Child Protective Service Disparities and Serious Mental Illnesses: Results From a National Survey
Child Protective Service Disparities and Serious Mental Illnesses: Results From a National Survey
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DOI：
10.1176/appi.ps.201800277
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发表时间：
2019-03-01
影响因子：
3.8
通讯作者：
Salzer, Mark S.
中科院分区：
文献类型：
--
作者：
Kaplan, Katy;Brusilovskiy, Eugene;Salzer, Mark S.
目标：参与儿童保护服务 (CPS) 可能会对儿童和家长产生不利影响。这项研究提供了有关患有严重精神疾病的个人养育患病率的最新信息，并首次对患有和不患有严重精神疾病的父母进行了 CPS 参与的同期和比较全国患病率估计。方法：数据来自 Truven Health Analytics PULSE 2014 年 9 月至 2015 年 12 月期间对 42,761 名成年人进行的全国调查。调查问题评估了严重精神疾病的存在、养育状况、与 CPS 的接触以及 CPS 参与的类型。结果：患有严重精神疾病的个体（69%）和没有严重精神疾病的个体（71%）的生育率相似。与没有严重精神疾病的父母相比，患有严重精神疾病的父母接触 CPS 的可能性大约高出 8 倍，改变生活安排的可能性大约高出 26 倍。即使分析仅限于接触过 CPS 的父母，与没有精神疾病的父母相比，患有严重精神疾病的父母失去监护权的风险更大。结论：这些结果进一步强调了对患有严重精神疾病的个人进行养育的必要性，并更好地了解与 CPS 参与相关的因素，以减少患有和未患有精神疾病的父母之间已发现的差异。减少 CPS 参与的努力可能会减轻父母及其孩子的压力，促进康复和心理健康。
Objective: Involvement with child protective services (CPS) can have detrimental effects on children and parents alike. This study provided updated information about the prevalence of parenting among individuals with a serious mental illness and established the first contemporaneous and comparative national prevalence estimates of CPS involvement for parents with and without a serious mental illness.Methods: Data came from the Truven Health Analytics PULSE national survey of 42,761 adults conducted between September 2014 and December 2015. Survey questions assessed the presence of a serious mental illness, parenting status, contact with CPS, and types of CPS involvement.Results: Prevalence of parenthood was similar between individuals with (69%) and without (71%) a serious mental illness. Parents with a serious mental illness were approximately eight times more likely to have CPS contact and 26 times more likely to have a change in living arrangements compared with parents without a serious mental illness. Even when the analysis was limited to parents who had CPS contact, parents with a serious mental illness were at greater risk of custody loss compared with parents without mental illness.Conclusions: These results further heighten the need to attend to parenting among individuals with a serious mental illness and better understand the factors associated with CPS involvement to reduce the identified disparities between parents with and without a mental illness. Efforts to reduce CPS involvement would likely reduce stress and enhance recovery and mental health for parents and their children.