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. 2016 Jan 6;6(1):e009636. doi: 10.1136/bmjopen-2015-009636
The segment Contextual factors Emotional and psychological factors What this means to behaviour How this impacts on their children
On the edge of crisis Household income–unemployment benefit Service exclusion–only see general practitioner (GP) and nursery staff Housing conditions and tenure–own home but in very poor state of repair Fear—that they will lose their children if they cannot care for them properly
Responsibility and blame—they want to provide a good family home but feel to blame for how they are living now
Embarrassment and shame—worried how others will see them, that they will be judged by authority/services
Lack of social connections and family support—no one to turn to or offer help
They are not seeking help from services
They are making trade-offs that are affecting their health and well-being
They are becoming ‘trapped’ in this cycle of struggle
They are becoming more isolated
Health and well-being is beginning to be detrimentally affected