What Are the Sociodemographic and Clinical Characteristics and Needs of Mothers Who Access Acute Postpartum Psychiatric Care and Have Children’s Social Care Involvement?
Table 1
Characteristics of women with and without children’s social care involvement during their acute episode.
Variable
N
Level
Social care involvement
Significance test
Total
Yes (n = 99)
No (n = 179)
Background factors
Age (at the time of interview)
278
Mean (SD)
30.2 (6.4)
32.2 (5.7)
t = 2.74;
31.5 (6.0)
Ethnicity
278
White
72 (72.7)
139 (77.7)
χ2 = 4.24;
211 (75.9)
Black
10 (10.1)
10 (5.6)
20 (7.2)
Asian
11 (11.1)
14 (7.8)
25 (9.0)
Mixed
4 (4.0)
7 (3.9)
11 (4.0)
Other
2 (2.0)
9 (5.0)
11 (4.0)
Any other children
278
Yes
51 (51.5)
74 (41.3)
χ2 = 2.67;
125 (45.0)
No
48 (48.5)
105 (58.7)
153 (55.0)
Gross yearly household income under £15k
254
Yes
43 (51.2)
23 (13.5)
χ2 = 41.46;
66 (26.0)
No
41 (48.8)
147 (86.5)
188 (74.0)
Higher education
278
Yes
19 (19.2)
87 (48.6)
χ2 = 23.37;
106 (38.1)
No
80 (80.8)
92 (51.4)
172 (61.9)
Childhood trauma (CTQ score)
264
Median (IQR)
49 (33–64)
35 (27–49)
Z = 4.53;
38 (29–56)
Current relationships
Partner
278
Yes
67 (67.7)
160 (89.4)
χ2 = 20.05;
227 (81.7)
No
32 (32.3)
19 (10.6)
51 (18.4)
Intimate partner abuse (total CAS score >3)
250
Yes
42 (50.0)
34 (20.5)
χ2 = 22.97;
76 (30.4)
No
42 (50.0)
132 (79.5)
174 (69.6)
Mental health and substance use
Personality disorder diagnosis
278
Yes
33 (33.3)
15 (8.4)
χ2 = 27.79;
48 (17.3)
No
66 (66.7)
164 (91.6)
230 (82.7)
Diagnosis of schizophrenia
278
Yes
13 (13.1)
4 (2.2)
χ2 = 13.18; p < 0.0011
17 (6.1)
No
86 (86.9)
175 (97.8)
261 (93.9)
Diagnosis of depression
278
Yes
41 (41.4)
70 (39.1)
χ2 = 0.14;
111 (39.9)
No
58 (58.6)
109 (60.9)
167 (60.1)
Diagnosis of bipolar
278
Yes
17 (17.2)
56 (31.3)
χ2 = 6.56;
73 (26.3)
No
82 (82.8)
123 (68.7)
205 (73.4)
Any learning disability/difficulty reading own language
277
Yes
17 (17.2)
17 (9.6)
χ2 = 3.43;
34 (12.3)
No
82 (82.8)
161 (90.5)
243 (87.7)
Substance use
278
Yes
18 (18.2)
12 (6.7)
χ2 = 8.72;
30 (10.8)
No
81 (81.8)
167 (93.3)
248 (89.2)
Service use
Previous admissions in last 2 years
278
Yes
30 (30.3)
17 (9.5)
χ2 = 19.64;
47 (16.9)
No
69 (69.7)
162 (90.5)
231 (83.1)
Readmission in the year following discharge
277
Yes
28 (28.3)
38 (21.4)
χ2 = 1.69;
66 (23.8)
No
71 (71.7)
140 (78.7)
211 (76.2)
Detention under Mental Health Act
278
Yes
36 (36.4)
43 (24.0)
χ2 = 4.77;
79 (28.4)
No
63 (63.6)
136 (76.0)
199 (71.6)
Satisfaction with service (CSQ)
261
Median (IQR)
25 (19–29)
29 (24–31)
Z = 3.36;
28 (24–31)
Total needs unmet at one-month postdischarge (CAN-M(S))
278
Median (IQR)
4 (2–7)
3 (1–6)
Z = −2.75;
3 (1–6)
All statistics are n (%) unless otherwise specified. 1Fisher’s exact test is used.
