Abstract
Many mothers with mental health issues are caught up in the child protection system and face the prospect of having their children removed from their care. The aim of this study was to determine prevalence and outcomes for mothers with mental health issues and their children in child maltreatment cases opened for investigation in Canada. The method was secondary analysis of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003) core data. This CIS-2003 contains process and outcome data on a nationally representative sample of 11,652 child maltreatment investigations. Maternal mental health issues were noted in 2,272 (19.7%) cases opened for investigation. The most common child protection concerns were neglect, emotional maltreatment and exposure to domestic violence. A significant association was found between maternal mental health issues and child maltreatment investigation outcomes, with many potentially confounding variables held constant. Broad spectrum, multi-disciplinary services are needed to support mothers with mental health issues. Effective mental health care is vital but insufficient. Addressing trauma, strengthening social relationships and alleviating poverty are also key. Systemic advocacy is needed to ensure that mothers with mental health issues can access broad spectrum supports.
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Black, T., Trocmé, N., Fallon, B., & MacLaurin, B. (2008). The Canadian child welfare system response to exposure to domestic violence investigations. Child Abuse and Neglect, 32, 393–404.
Brunt, C. C. (2004). Parental psychiatric disorder and the law: The American case. In M. Gőpfert, J. Webster, & M. V. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 257–270). Cambridge: Cambridge University Press.
Diaz-Caneja, A., & Johnson, S. (2004). The views and experiences of severely mentally ill mothers. Social Psychiatry and Psychiatric Epidemiology, 39, 472–482.
Dowling, R. M. (1999). Parenting: The twenty-four-hour, seven-days-a-week job! In V. Cowling (Ed.), Children of parents with mental illness (pp. 3–13). Melbourne: Australian Council for Educational Research.
Gőpfert, M., Webster, J., & Nelki, J. (2004). The construction of parenting and its context. In M. Gőpfert, J. Webster, & M. V. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 62–84). Cambridge: Cambridge University Press.
Government of Canada. (2006). Mental illness in Canada: An overview. In Public Health Agency of Canada, Mood Disorders Society of Canada, Health Canada, Statistics Canada, & Canadian Institute for Health Information (Eds.), The human face of mental health and mental illness in Canada (pp. 29–56). Ottawa: Minister of Public Works and Government Services Canada.
Hall, A. (2004). Parental psychiatric disorder and the developing child. In M. Gőpfert, J. Webster, & M. V. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 22–49). Cambridge: Cambridge University Press.
Helfrich, C. A., Fujiura, G. T., & Rutkowski-Kmitta, V. (2008). Mental health disorders and functioning of women in domestic violence shelters. Journal of Interpersonal Violence, 23(4), 437–453.
Hollingsworth, L. D. (2004). Child custody loss among women with persistent severe mental illness. Social Work Research, 28(4), 199–209.
Lancaster, S. (2004). Being there: How parental mental illness can affect children. In V. Cowling (Ed.), Children of parents with mental illness (pp. 14–33). Melbourne: Australian Council for Educational Research.
Lapalme, M., Hodgins, S., & LaRoche, C. (1997). Children of parents with bipolar disorder: A metaanalysis of risk for mental disorders. Canadian Journal of Psychiatry, 42, 623–631.
Lewis, V., & Creighton, S. J. (1999). Parental mental health as a child protection issue: Data from the NSPCC national child protection helpline. Child Abuse Review, 8, 152–163.
McConnell, D., Llewellyn, G., & Ferronato, L. (2000). Parents with a disability and the NSW children’s court. Sydney, Australia: The University of Sydney.
Mowbray, C. T., & Mowbray, O. P. (2006). Psychosocial outcomes of adult children of mothers with depression and bipolar disorder. Journal of Emotional and Behavioral Disorders, 14(3), 130–142.
Mowbray, C., Oyserman, D., Bybee, D., & MacFarlane, P. (2002). Parenting of mothers with a Serious mental illness: Differential effects of diagnosis, clinical history, and other mental health variables. Social Work Research, 26(4), 225–240.
Oyserman, D., Mowbray, C. T., Allen-Meares, P., & Firminger, K. B. (2000). Parenting among mothers with a serious mental illness. American Journal of Orthopsychiatry, 70(3), 296–315.
Park, J. M., Solomon, P., & Mandell, D. S. (2006). Involvement in the child welfare system among mothers with serious mental illness. Psychiatric Services, 57(4), 493–497.
Pilowsky, D. J., Wickramaratne, P. J., Rush, A. J., Hughes, C. W., Garber, J., Malloy, E., et al. (2006). Children of currently depressed mothers: a STAR*D ancillary study. Journal of Clinical Psychiatry, 67(1), 126–136.
Quinton, D., & Rutter, M. (1984). Parents with children in care-I Current circumstances and parenting. Journal of Child Psychology and Psychiatry, 25(2), 211–229.
Ross, R. (2004). Child protection and parental mental illness: The Victorian child protection service. In V. Cowling (Ed.), Children of parents with mental illness (pp. 87–107). Melbourne: Australian Council for Educational Research.
Rutter, M., & Quinton, D. (1984). Parental psychiatric disorder: Effects on children. Psychological Medicine, 14, 853–880.
Sands, R. G., Koppelman, N., & Solomon, P. (2004). Maternal custody status and living arrangements of children of women with severe mental illness. Health and Social Work, 29(4), 317–325.
Seeman, M. V. (2004). Schizophrenia and motherhood. In M. Gőpfert, J. Webster, & M. V. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 161–171). Cambridge: Cambridge University Press.
Seeman, M. V., & Gőpfert, M. (2004). Parenthood and adult mental health. In M. Gőpfert, J. Webster, & M. V. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 8–21). Cambridge: Cambridge University Press.
Taylor, C. G., Norman, D. K., Murphy, J. M., Jellinek, M., Quinn, D., Poitrast, F. G., et al. (1991). Diagnosed intellectual and emotional impairment among parents who seriously mistreat their children: Prevalence, type, and outcome in a court sample. Child Abuse and Neglect, 15, 389–401.
Trocmé, N., Fallon, B., MacLaurin, B., Daciuk, J., Felstiner, C., Black, T., et al. (2005). Canadian Incidence Study of Reported Child Abuse and Neglect–2003: Major findings. Ottawa, ON: Minister of Public Works and Government Services Canada.
US Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General Executive Summary. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999.
VanDeMark, N. R., Russell, L. A., O’Keefe, M., Finkelstein, N., Noether, C. D., & Gampel, J. C. (2005). Children of mothers with histories of substance abuse, mental illness, and trauma. Journal of Community Psychology, 33(4), 445–459.
Velleman, R. (2004). Alcohol and drug abuse problems in parents: An overview of the impact on children and implications for practice. In M. Gőpfert, J. Webster, & M. V. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families (pp. 185–202). Cambridge: Cambridge University Press.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s10597-011-9401-1.
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Westad, C., McConnell, D. Child Welfare Involvement of Mothers with Mental Health Issues. Community Ment Health J 48, 29–37 (2012). https://doi.org/10.1007/s10597-011-9374-0
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DOI: https://doi.org/10.1007/s10597-011-9374-0