Understanding the mental health needs of mothers who have experienced, or are at risk of experiencing, repetitive court proceedings.

在过去的10年里，英格兰由国家监护的儿童数量有所增加，截至2018年3月，这一数字已超过7.5万。这种儿童转移程序给父母、儿童和扩展网络造成了难以言表的痛苦，并对服务提出了特殊的要求。调查照料令的研究往往集中在受影响的儿童身上，往往未能探索亲生父母（尤其是母亲）的经历和结果。了解生母的生命过程健康需求对于改善婴儿/母亲的结果和防止重复护理程序至关重要。失去子女由国家监护的妇女往往经历了重大和多重不利的生活事件，包括家庭暴力、药物滥用和精神健康问题。这一人群的需求是复杂的，失去一个孩子到照料系统的额外影响引起了进一步的关注。诉讼结束后，儿童社会关怀支持系统往往会消失，这使得女性更难解决导致被驱逐的问题。这就形成了一个恶性循环，22%的母亲在最初的看护令下达后5年内带着第二个孩子回到法庭。该项目将使用行政家事法庭和健康数据以及与亲生父母的访谈，以描述和更好地了解这一人口的健康状况。我们的目标是确定与反复护理程序相关的健康因素，并更好地了解保健在支持这群妇女方面的作用。

Over the past 10 years in England there has been a rise in the number of children placed in custody of the state, with numbers reaching over 75,000 as of March 2018. Such child removal procedures cause untold distress to parents, children and extended networks, and place exceptional demands on services. Research investigating care orders tends to focus on effected children and often fails to explore experiences and outcomes of birth parents, particularly mothers. Understanding the lifecourse health needs of birth mothers is essential for bettering infant/mother outcomes and preventing recurrent care proceedings. Women who lose their children to custody of the state have often experienced significant and multiple adverse life events, including domestic violence, substance misuse and mental health problems. The needs of this population are complex, and the additional impact of losing a child to the care system generates further concern. After proceedings, Children's Social Care support systems often fall away, making it harder for women to address the issues that lead to a removal. This feeds into a negative cycle, with 22% of mothers returning to court with a subsequent child within 5 years of an initial care order. This project will use administrative family court and health data alongside interviews with birth parents, to describe and better understand the health profile of this population. We aim to identify health factors associated with recurrent care proceedings and better understand the role of healthcare in supporting this group of women.