Nicholson J, Geller J L, Fisher W H, Dion G L
Department of Psychiatry, University of Massachusetts Medical School, Worcester 01655.
Hosp Community Psychiatry. 1993 May;44(5):484-9. doi: 10.1176/ps.44.5.484.
The authors sought to determine whether state departments of mental health have specific policies and programs addressing the needs of mentally ill women served in the public sector who have preschool-age children.
A questionnaire was sent to the commissioner of mental health for each state and the District of Columbia. Questions addressed whether information was routinely collected on the parenting status of women who receive public-sector psychiatric services, whether services targeting mentally ill women with young children were available, and whether the state had policies concerning hospitalized women who are pregnant or who have young children.
Sixteen states routinely collect data on whether women who receive public-sector services have young children. Four states have residential programs for mentally ill women and their children. About half of the states have programs for assessing parenting skills and outpatient services focused on improving those skills. No state has a policy about visitation between a hospitalized mentally ill mother and her children. Twenty states have policies for the care of hospitalized pregnant patients, primarily for their medical management.
Further efforts are needed to identify mentally ill women in the public sector who have young children, to enhance the parenting skills of mentally ill patients, and to promote positive outcomes for their children.
作者试图确定各州精神健康部门是否有针对在公共部门接受服务且有学龄前儿童的精神病女性需求的具体政策和项目。
向每个州及哥伦比亚特区的精神健康专员发送了一份调查问卷。问题涉及是否定期收集接受公共部门精神科服务女性的育儿状况信息、是否有针对有幼儿的精神病女性的服务以及该州是否有关于住院孕妇或有幼儿的住院女性的政策。
16个州定期收集接受公共部门服务的女性是否有幼儿的数据。4个州有为精神病女性及其子女提供的住宿项目。约一半的州有评估育儿技能的项目以及专注于提高这些技能的门诊服务。没有一个州有关于住院精神病母亲与其子女探视的政策。20个州有照顾住院孕妇的政策，主要是关于她们的医疗管理。
需要进一步努力识别公共部门中有幼儿的精神病女性，提高精神病患者的育儿技能，并为其子女促进积极的结果。
