Evidence map›Paper›PMID 35294976›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Mental health service use among mothers involved in public family law proceedings: linked data cohort study in South London 2007-2019.

Rachel J Pearson, Claire Grant, Linda Wijlaars, Emily Finch, Stuart Bedston, Karen Broadhurst, Ruth Gilbert

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  4. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Rachel J PearsonPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, WC1N 1EH, UK.ORCID http://orcid.org/0000-0002-3644-2885
Claire GrantDepartment of Epidemiology and Public Health, UCL Institute of Epidemiology and Health, London, WC1E 7HB, UK.
Linda WijlaarsPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, WC1N 1EH, UK. linda.wijlaars@ucl.ac.uk.ORCID http://orcid.org/0000-0003-1222-2922
Emily FinchSouthwark and Addictions Directorate, South London and Maudsley NHS Foundation Trust, London, SE5 8RZ, UK.
Stuart BedstonCentre for Child and Family Justice Research, Lancaster University, Lancaster, LA1 4YW, UK.
Karen BroadhurstCentre for Child and Family Justice Research, Lancaster University, Lancaster, LA1 4YW, UK.ORCID http://orcid.org/0000-0003-1424-3022
Ruth GilbertPopulation, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, WC1N 1EH, UK.ORCID http://orcid.org/0000-0001-9347-2709
Great Ormond Street Hospital · GBLancaster University · GBSouth London and Maudsley NHS Foundation Trust · GBUniversity College London · GB

Funding

Economic and Social Research Council ES/P000592/1Nuffield Foundation KID/42838
6 · The paper itself

Abstract

purposeMental health problems and substance misuse are common among the mothers of children who experience court-mandated placement into care in England, yet there is limited research characterising these health needs to inform evidence-based policy. In this descriptive study, we aimed to generate evidence about the type, severity, and timing of mental health and substance misuse needs among women involved in public family law proceedings concerning child placement into care ('care proceedings').

methodsThis is a retrospective, matched cohort study using linked family court and mental health service records for 2137 (66%) of the 3226 women involved in care proceedings between 2007 and 2019 in the South London and Maudsley NHS Mental Health Trust (SLaM) catchment area. We compared mental health service use and risk of dying with 17,096 female-matched controls who accessed SLaM between 2007 and 2019, aged 16-55 years, and were not involved in care proceedings.

resultsMost women (79%) were known to SLaM before care proceedings began. Women had higher rates of schizophrenia spectrum disorders (19% vs 11% matched controls), personality disorders (21% vs 11%), and substance misuse (33% vs 12%). They were more likely to have a SLaM inpatient admission (27% vs 14%) or to be sectioned (19% vs 8%). Women had a 2.15 (95% CI 1.68-2.74) times greater hazard of dying, compared to matched controls, adjusted for age.

conclusionWomen involved in care proceedings experience a particularly high burden of severe and complex mental health and substance misuse need. Women's increased risk of mortality following proceedings highlights that interventions responding to maternal mental health and substance misuse within family courts should offer continued, long-term support.

Indexed as

Mental DisordersMental Health ServicesSubstance-Related DisordersChildCohort StudiesFemaleHumansLondonRetrospective StudiesSemantic WebChild protectionFamily courtMaternal mental healthRecord linkageSubstance misuse

Identifiers

PMID35294976
PMCPMC9477900
OpenAlexW4221042440

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.