Maternal Mental Illness and the Safety and Stability of Maltreated Children

Autor/inn/en	Kohl, Patricia L.; Jonson-Reid, Melissa; Drake, Brett
Titel	Maternal Mental Illness and the Safety and Stability of Maltreated Children
Quelle	In: Child Abuse & Neglect: The International Journal, 35 (2011) 5, S.309-318 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2011.01.006
Schlagwörter	Anxiety Disorders; Personality Problems; Placement; Child Abuse; Low Income; Mothers; Safety; Child Welfare; Mental Health; Mental Disorders; At Risk Persons; Parent Child Relationship; Foster Care; Schizophrenia + Suchen Sie Ihr Suchwort? Betriebspraktikum; Praktikum; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Niedriglohn; Mother; Mutter; Sicherheit; Kindeswohl; Psychohygiene; Mental illness; Geisteskrankheit; Risikogruppe; Parents-child relationship; Parent-child-relation; Parent-child relationship; Eltern-Kind-Beziehung; Pflegehilfe; Schizophrenie
Abstract	Objective: Children of mothers with mental illness are at risk for multiple untoward outcomes, including child maltreatment and foster care placement. The purpose of this analysis was to determine the association between maternal mental illness and children's long term safety and stability. Methods: A multi-sector administrative dataset from the Department of Social Services (DSS) and Department of Mental Health (DMH) was analyzed. The sample was 4,895 low income families (mother and child dyads) first reported to child welfare in 1993 or 1994. Families were followed until March of 2009. Dates of new report and foster care placement were obtained from DSS data. ICD-09 or ICD-10 diagnostic codes were obtained from Department of Mental Health data. Schizophrenic disorders, episodic mood disorders, anxiety disorders and personality disorders were examined. Results: New reports were more likely for children of mothers with mental illness, regardless of diagnosis. While overall 67% of children had a new report over the course of their childhood, rates ranged from 80 to 90% for children of mothers with mental illness and occurred within a shorter time frame than for other children. In the multivariate models, mood (HR = 1.41, p less than 0.001) and anxiety disorders (HR = 1.32, p less than 0.05) placed children at greater risk for new reports. The proportion of children with foster placements was more than double for children of mothers with mental illness than for other children. In the multivariate model, anxiety disorders were strongly associated with the risk of placement (HR = 1.75, p less than 0.001). Conclusions and Practice implications: Important differences in safety and stability were found between children of mothers with and without mental illnesses, as well as some variability across diagnoses. Since these mothers had already received services our findings suggest that access is not enough. The services they are receiving or have received may be an ineffective approach to helping them parent safely. (Contains 3 tables and 4 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10