cooperation. Child Abuse Review , 10, 351-365.
36.
Hinden, B.R., Biebel, K., Nicholson, J., Henry, A., & Katz-Levy, J. ( 2006). A survey of programs for parents with mental illness and their families: Identifying common elements to build the evidence base . Journal of Behavioral Health Services & Research, 33(1), 21-38.
37.
Hoefnagels, C., Meesters, C., & Simenon, J. ( 2007). Social support as predictor of psychopathology in the adolescent offspring of psychiatric patients. Journal of Child and Family Studies16, 91-101.
38.
Huinen, S.E.A., & Valkenberg, I.M.C. (2005). De ontwikkeling van een Effect Evaluatie Vragenlijst (EVVL) voor KOPP / KVO-preventiegroepen voor adolescenten [Development of a questionnaire for evaluating support groups for adolescents with a parent who suffers from a mental illness or addiction] . Radboud University, Nijmegen .
39.
Jacobson, L., Richardson, G., Parry-Langdon, N., & Donovan, C. ( 2001). How do teenagers and primary healthcare providers view each other? British Journal of General Practice, 51(471), 811-816.
40.
Landman-Peeters, K. ( 2007). At risk of depression and anxiety: Studies into the interplay of personal and environmental risk factors. University of Groningen, Groningen.
41.
Lenhart, A., Rainie, L., & Lewis, O. ( 2005). Teens and technology: Youth are leading the transition to a fully wired and mobile nation. Washington, DC: Pew Internet & American Life Project.
42.
Lieb, R., Isensee, B., Höfler, M., Pfister, H., & Wittchen, H.-U. (2002). Parental major depression and the risk of depression and other mental disorders in offspring: A prospective-longitudinal community study. Archives of General Psychiatry, 59, 365-374.
43.
Linke, S., McCambridge, J., Khadjesari, Z., Wallace, P., & Murray, E. ( 2008). Development of a psychologically enhanced interactive online intervention of hazardous drinking. Alcohol & Alcoholism , 43(6), 669-674.
44.
Manhal-Baugus, M. ( 2001). E-therapy: Practical, ethical and legal issues . Cyberpsychology & Behavior, 4(5), 551-563.
45.
Maybery, D., Ling, L., Szakacs, E., & Reupert, A. ( 2005). Children of parents with a mental illness: Perspectives on need. Australian e-Journal for the Advancement of Mental Health4(2), 1-11. Retrieved from www.auseinet.com/journal/vol4iss2/maybery.pdf
46.
McGinty, K.L., Saeed, S.A., Simmons, S.C., & Yildirim, Y. ( 2006). Telepsychiatry and e-mental health services: Potential for improving access to mental health care. Psychiatric Quarterly , 77, 335-342.
47.
Mordoch, E., & Hall, W.A. ( 2002). Children living with a parent who has a mental illness: A critical analysis of the literature and research implications. Archives of Psychiatric Nursing, XVI(5), 208-216.
48.
Ramchandani, P., & Stein, A. ( 2003). The impact of parental psychiatric disorder on children . British Medical Journal, 327, 242-243.
49.
Reijneveld, S.A., Vogels, A.G., Brugman, E., Ede, J. v., Verhulst, F.C., & Verloove-Vanhorick, F.P. (2003). Early detection of psychosocial problems in adolescents: How useful is the Dutch short indicative questionnaire (KIVPA)? European Journal of Public Health, 13, 152-159.
50.
Rickwood, D., Deane, F.P., Wilson, C.J., & Ciarrochi, J. ( 2005). Young people’s help-seeking for mental health problems . Australian e-Journal for the Advancement of Mental Health , 4(3). Retrieved from www.auseinet.com/journal/vol4iss3suppl/rickwood.pdf
51.
Riebschleger, J. ( 2004). Good days and bad days: The experiences of children of a parent with a psychiatric disability. Psychiatric Rehabilitation Journal, 28(1), 25-31.
52.
Riley, A.W., Valdez, C.R., Barrueco, S., Mills, C., Beardslee, W.R., Sandler, I., et al. (2008). Development of a family-based program to reduce risk and promote resilience among families affected by maternal depression: Theoretical basis and program description. Clinical Child and Family Psychology Review, 11, 12-29.
53.
Ritterband, L.M., Andersson, G., Christensen, H.M., Carlbring, P., & Cuijpers, P. ( 2006). Directions for the International Society for Research on Internet Interventions (ISRII). Journal of Medical Internet Research, 8(3), e23.
54.
Ritterband, L.M., Gonder-Frederick, L.A., Coc, D.J., Clifton, A.D., West, R.W., & Borowitz, S.M. (2003). Internet interventions: In review, in use and into the future. Professional Psychology: Research and Practice, 34(5), 527-534.
55.
Ross, R.G., & Compagnon, N. ( 2001). Diagnosis and treatment of psychiatric disorders in children with a schizophrenic parent. Schizophrenia Research , 50, 121-129.
56.
Saxena, S., Jané-Llopis, E., & Hosman, C. ( 2006). Prevention of mental and behavioural disorders: Implications for policy and practice. World Psychiatry, 5(1), 5-14.
57.
Shaw, R.J. ( 2001). Treatment adherence in adolescents: Development and psychopathology . Clinical Child Psychology and Psychiatry , 6, 137-150.
58.
Spek, V., Cuijpers, P., Nyklíč, I., Riper, H., Keyzer, J., & Pop, V. ( 2006). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37(3), 319-328.
59.
Stallard, P., Norman, P., Huline-Dickens, S., Salter, E., & Cribb, J. ( 2004). The effects of parental mental illness upon children: A descriptive study of the views of parents and children. Clinical Child Psychology and Psychiatry, 9, 39-52.
60.
Subrahmanyam, K., Greenfield, P.M., & Tynes, B. ( 2004). Constructing sexuality and identity in an online teen chat room. Applied Developmental Psychology, 25, 651-666.
61.
Subrahmanyam, K., Smahel, D., & Greenfield, P. (2006). Connecting developmental constructions to the internet: Identity presentation and sexual exploration in online teen chat rooms. Developmental Psychology, 42(3), 395-406.
62.
Sun, P., Unger, J.B., Palmer, P., Gallaher, P., Chou, C.-P., Baezconde-Garbanati, L., et al. (2005). Internet accessibility and usage among urban adolescents in Southern California: Implications for web-based health research. Cyberpsychology & Behavior, 8(5), 441-453.
63.
Suzuki, L.K., & Calzo, J.P. ( 2004). The search for peer advice in cyberspace: An examination of online teen bulletin boards about health and sexuality. Applied Developmental Psychology, 25, 685-698.
64.
Teagle, S.E. ( 2002). Parental problem recognition and child mental health service use. Mental Health Services Research, 4(4), 257-266.
65.
Van der Veen, C., & Voordouw, I. ( 2008). Aard en omvang GGZ- en VZ-preventie 2006. Ontwikkelingen in de organisatie, omvang en inhoud van de GGZ- en VZ-preventie [Nature and scope of interventions for preventing mental illness and addiction in 2006] . Utrecht: Trimbos Institute.
66.
Wangberg, S.C., Bergmo, T.S., & Johnsen, J.A.K. (2008). Adherence in internet-based interventions. Patient Preference and Adherence, 2, 57-65.
67.
Wantland, D.J., Portillo, C.J., Holzemer, W.L., Slaughter, R., & McGhee, E.M. (2004). The effectiveness of web-based vs. non-web-based interventions: A meta-analysis of behavioral change outcomes . Journal of Medical Internet Research, 6(4), e40.
68.
Webb, M., Burns, J., & Collin, P. ( 2008). Providing online support for young people with mental health difficulties: Challenges and opportunities explored. Early intervention in Psychiatry, 2, 108-113.
69.
Whitlock, J.L., Powers, J.L., & Eckenrode, J. ( 2006). The virtual cutting edge: The internet and adolescent self-injury. Developmental Psychology, 42(3), 407-417.
70.
Wolak, J., Mitchell, K.J., & Finkelhor, D. ( 2003). Escaping or connecting? Characteristics of youth who form close online relationships. Journal of Adolescence , 26, 105-119.
71.
Wright, J.H., Wright, A.S., Paul, S., Beck, A.T., Kuykendall, J., Goldsmith, L.J., et al. (2002). Development and initial testing of a multimedia program for computer-assisted cognitive therapy. American Journal of Psychotherapy, 56(1), 76-86.
72.
Ybarra, M.L., Alexander, C., & Mitchell, K.J. (2005). Depressive symptomatology, youth internet use, and online interactions: A national survey. Journal of Adolescent Health, 36, 9-18.
73.
Ybarra, M.L., & Mitchell, K.J. (2004). Youth engaging in online harassment: Associations with caregiver- child relationships, internet use, and personal characteristics. Journal of Adolescence, 27, 319-336.
74.
Zwaanswijk, M., Verhaak, P.F.M., Bensing, J.M., Ende, J. v. d., & Verhulst, F.C. (2003). Help seeking for emotional and behavioural problems in children and adolescents. A review of recent literature. European Child & Adolescent Psychiatry, 12, 153-161.
