Experiences of social work intervention among mothers with perinatal mental health needs.
Adaptation, Psychological
Adult
Community Health Nursing
/ methods
England
Female
Humans
Infant
Mental Health
Mother-Child Relations
/ psychology
Mothers
/ psychology
Parturition
/ psychology
Postnatal Care
/ psychology
Postpartum Period
/ psychology
Pregnancy
Qualitative Research
Self Efficacy
Social Support
child protection
mothers’ perspectives
perinatal mental health
qualitative research
social work
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
17
04
2019
revised:
01
08
2019
accepted:
05
08
2019
pubmed:
27
8
2019
medline:
2
4
2020
entrez:
27
8
2019
Statut:
ppublish
Résumé
Perinatal mental health difficulties are prevalent among women, and the vulnerability of young infants makes this a time when families experiencing multiple adversities may be particularly likely to attract state intervention. However, very little is known about how mothers experience social work intervention during the perinatal period. This study explored experiences of social work intervention among women with perinatal mental health difficulties. Qualitative semi-structured interviews were carried out with 18 women with 6- to 9-month-old babies, who had been treated in England for a perinatal mental health difficulty and also had social services intervention. Interviews were analysed using thematic analysis. Findings suggested that mothers had a predominantly negative view of children's social services, especially when social workers had significant child protection concerns. The fear of being judged an unfit mother and having their babies taken away overshadowed their encounters. Mothers felt that social workers would not accept they could be good mothers in spite of their difficulties and set them up to fail. Some felt that social workers focused exclusively on the risks to the baby and did not acknowledge the mother's own needs or understand perinatal mental health. In some cases, social work intervention was described as intensifying pressure on mothers' mental health, leading to escalating difficulties and increased likelihood of care proceedings. At the same time, our study also included examples of mothers forming positive relationships with social workers, and of 'turning points' where initially negative interactions stabilised and child protection concerns lessened. Women's accounts highlighted the importance of feeling 'known' by social workers who understood and respected them. The findings also suggested there may be value in improving collaboration between social workers and mental health professionals to create more space for representation of women's needs as well as those of their babies.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1586-1596Subventions
Organisme : Department of Health
ID : RP-PG-1210-12002
Pays : United Kingdom
Organisme : Programme Grants for Applied Research
ID : RP-PG-1210-12002
Pays : International
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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