scholarly journals Mental Health Harm to Mothers When a Child Is Taken by Child Protective Services: Health Equity Considerations

2017 ◽  
Vol 63 (5) ◽  
pp. 304-307 ◽  
Author(s):  
Kathleen S. Kenny
Keyword(s):  
Mental Health ◽  
Health Equity ◽  
Child Protective Services ◽  
Protective Services

Care Coordination for Youth With Mental Health Disorders in Primary Care

2017 ◽  
Vol 57 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Katherine Hobbs Knutson ◽  
Mark J. Meyer ◽  
Nisha Thakrar ◽  
Bradley D. Stein
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Coordination ◽  
Child Protective Services ◽  
Mental Health Disorders ◽  
Specialty Care ◽  
Health Providers ◽  
Protective Services ◽  
Primary Care Settings ◽  
Health Disorders

Many children are treated for mental health disorders in primary care settings. The system of care (SOC) provides a framework for collaboration among pediatric mental health providers, but it is unclear if youth treated for mental health disorders in primary care receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 for 74 individuals ≤18 years, the odds of contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared for mental health treatment in primary versus specialty care. The odds of SOC contact within primary care were lower compared to specialty care (OR = 0.43, 95% CI = 0.29-0.66), specifically for mental health (OR = 0.54, 95% CI = 0.25-1.2), education (OR = 0.12, 95% CI = 0.050-0.28), and child protective services (OR = 0.64, 95% CI = 0.22-1.9). As care coordination may improve health outcomes, increased support and education for care coordination specific to youth treated for mental health disorders in primary care settings may be warranted.

“They’re not bad parents. They’ve just made bad choices.”: Mental health clinicians’ perspectives of parents involved with child protective services

2020 ◽  
pp. 147332502097328
Author(s):  
Hana Yoo ◽  
Stefana Racorean ◽  
Victoria Barrows
Keyword(s):  
Mental Health ◽  
Child Maltreatment ◽  
Child Protection ◽  
Child Protective Services ◽  
Mental Health Clinicians ◽  
Structured Interviews ◽  
Protective Services ◽  
Psychotherapeutic Treatment ◽  
Parenting Knowledge ◽  
Involved Parents

Although psychotherapeutic treatment (e.g., counseling and therapy) is often offered to clients involved with child protective services (CPS), the existing literature includes few voices of mental health clinicians regarding their work and clients in the child welfare system. The current study seeks to address this gap by exploring clinicians’ views on the issue of child maltreatment and CPS-involved parents’ parenting. Thematic analysis of semi-structured interviews revealed that clinicians acknowledged the strengths of CPS-involved parents as well as the challenges that may have made their parenting difficult. For strengths, clinicians identified parents’ desire to care for their child, motivation to improve their parenting, and commitment to their child. Identified challenges included a lack of parenting knowledge, substance use, and limited resources and support. Overall, clinicians in this study presented a balanced perspective that attended to both the “good” and the “bad” in their clients’ parenting. They viewed CPS-involved parents as more than the sum of their problematic parenting behaviors and understood incidents of child maltreatment within the parents’ contexts. At the same time, their interviews noted that a variety of individual and sociostructural challenges faced by CPS-involved parents must be addressed in order to resolve child maltreatment and prevent parents’ repeated involvement in the child protection system.

Who Gets Protection? A National Study of Multiple Victimization and Child Protection Among Taiwanese Children

2016 ◽  
Vol 34 (17) ◽  
pp. 3737-3761 ◽  
Author(s):  
April Chiung-Tao Shen ◽  
Joyce Yen Feng ◽  
Jui-Ying Feng ◽  
Hsi-Sheng Wei ◽  
Yi-Ping Hsieh ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Violence ◽  
Community Violence ◽  
Child Protection ◽  
Child Protective Services ◽  
Protective Services ◽  
Parental Violence ◽  
Multiple Victimization ◽  
Child Victimization ◽  
And Behavior

This study aims to examine the prevalence of multiple types of child victimization and the effects of multiple types of victimization on children’s mental health and behavior in Taiwan. The study also examines the child-protection rate and its correlates among children experiencing various types of victimization. This study collected data with a self-report questionnaire from a national proportionately stratified sample of 6,233 fourth-grade students covering every city and county in Taiwan in 2014. After calculating the 1-year prevalence of child victimization, the study found that bullying was the most prevalent (71%), followed by physical neglect (66%), psychological violence (43%), inter-parental violence (28%), community violence (22%), physical abuse (21%), and sexual violence (9%). As the number of victimization types increased, children were more likely to report greater posttraumatic symptoms, psychiatric symptoms, suicide ideation, self-harm thoughts, and violent behaviors. Gender, neonatal status, parental marital status, and other family risks were significantly associated with elevated incidences of the victimization types. Only 20.6% of the children who had experienced all seven types of victimization had received child protective services. A child was more likely to receive child protective services if he or she had experienced sexual violence, community violence, inter-parental violence exposure, higher family risks, higher suicidal ideation, or living in a single-parent or separated family. In conclusion, this study demonstrates the cumulative effects and the harmful effects that children’s experience of multiple types of victimization can have on the children’s mental health and behavior. The present findings also raise alarms regarding the severity of under-serving in child-victimization cases. These results underscore the importance of assessing, identifying, and helping children with multiple victimization experiences.

scholarly journals Institutional Persistence: Involvements with Child Protective Services, the Criminal Justice System, and Mental Health Services across Childhood, Adolescence, and Early Adulthood in Denmark

2020 ◽  
Author(s):  
Peter Fallesen
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Mental Health Services ◽  
Health Services ◽  
Criminal Justice System ◽  
Justice System ◽  
Child Protective Services ◽  
Early Adulthood ◽  
Protective Services ◽  
Institutional Persistence

The pairwise overlaps in system involvement between child protective services, mental health services, and the criminal justice system is well-documented. Yet, less is known about how contact to these three systems evolves as children age, and how children’s trajectories through these institutions should be conceptualized. In this article, we use administrative data on the full population of Danish children born 1982-1995 that had contact to at least one of three systems before turning 21. Theoretically, we argue that children’s trajectories of institutional contacts can be understood as a moral career as suggested by Goffman (1959). Empirically, we study how children move between and are retained within the three systems across childhood. We find that early contact originates with child protective services but branch out through both overlap and transitions to the other systems. Further, across age there is high levels of retention within the systems, and clear gendered dynamics play out as children age. We argue that children’s trajectories across age can be viewed as moving from a position as a subject at risk to a position as subject of risk.

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