Risk Factors Associated With Child Protective Services Involvement Among Parents With a Serious Mental Illness

Ostrow, Laysha; Kaplan, Katy; Zisman‐Ilani, Yaara; Brusilovskiy, Eugene; Smith, Carina; Salzer, Mark S.

doi:10.1176/appi.ps.202000036

Cited by 2 publications

(1 citation statement)

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“…Involvement with CPS can be counterproductive; in the case of parental serious mental illness, detrimental effects on both children and parents have been shown [61]. Custody loss can be prevented not only by attending to a mother's mental health but also by addressing the contributions to poor parenting by factors such as lack of education, non-existent social support, domestic violence, substance abuse, and poverty [62]. Parents of children subject to care proceedings have complicated health and social needs that need solutions more humane than removing children from the only home they know.…”

Section: Child Custodymentioning

confidence: 99%

Grappling with Issues of Motherhood for Women with Schizophrenia

Seeman

2023

Healthcare

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Despite the fact that most persons with schizophrenia find steady employment difficult to sustain, many women with this diagnosis embrace and fulfill the most difficult task of all—motherhood. The aim of this paper is to specify the challenges of motherhood in this population and review the treatment strategies needed to keep mothers and children safe, protecting health and fostering growth. The review addresses concerns that had been brought to the author’s earlier attention during her clinical involvement with an outpatient clinic for women with psychosis. It is, thus, a non-systematic, narrative review of topic areas subjectively assessed as essential to “good enough” mothering in the context of schizophrenia. Questions explored are the stigma against motherhood in this population, mothers’ painful choices, issues of contraception, abortion, child custody, foster care and kin placement of children, the effects of antipsychotics, specific perinatal delusional syndromes, and, finally, the availability of parental support. This review is intended for clinicians. Recommendations are that care providers work collaboratively with mothers, take note of their strengths as well as their failings, offer a wide array of family services, monitor households closely for safety and for treatment adherence, appreciating the many challenges women with schizophrenia face daily.

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Section: Child Custodymentioning

confidence: 99%