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 2
Characteristics of women with and without children’s social care involvement at one-year follow-up including those who lost custody.
Variable
N
Level
Social care involvement
Significance test
Total
Lost custody
Yes (n = 50)
No (n = 168)
(n = 15)
Background factors
Age (at the time of interview)
218
Mean (SD)
30.0 (6.6)
32.1 (5.7)
t = 2.22;
31.3 (5.9)
31.3 (1.9)
Ethnicity
218
White
38 (76.0)
125 (74.4)
χ2 = 1.26;
163 (74.8)
11 (73.3)
Black
5 (10.0)
13 (7.7)
18 (8.3)
3 (20.0)
Asian
3 (6.0)
15 (8.9)
18 (8.3)
0 (0)
Mixed
1 (2.0)
7 (4.2)
8 (3.7)
1 (6.7)
Other
3 (6.0)
8 (4.8)
11 (5.1)
0 (0)
Any other children
218
Yes
28 (56.0)
71 (42.3)
χ2 = 2.94;
99 (45.4)
8 (53.3)
No
22 (44.0)
97 (57.7)
119 (54.6)
7 (46.7)
Gross yearly household income under £15k
202
Yes
24 (57.1)
31 (19.4)
χ2 = 23.95;
55 (27.2)
11 (84.6)2
No
18 (42.9)
129 (80.6)
147 (72.8)
2 (15.4)
Higher education
218
Yes
6 (12.0)
74 (44.1)
χ2 = 17.04;
80 (36.7)
3 (20.0)
No
44 (88.0)
94 (56.0)
138 (63.3)
12 (80.0)
Childhood trauma (CTQ score)
206
Median (IQR)
53 (35–76)
36 (29–51)
Z = 3.39;
38 (29–56)
49 (35–102)2
Current relationships
Partner
218
Yes
28 (56.0)
150 (89.3)
χ2 = 28.50; p < 0.001
178 (81.7)
5 (33.3)
No
22 (44.0)
18 (10.7)
40 (18.4)
10 (66.7)
Intimate partner abuse (total CAS score >3)
192
Yes
19 (45.2)
38 (25.3)
χ2 = 6.23;
57 (29.7)
5 (50.0)2
No
23 (54.8)
112 (74.7)
135 (70.3)
5 (50.0)
Mental health and substance use
Personality disorder diagnosis
218
Yes
17 (34.0)
20 (11.9)
χ2 = 13.35;
37 (17.0)
6 (40.0)
No
33 (66.0)
148 (88.1)
181 (83.0)
9 (60.0)
Diagnosis of schizophrenia
218
Yes
7 (14.0)
9 (5.4)
χ2 = 4.23;
16 (7.3)
6 (40.0)
No
43 (86.0)
159 (94.6)
202 (92.7)
9 (60.0)
Diagnosis of depression
218
Yes
21 (42.0)
59 (35.1)
χ2 = 0.79;
80 (36.7)
3 (20.0)
No
29 (58.0)
109 (64.9)
138 (63.3)
12 (80.0)
Diagnosis of bipolar
218
Yes
7 (14.0)
56 (33.3)
χ2 = 7.01;
63 (28.9)
1 (6.7)
No
43 (86.0)
112 (66.7)
155 (71.1)
14 (93.3)
Any learning disability/difficulty reading own language
218
Yes
13 (26.0)
17 (10.1)
χ2 = 8.19;
30 (13.8)
6 (40.0)
No
37 (74.0)
151 (89.9)
188 (86.2)
9 (60.0)
Substance use
218
Yes
12 (24.0)
14 (8.3)
χ2 = 9.00;
26 (11.9)
5 (33.3)
No
38 (76.0)
154 (91.7)
192 (88.1)
10 (66.7)
Service use
Previous admissions in the last 2 years
218
Yes
16 (32.0)
24 (14.3)
χ2 = 8.07;
40 (18.4)
7 (46.7)
No
34 (68.0)
144 (85.7)
178 (81.7)
8 (53.3)
Readmission in the year following discharge
218
Yes
23 (46.0)
33 (19.6)
χ2 = 14.02;
56 (25.7)
8 (53.3)
No
27 (54.0)
135 (80.4)
162 (74.3)
7 (46.7)
Detention under Mental Health Act
218
Yes
21 (42.0)
46 (27.4)
χ2 = 3.87;
67 (30.7)
9 (60.0)
No
29 (58.0)
122 (72.6)
151 (69.3)
6 (40.0)
Satisfaction with service (CSQ)
201
Median (IQR)
24 (16–27)
29 (25–31)
Z = 4.51;
28 (24–31)
19 (14–27)2
Total needs unmet at one-month postdischarge (CAN-M(S))
218
Median (IQR)
5 (2–7)
3 (1–6)
Z = −2.61;
4 (1–6)
5 (3–6)
All statistics are n (%) unless otherwise specified. 1Fisher’s exact test is used. 210 out of 15 women provided responses to this question.
