Working with women affected by children’s social care involvement in pregnancy and early motherhood: Insights from recent Birth Companions work DOI

Katherine Miller Brunton,

Kirsty Kitchen

The Child & Family Clinical Psychology Review, Journal Year: 2023, Volume and Issue: 1(8), P. 100 - 105

Published: Oct. 10, 2023

Children’s social care (CSC) involvement during pregnancy and the first two years of a child’s life – period known as ‘1001 critical days’ can have significant impact on mental health wellbeing both mothers infants. By putting bonding attachment between their babies at risk, this pose long-term implications for children’s emotional psychological development. Drawing findings from Birth Companions’ recent projects with women lived experience CSC involvement, article offers insight into impacts assessment and/or proceedings 1001 days. The also outlines key principles all those working in these circumstances, published form Companions Charter (2023c). This aims to embed improved practice across systems services involvement. Key recommendations focus significance trauma-informed women, centralisation early motherhood multi-agency practice. is calling be driven forward joint national pathway pregnant infants who are subject pre-birth or parenting assessment, child protection proceedings, guide support they receive up second birthday.

Language: Английский

Socioeconomic and psychosocial conditions of parents with children in out-of-home care: A qualitative systematic review DOI Creative Commons

Sydney Ross,

Josephine Jackisch, Ylva B. Almquist

et al.

Children and Youth Services Review, Journal Year: 2025, Volume and Issue: unknown, P. 108163 - 108163

Published: Jan. 1, 2025

Language: Английский

Citations

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Pregnant and Recently Pregnant People’s Views on Policies That Punish Pregnant People Who Use Cannabis DOI Creative Commons
M. Antonia Biggs, Sarah Raifman, Claudia Zaugg

et al.

Substance Use & Misuse, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 9

Published: Jan. 24, 2025

Objective To explore recently/currently pregnant people's experiences and views about cannabis use during pregnancy their associated support for policies that punish people who cannabis.

Language: Английский

Citations

0
‘On paper, you’re normal’: narratives of unseen health needs among women who have had children removed from their care DOI Creative Commons
Claire Grant, Claire Powell, Georgia Philip

et al.

Journal of Public Health, Journal Year: 2023, Volume and Issue: 45(4), P. 863 - 869

Published: July 31, 2023

Abstract Background Mothers who have children removed from their care often complex needs. These women poor health outcomes and are dying earlier than peers preventable amenable causes. Yet there is little known about how services might mitigate these risks. This study aimed to listen the voices of had understand experiences healthcare. Methods We used a narrative approach collect analyse interview data with six mothers experienced child removal in England. Each participant was asked reflect on life main challenges. Results Three subplots were developed consolidate unmet need: (i) ‘on paper you’re normal’: narratives need, (ii) ‘in my family, everyone issues’: whole family need (iii) ‘I’m still mummy, no matter where they are’: maternal identity health. Conclusions Findings highlight limitations within current systems support, including culture distrust falling between gaps services. Women’s illustrate opportunities for intervention, especially immediately following removal.

Language: Английский

Citations

4
Grappling with Issues of Motherhood for Women with Schizophrenia DOI Open Access
Mary V. Seeman

Healthcare, Journal Year: 2023, Volume and Issue: 11(21), P. 2882 - 2882

Published: Nov. 2, 2023

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

Language: Английский

Citations

4
Early maternal death following child removal—A short report using observational data DOI Creative Commons
John Devaney, Caroline Bradbury‐Jones, A. Charles

et al.

Child Abuse Review, Journal Year: 2024, Volume and Issue: 33(4)

Published: July 1, 2024

Key Practitioner Messages Mothers who have a child removed from their care often face range of vulnerabilities, such as abuse in childhood, isolation, poverty, poor mental health, domestic abuse, and substance misuse, which contribute to the reasons for children being removed. Yet following this removal, at time acute need them due trauma involved, birth mothers frequently disappear gaze services, children's services are structured meet needs child. There is evidence that significantly increased risk early death. While support irrefutable, equally there be specialist mothers, goes beyond involves health services.

Language: Английский

Citations

1
Perinatal healthcare for women at risk of children’s social care involvement: a qualitative survey of professionals in England DOI Creative Commons
Claire Grant,

Tamsin Bicknell-Morel,

Billie Lever Taylor

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(3), P. e082914 - e082914

Published: March 1, 2024

Background Women with complex health needs are more at risk of having children’s social care involvement their newborns than other mothers. Around the time pregnancy, there opportunities for services to support women these and mitigate mother–baby separation. Yet little is known about healthcare professionals’ experiences providing this support. Methods We administered an online survey perinatal professionals across England (n=70 responders), including midwives, obstetricians, psychologists/psychiatrists visitors. asked pregnant chronic physical conditions, mental needs, intellectual/developmental disabilities substance use disorders, who might be involvement. conducted a framework analysis. Results constructed five themes from participant data. These include (1) inaccessible (2) challenges importance restoring trust, (3) focusing on individuals, not families, (4) necessity caution around multidisciplinary (5) underfunded inhibiting good practice. Conclusions will likely experience inequities. Our findings suggest that current provision population inadequate national guidelines need updated inform

Language: Английский

Citations

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Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study DOI Creative Commons
Ian Farr, Laura Cowley, Karen Broadhurst

et al.

International Journal for Population Data Science, Journal Year: 2024, Volume and Issue: 9(1)

Published: April 15, 2024

IntroductionWhen a child has suffered, or is at risk of suffering, significant harm from parents caregivers, the local authority may issue Section 31 (s.31) Care and Supervision proceedings under Children Act (1989). ObjectivesWe compared healthcare use infants less than one year old subject to s.31 in Wales (n = 1,332),to that comparison group not 204,417), between January 2011 February 2020. MethodsPopulation-based e-cohort study utilising data held Secure Anonymised Information Linkage (SAIL) Databank. Infants were identified using Family Court Advisory Support Service dataset. This was linked demographic datasets, identify General Practice (GP) visits, emergency department (ED) attendances, hospital admissions (emergency elective); before end date child's first birthday for group, orbefore application date.Regression analysis calculated event rate ratios [RR] incidence [IRR] events, adjusting widerdeterminants health (e.g. perinatal factors, maternal mental health, deprivation), investigated reasons use. ResultsInfants had ahigher number events with across all settings. Differences greatest (IRR 4.03, 95% confidence interval [CI] 3.53 - 4.59; RR 4.60, CI 3.90 5.41). "Injury poisoning" main reason amongst proceedings. For ED presentations, admissions, GP there proportionally more these top ten healthcare. ConclusionsFindings highlight greater utilisation involved Wales, helping build better understanding their needs vulnerabilities.

Language: Английский

Citations

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Subclinical structural atypicality of retinal thickness and its association with gray matter volume in the visual cortex of maltreated children DOI Creative Commons
Akiko Yao, Shota Nishitani, Yutaka Yamada

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: May 20, 2024

Abstract Childhood maltreatment is reportedly associated with atypical gray matter structures in the primary visual cortex (V1). This study explores hypothesis that retinal structures, sensory organs of vision, are brain atypicality and child examines their interrelation. General ophthalmologic examinations, cognitive tasks, imaging, structural magnetic resonance imaging (MRI) were conducted children adolescents aged 9–18 years experiences (CM) typically developing (TD) children. The nerve fiber layer (RNFL), most superficial ten distinct layers, was found to be significantly thinner both eyes CM. While whole-brain analysis using Voxel-based morphometry revealed a larger volume (GMV) thalamus CM, no significant correlation RNFL thickness observed. However, based on region-of-interest analysis, GMV right V1. Although it cannot ruled out this outcome resulted from alone, CM demonstrated subclinical retina, which may also correlate immaturity V1 development. Examination offers novel clinical approach capturing characteristics childhood maltreatment.

Language: Английский

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Separation at birth due to safeguarding concerns: Using reproductive justice theory to re‐think the role of midwives DOI
Kaat De Backer, Hannah Rayment‐Jones, Elsa Montgomery

et al.

Birth, Journal Year: 2024, Volume and Issue: unknown

Published: June 5, 2024

Abstract Separation at birth due to safeguarding concerns is a deeply distressing and impactful event, with numbers rising across the world, has devastating outcomes for mothers their children. It one of most challenging aspects contemporary midwifery practice in high‐income countries, although rarely discussed reflected on during pre‐ post‐registration training. Ethnic racial disparities are prevalent both child protection maternity services can be explained through an intersectional lens, accounting biases based race, gender, class, societal beliefs around motherhood. With this paper, we aim contribute growing body critical studies re‐think role midwives context. Building principles reproductive justice theory, Intersectionality, Standpoint Midwifery, argue that play unique when supporting women who go processes should pursue shift from passive bystander active upstander improve care group mothers.

Language: Английский

Citations

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Healthcare experiences of pregnant and postnatal women and healthcare professionals when facing child protection in the perinatal period: A systematic review and Critical Interpretative Synthesis DOI Creative Commons
Kaat De Backer, Hannah Rayment‐Jones, Billie Lever Taylor

et al.

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(7), P. e0305738 - e0305738

Published: July 3, 2024

Background The perinatal period is known as time of transition and anticipation. For women with social risk factors, child protection services may become involved during the this might complicate their interactions healthcare providers. Aim To systematically review synthesise existing qualitative evidence experiences professionals while facing involvement. Methods A systematic search databases (Web Science, MEDLINE, EMBASE, PsychINFO, CINAHL, ASSIA, MIDIRS, Social Policy Practice Global Health) was carried out in January 2023, updated February 2024. Quality studies assessed using Critical Appraisal Skills Programme. Interpretative Synthesis used alongside PRISMA reporting guideline. Results total 41 were included synthesis. We identified three types interactions: Relational care, Surveillance Avoidance. Healthcare can fluctuate between these types, elements different coexist simultaneously, indicating complexity reciprocal nature when processes are at play. Conclusions Our findings provide a novel interpretation encounters agencies involved. Trust transparency key to facilitate relational care. Secure appropriate information-sharing required strengthen systems. should have access relevant training supervision order confidently yet sensitively safeguard babies, upholding principles trauma-informed In addition, systemic racism exacerbate inequalities has be urgently addressed. Providing clear framework mutual expectations families increase engagement, trust accountability advance equity.

Language: Английский

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0