SERIOUSLY MENTALLY ILL WOMEN--COPING WITH PARENTHOOD

关于严重精神病(SMI)女性及其养育方式的文献 经验表明，这些女性面临养育子女的风险。 问题，但由于方法的限制，未能确定 这些问题能在多大程度上得到缓解。这项研究的目的 建议的目标是： 1)识别并描述有育儿能力的严重精神病女性 在人口统计和个人方面的责任 特征，她们作为母亲的自我认知，资源 以及他们面临的压力源，特别是在护理方面 孩子们的生活。 2)调查这些妇女在社区中的运作情况以及 他们正在经历的育儿问题。 3)分析社区功能与教养方式的关系 文献综述中的问题和相关变量：诊断， 慢性病、种族、发病年龄、社会支持和心理健康， 治疗。 4)检查这些妇女社区在12个月内的变化 功能和育儿问题以及这些问题与变化的关系 资源和压力源以及个人特征。 研究框架将基于MoOS的压力适应范式。 最初的研究样本将包括312名SMI女性，从 三个社区的病例工作量和公立精神病院转介 底特律大都会的心理健康机构。数据将包括 对这些妇女的采访，管理信息系统服务数据 使用率和CMH工作人员评估，在研究开始和12个月收集 几个月后。这项研究的目的是解决以前在 关于严重精神疾病和育儿问题的研究文献 包括一个大样本，在种族、慢性病、 等，通过使用标准化和更可靠的工具，并通过 系统、全面地研究个人特征，如 以及环境背景。有了这些设计改进， 研究应提供与服务提供和 SMI育龄妇女干预模式的未来发展。

The literature on seriously mentally ill (SMI) women and their parenting experiences establishes that these women are at risk for parenting problems, but because of methodological limitations, fails to identify to what extent these problems can be mitigated. The purpose of the research proposed is to: 1) Identify and describe seriously mentally ill women who have parenting responsibilities in terms of their demographics and personal characteristics, their self-perceptions as mothers, the resources available to them, and the stressors they face, especially concerning care of children. 2) Investigate how these women are functioning in the community as well as the parenting problems they are experiencing. 3) Analyze the relationship between community functioning and parenting problems and relevant variables from the literature review: diagnosis, chronicity, race, age of onset, social supports, and mental health, treatment. 4) Examine the changes over a 12-month period in these women's community functioning and parenting problems and how these relate to changes in resources and stressors and to personal characteristics. The research framework will be based on Moos' Stress-Adaptation paradigm. The initial study sample will include 312 SMI women, recruited from caseloads and public psychiatric hospital referrals of three community mental health agencies in metropolitan Detroit. Data will include interviews of these women, Management Information System data on service utilization, and CMH staff assessments, collected at study entry and 12 months later. The study is designed to address previous deficits in the research literature on serious mental illness and mothering problems by including a large sample with diversity in terms of race, chronicity, etc., by utilizing standardized and more reliable instruments, and by systematically and comprehensively studying personal characteristics as well as environmental context. With these design improvements, the research should produce information relevant to service delivery and to the future development of intervention models for SMI women with children.