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Parenting and Recovery for Mothers with Mental Disorders

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A Public Health Perspective of Women's Mental Health

Abstract

Parenting is a significant role for many mothers with mental disorders, offering both opportunities to facilitate as well as impede recovery. The purpose of this chapter is to provide an ecological approach to motherhood and recovery, acknowledging the complex nature of the relationships between mothers and children, and considering the context in which these relationships grow and develop. National prevalence data are used to describe mothers with mental disorders and the background and experiential characteristics that shape their life contexts. Key components for interventions are described, drawing from relevant literature and previous studies, and implications for mental health policy and services delivery are discussed.

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Notes

  1. 1.

    Quotes from mothers with serious mental health disorders are taken from previous studies (Nicholson and Henry 2003; Nicholson et al. 1998a, b)

References

  • Belsky, J. (1984). The determinants of parenting: A process model. Child Development, 55, 83–96.

    Article  CAS  PubMed  Google Scholar 

  • Biebel, K., Nicholson, J., Geller, J. L., & Fisher, W. H. (2006). A national survey of state mental health authority programs and policies for clients who are parents: A decade later. Psychiatric Quarterly, 77, 119–128.

    Article  PubMed  Google Scholar 

  • Biebel, K., Nicholson, J., Williams, V., & Hinden, B. R. (2004). Facilitating systems change: State mental health authorities developing programs and policies for parents with mental illness. Administration and Policy in Mental Health, 32, 31–48.

    Article  PubMed  Google Scholar 

  • Egami, Y., Ford, E. E., Greenfield, S. F., & Crum, R. M. (1996). Psychiatric profile and sociodemographic characteristics of adults who report physically abusing or neglecting children. American Journal of Psychiatry, 153(7), 921–928.

    CAS  PubMed  Google Scholar 

  • Goodman, L. A., Rosenberg, S. D., Mueser, K. T., & Drake, R. E. (1997). Physical and sexual assault history in women with serious mental illness: prevalence, correlates, treatment, and future research directions. Schizophrenia Bulletin, 23, 685–696.

    CAS  PubMed  Google Scholar 

  • Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: A developmental model for understanding mechanisms of transmission. Psychological Review, 106(3), 458–490.

    Article  CAS  PubMed  Google Scholar 

  • Henry, A. D., & Nicholson, J. (2005). Helping mothers with serious mental illness. Directions in Rehabilitation Counseling, 16, 19–32.

    Google Scholar 

  • Hinden, B. R., Biebel, K., Nicholson, J., Henry, A., & Katz-Leavy, J. (2006). A survey of programs for parents with mental illness and their families: Identifying common elements to build an evidence base. Journal of Behavioral Health Services & Research, 33(1), 21–38.

    Article  Google Scholar 

  • Hinden, B. R., Biebel, K., Nicholson, J., Henry, A. D., & Stier, L. (2002). Steps toward evidence-based practices for parents with mental illness and their families. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

    Google Scholar 

  • Hinden, B. R., Biebel, K., Nicholson, J., & Mehnert, L. (2005). The Invisible Children’s Project: Key ingredients of an intervention for parents with mental illness. Journal of Behavioral Health Services and Research, 32(4), 393–408.

    Article  PubMed  Google Scholar 

  • Kendler, K. S., Bulik, C. M., Silberg, J., Hettema, J. M., Myres, J., & Prescott, C. A. (2000). Childhood sexual abuse and adult psychiatric and substance use disorders in women: An epidemiological and cotwin control analysis. Archives of General Psychiatry, 57(10), 953–959.

    Article  CAS  PubMed  Google Scholar 

  • Kessler, R. C. (1994). The national comorbidity survey of the United States. International Review of Psychiatry, 6, 365–376.

    Article  Google Scholar 

  • Kessler, R. C., Anthony, J. C., Blazer, D. G., Bromet, E., Eaton, W. W., Kendler, K., et al. (1997). The US national comorbidity survey: Overview and future directions. Epidemiologia e Psichiatria Sociale, 6, 4–16.

    CAS  PubMed  Google Scholar 

  • Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-II-R psychiatric disorders in the United States: Results from the national comorbidity survey. Archives of General Psychiatry, 51, 8–19.

    CAS  PubMed  Google Scholar 

  • Larson, M. J., Miller, L. J., Becker, M., Richardson, E., Kammerer, N., Thom, J., et al. (2005). Physical health burdens of women with trauma histories and co-occurring substance abuse and mental disorders. Journal of Behavioral Health Services and Research, 32(2), 128–140.

    Article  PubMed  Google Scholar 

  • Lennon, M. C., Blome, J., & English, K. (2001). Depression and low income women: Challenges for TANF and welfare-to-work policies and programs. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

    Google Scholar 

  • McHugo, G. J., Caspi, Y., Kammerer, N., Mazelis, R., Jackson, E. W., Russell, L., et al. (2005). The assessment of trauma history in women with co-occurring substance abuse and mental disorders and a history of interpersonal violence. Journal of Behavioral Health Services and Research, 32(2), 113–127.

    Article  PubMed  Google Scholar 

  • Miller, L. J., & Finnerty, M. (1996). Sexuality, pregnancy, and childrearing among women with schizophrenia spectrum disorders. Psychiatric Services, 47(5), 502–506.

    CAS  PubMed  Google Scholar 

  • Mowbray, C. T., Bybee, D., Oyserman, D., & MacFarlane, P. (2005). Timing of mental illness onset and motherhood. The Journal of Nervous and Mental Disease, 193(6), 369–378.

    Article  PubMed  Google Scholar 

  • Mowbray, C. T., Bybee, D., Oyserman, D., MacFarlane, P., & Bowersox, N. (2006). Psychosocial outcomes for adult children of parents with severe mental illness: Demographic and clinical history predictors. Health & Social Work, 31(2), 99–108.

    Google Scholar 

  • Mowbray, C. T., Oyserman, D., Bybee, D., MacFarlane, P., & Rueda-Riedle, A. (2001). Life circumstances of mothers with serious mental illness. Psychiatric Rehabilitation Journal, 25(2), 114–123.

    CAS  PubMed  Google Scholar 

  • Mowbray, C. T., Oyserman, D., & Ross, S. (1995). Parenting and the significance of children for women with a serious mental illness. Journal of Mental Health Administration, 22(2), 189–200.

    Article  Google Scholar 

  • Mowbray, C. T., Schwartz, S., Bybee, D., Spanj, J., Rueda-Riedle, A., & Oyserman, D. (2000). Mothers with mental illness: Stressors and resources for parenting and living. Families in Society, 81(2), 118–129.

    Google Scholar 

  • Mueser, K. T., Bond, G. R., & Drake, R. E. (2001). Community-based treatment of schizophrenia and other severe mental disorders: Treatment outcomes? Medscape Mental Health, 6(1), 1–31.

    Google Scholar 

  • Nicholson, J., Biebel, K., Hinden, B. R., Henry, A. D., & Stier, L. (2001a). Critical issues for parents with mental illness and their families. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

    Google Scholar 

  • Nicholson, J., Biebel, K., Williams, V. F., & Katz-Leavy, J. (2004). Prevalence of parenthood in adults with mental illness: Implications for state and federal policy, programs, and providers. In R. W. Manderscheid & M. J. Henderson (Eds.), Mental health, United States, 2002 (DHHS Publication No. (SMA) 3938, pp. 120–137). Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

    Google Scholar 

  • Nicholson, J., Finkelstein, N., Williams, V., Thom, J., Noether, C., & DeVilbiss, M. (2006). A comparison of mothers with co-occurring disorders and histories of violence living with or separated from minor children. Journal of Behavioral Health Services and Research, 33(2), 225–243.

    Article  PubMed  Google Scholar 

  • Nicholson, J., Geller, J. L., Fisher, W. H., & Dion, G. L. (1993). State policies and programs that address the needs of mentally ill mothers in the public sector. Hospital and Community Psychiatry, 44, 484–489.

    CAS  PubMed  Google Scholar 

  • Nicholson, J., & Henry, A. D. (2003). Achieving the goal of evidence-based psychiatric rehabilitation practices for mothers with mental illness. Psychiatric Rehabilitation Journal, 27, 122–130.

    Article  PubMed  Google Scholar 

  • Nicholson, J., Henry, A. D., Clayfield, J., & Phillips, S. (2001b). Parenting well when you’re depressed: A complete resource for maintaining a healthy family. Oakland, CA: New Harbinger Publications.

    Google Scholar 

  • Nicholson, J., Hinden, B. R., Biebel, K., Henry, A. D., & Katz-Leavy, J. (2007). A qualitative study of programs for parents with serious mental illness and their children: Building practice-based evidence. Journal of Behavioral Health Services and Research, 34(4), 395–413.

    Article  PubMed  Google Scholar 

  • Nicholson, J., & Miller, L. J. (2008). Parenting. In K. Mueser & D. V. Jeste (Eds.), The clinical handbook of schizophrenia. New York, NY: Guilford Press.

    Google Scholar 

  • Nicholson, J., Sweeney, E. M., & Geller, J. L. (1998a). Mothers with mental illness: I. The competing demands of parenting and living with mental illness. Psychiatric Services, 49, 635–642.

    CAS  Google Scholar 

  • Nicholson, J., Sweeney, E. M., & Geller, J. L. (1998b). Mothers with mental illness: II. Family relationships and the context of parenting. Psychiatric Services, 49, 643–649.

    CAS  Google Scholar 

  • Onken, S. J., Craig, C. M., Ridgeway, P., Ralph, R. O., & Cook, J. A. (2007). An analysis of the definitions and elements of recovery: A review of the literature. Psychiatric Rehabilitation Journal, 31(1), 9–22.

    Article  PubMed  Google Scholar 

  • Oyserman, D., Mowbray, C. T., Meares, P. A., & Firminger, K. B. (2000). Parenting among mothers with a serious mental illness. American Journal of Orthopsychiatry, 70(3), 296–315.

    Article  CAS  PubMed  Google Scholar 

  • Park, J. M., Solomon, P., & Mandell, D. S. (2006). Involvement in the child welfare system among mothers with serious mental illness. Psychiatric Services, 57(4), 493–497.

    Article  PubMed  Google Scholar 

  • Patterson, G. R., & Fisher, P. A. (2002). Recent developments in our understanding of parenting: bidirectional effects, causal models, and the search for parsimony. In M. H. Bornstein (Ed.), Handbook of parenting: Volume 5. Practical issues in parenting (pp. 59–88). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Reed, B. G., & Mowbray, C. T. (1999). Mental illness and substance abuse: Implications for women’s health and health care access. Journal of the American Medical Women’s Association, 54, 71–78.

    CAS  PubMed  Google Scholar 

  • Ritsher, J. E., Coursey, R. D., & Farrell, E. W. (1997). A survey on issues in the lives of women with severe mental illness. Psychiatric Services, 48(10), 1273–1283.

    CAS  PubMed  Google Scholar 

  • Shonkoff, J. P. (2000). Science, policy, and practice: Three cultures in search of a shared mission. Child Development, 71, 181–187.

    Article  CAS  PubMed  Google Scholar 

  • U.S. DHHS. (1999). Mental health: A report of the surgeon general. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

    Google Scholar 

  • Weissman, M. M., Pilowsky, D. J., Wickramaratne, P. J., Talati, A., Wisniewski, S. R., Fava, M., et al. (2006). Remissions in maternal depression and child psychopathology. Journal of the American Medical Association, 295(12), 1389–1398.

    Article  CAS  PubMed  Google Scholar 

  • White, C. L., Nicholson, J., Fisher, W. H., & Geller, J. L. (1995). Mothers with severe mental illness caring for children. The Journal of Nervous and Mental Disease, 183(6), 398–403.

    Article  CAS  PubMed  Google Scholar 

  • Zemencuk, J., Rogosch, R. A., & Mowbray, C. T. (1994). The seriously mentally ill woman in the role of parent: characteristics, parenting sensitivity and needs. Psychosocial Rehabilitation Journal, 18, 77–92.

    Google Scholar 

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Nicholson, J. (2010). Parenting and Recovery for Mothers with Mental Disorders. In: Levin, B., Becker, M. (eds) A Public Health Perspective of Women's Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1526-9_19

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  • DOI: https://doi.org/10.1007/978-1-4419-1526-9_19

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