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Maternal health and social outcomes after having a child taken into care: population-based longitudinal cohort study using linkable administrative data

Elizabeth Wall‐Wieler · Leslie Leon Roos · James M. Bolton · Marni D Brownell · Nathan Christopher Nickel · Dan G. Chateau

58 citations0/0 files storedJournal of Epidemiology & Community Health

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Child Welfare and Adoption Child Abuse and Trauma Homicide, Infanticide, and Child Abuse

Abstract

BACKGROUND: We investigated whether mothers experience changes to their health and social situation after having a child taken into care by child protection services, then compared these outcomes with those found in mothers whose children were not taken into care. METHODS: The cohort includes mothers whose first child was born in Manitoba between 1 April 1998 and 31 March 2011. Mothers whose children were taken into care after age 2 (n=1591) were compared with a matched group of women whose children were not taken into care (n=1591). RESULTS: The rates of mental illness diagnoses, treatment use and social factors were significantly higher for mother whose children were taken into care, both in the 2 years before and in the 2 years after the index date. These adjusted relative rates (ARRs) increased significantly for anxiety (before ARR=2.71, after ARR=3.55), substance use disorder (3.77-5.95), physician visits for mental illness (2.83-3.66), number of prescriptions (psychotropic: 4.35-5.86; overall: 2.34-2.94), number of different prescriptions (psychotropic: 2.70-3.27; overall: 1.62-1.70), residential mobility (1.40-1.63) and welfare use (2.07-2.30). CONCLUSION: The health and social situation of mothers involved with child protection services deteriorates after their child is taken into care. Mothers would benefit from supports during this time period to ensure that the outcomes they experience after the loss of their child do not become another barrier to reunification.

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References

2007Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys 1998Mental Health Problems of Children in Foster Care 2009The Incidence and Course of Depression in Bereaved Youth 21 Months After the Loss of a Parent to Suicide, Accident, or Sudden Natural Death 2011Child maltreatment: variation in trends and policies in six developed countries 2011Predictors of child protective service contact between birth and age five: An examination of California's 2002 birth cohort 2002Stereotypes, parents with intellectual disability and child protection 2016Child welfare involvement and contexts of poverty: The role of parental adversities, social networks, and social services 2017Maternal substance use and child protection: a rapid evidence assessment of factors associated with loss of child care

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2018Mortality Among Mothers Whose Children Were Taken Into Care by Child Protection Services: A Discordant Sibling Analysis 2023Outcomes and experiences after child custody loss among mothers who use drugs: A mixed studies systematic review 2017Mental Health Harm to Mothers When a Child Is Taken by Child Protective Services: Health Equity Considerations

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