Review Article

At the Edge of Care: A Systematic Review and Thematic Synthesis of Parent and Practitioner Views and Experiences of Support for Parents with Mental Health Needs and Children’s Social Service Involvement

Table 2

Characteristics of included studies.

First Author and TitleParticipantsPopulation characteristics (number, gender, ethnicity, profession, diagnosis)SettingData collection and analysisKey themes

(1) Ackerson [34]
Coping with the dual demands of severe mental illness and parenting: the parents’ perspective
ParentsN = 13
(i) Diagnosis: not specified
(ii) Gender: 12 female (92%)
(iii) Ethnicity: not reported
(iv) Age: not reported
Community Mental Health Centres
Illinois, USA
Semistructured interviews
grounded theory
(1) Problems with diagnosis and treatment
(2) Stigma and discrimination
(3) Chaotic interpersonal relationships
(4) Strain of single parenthood
(5) Custody issues
(6) Relationship with children
(7) Social support

(2) Afzelius et al. [42]
Children of parents with serious mental illness: the perspective of social workers
PractitionersN = 13
(i) Profession: social service professionals (11 social workers, 1 trainee social worker, 1 treatment assistant)
(ii) Gender: 12 female (92%)
(iii) Age: M = 44 (29–57)
Children’s Social Care Services
Sweden
Focus groups and semistructured interviews
ontent analysis
(1) Identifying with the situation of the child
(2) Handling parental severe mental illness

(3) Barbour et al. [55]
Assessing risk: professional perspectives on work involving mental health and child care services
PractitionersN = 30–33 (not specified)
(i) Profession: mixed (mental health (MH) and social services staff)
(ii) Gender: not reported
(iii) Age: not reported
Setting not reported
UK
Focus groups
thematic analysis
(1) The legacy of specialisation
(2) Differing thresholds and codes
(3) Assessing risk
(4) Balancing risk and families’ rights

(4) Barrow et al. [56]
Context and opportunity: multiple perspectives on parenting by women with a severe mental illness
BothPractitioners (n = 7)
(i) Profession: housing shelters
(ii) Gender: 4 female (57%)
(iii) Age: not reported
parents (n = 7)
(iv) Diagnosis: not reported
(v) Gender: 100% female
(vi) Ethnicity: 3 African American, 3 Latina, 1 other
(vii) Age: M = 36.7 (28–43)
Transitional Homeless Shelter
New York, USA
Focus groups
grounded theory
(1) Mother’s perspectives: “I want to always keep that good relationship”
(2) Service provider perspectives: “It may be the client’s priority but not ours”

(5) Caplan et al. [57]
Indigenous and nonindigenous parents separated from their children and experiencing homelessness and mental illness in Canada
ParentsN = 36
(i) Diagnosis: not reported
(ii) Gender: 12 female (33%)
(iii) Ethnicity: 21 indigenous Canadian, 15 nonindigenous Canadian (white Canadian or white European)
(iv) Age: M = 40
Homelessness Project (At Home Chez Soi, AHCS)
Canada
Semistructured narrative interviews
thematic analysis and intersectional analysis
(1) Children as central in mothers narratives vs. peripheral in fathers
(2) Cultural disconnection and reclamation of indigenous parents
(3) Gender and ancestry of parent

(6) Coates and Howe [58]
Working with families who experience parental mental health and/or drug and alcohol problems in the context of child protection concerns: recommendations for service improvement
BothPractitioners (n = 10):
(i) Profession: 7 MH clinicians, 1 family support worker, 1 KTS-WFT site team leader, 1 psychiatrist
(ii) Gender: not reported
(iii) Age: not reported
Parents (n = 20):
(iv) Diagnosis: not specified
(v) Gender: 17 female (85%)
(vi) Ethnicity: not reported
(vii) Age: not reported
Keep Them Safe Whole Family Team (KTS-WFT) Project - Central Coast Local Health District Outreach Service
New South Wales, Australia
Semistructured interviews
thematic analysis
(1) Service model improvement recommendations from the perspective of clinical staff
(2) The KTS-WFT site from the perspective of discharged clients

(7) Coates [39]
Working with families with parental mental health and/or drug and alcohol issues where there are child protection concerns: inter-agency collaboration
PractitionersN = 10
(i) Profession: 8 MH clinicians, 1 psychiatrist, 1 KTS-WFT Site team leader
(ii) Gender: not reported
(iii) Age: not reported
Northern Sydney Local Health District (NSLHD)
Sydney, Australia
Open interviews
grounded theory analysis
(1) Working collaboratively with child protection services

(8) Darlington et al. [23]
Complexity, conflict and uncertainty: issues in collaboration between child protection and mental health services
PractitionersN = 232
(i) Profession: 156 statutory child protection, 69 adult MH services, 50 child and youth MH services, 13 integrated MH services, 12 Other
(ii) Gender: 73% female
(iii) Age: M = 37.7 (21–65)
Department of Families and Queensland Health
Australia
Self-administered cross-sectional survey
analytical method not reported
(1) The nature of child protection needs and parental mental health
(2) The extent of collaboration
(3) The impact of uncertainty on collaboration
(4) Positive experiences and difficulties with collaboration

(9) Darlington et al. [24]
Practice challenges at the intersection of child protection and mental health
PractitionersN = 36
(i) Profession: 17 child protection workers, 15 adult MH workers, 4 child and youth MH workers
(ii) Gender: 31 female (86%)
(iii) Age: M = 36.3 (25–56)
Department of Families and Queensland Health
Australia
Case-based interviews
thematic analysis
(1) Factors associated with effective collaboration between child protection and adult mental health: communication, knowledge, role clarity, and resource factors
(2) Challenges to collaborative work: mental illness characteristics, balancing conflicting needs

(10) Darlington and Feeney [59]
Collaboration between mental health and child protection services: professionals’ perceptions of best practice
Practitioners(See: [23])Department of Families and Queensland Health
Australia
Self-administered, cross-sectional surveySuggestions for improving interagency collaboration:
(1) Improving communication
(2) Enhancing the knowledge base of professionals in both sectors
(3) Providing adequate resources and appropriate service models

(11) Darlington and Feeney [60]
Clients’ and professionals’ experiences of traversing mental health and child protection systems: implications for practice
BothPractitioners (n = 4):
(i) Profession: child protection caseworkers (1 family support worker, 2 child protection workers, 1 MH social worker)
(ii) Gender: 100% female
(iii) Age: M = 36.5 (26–50)
Parents (n = 4):
(iv) Diagnosis: 2 X psychosis, 1 X PTSD, 1 X depression
(v) Gender: 100% female
(vi) Ethnicity: not reported
(vii) Age: M = 31 (19–36)
Department of Families and Queensland Health
Australia
Semistructured interviews around 4 client-caseworker dyads
thematic analysis
(1) Assessment and case planning issues
(2) Service coordination and collaboration issues

(12) Davidson et al. [61]
Championing the interface between mental health and child protection: evaluation of a service initiative to improve joint working in Northern Ireland
PractitionersN = 109
(i) Profession: 12 “champions” in MH, 59 MH team members, 12 “champions” in childcare, 26 children”s social workers
(ii) Gender: 84% female
(iii) Age: not reported
Northern Health and Social Care Trust (NHSCT),
Northern Ireland, UK
Questionnaires
analytical method not reported
Service evaluation, themes not reported

(13) Diaz-Caneja and Johnson [16]
The views and experiences of severely mentally ill mothers--a qualitative study
ParentsN = 22
(i) Diagnosis: 8 X schizophrenia delusional, 4 X bipolar disorder, 4 X severe depression with psychotic symptoms
(ii) Gender: 100% female
(iii) Ethnicity: 13 White British, 3 White other, 1 Black British, 1 Black Caribbean, 1 Black African, 2 Asian, 1 mixed
(iv) Age: >20
Camden and Islington
Community Mental Health Team
London, UK
Semistructured interviews
thematic analysis
(1) Positive aspects of motherhood
(2) Difficulties associated with motherhood
(3) Stigma
(4) Effect of mental illness on children
(5) Views about services

(14) Ghaffar et al. [62]
Exploring the experiences of parents and carers whose children have been subject to child protection plans
ParentsN = 47
(i) Diagnosis: not reported
(ii) Gender: 39 female (83%)
(iii) Ethnicity: 36 White British, 5 X British Asian 6 X not specified
(iv) Age: <20 (n = 2), 20–29 (n = 20), 30−29 (n = 12), 40–49 (n = 7), >50 (n = 1)
Local authorities in Northern England,
UK
Semistructured interviews
thematic analysis
(1) Power differentials between service users and professionals
(2) Opportunities for building effective relationships
(3) family involvement in decision-making

(15) Hanley and Long [63]
A study of Welsh mothers’ experiences of postnatal depression
ParentsN = 10
Diagnosis: postnatal depression
Gender: 100% female
Ethnicity: not reported
Age: 17–33
Wales, UKSemistructured interviews
content analysis
(1) Previous knowledge of postnatal depression
(2) Early traumatic life events
(3) Self-awareness of health status
(4) Attachment strengths and weaknesses
(5) Intimate relationships
(6) Social relationships
(7) Support systems
(8) Valued experiences
(9) Prevention strategies and lifestyles

(16) Hetherington and Baistow [64]
Supporting families with a mentally ill parent: European perspectives on interagency cooperation
PractitionersN = not reported
(i) Profession: adult MH workers and child welfare workers
(ii) Gender: not reported
(iii) Age: not reported
The Icarus Project
Brunel University, UK
Focus groups
analytical method not reported
Reported cross-country differences in structures, resources, expectations, and attitudes and how these affect professional responses and the experiences of families

(17) Hinden et al. [37]
The invisible children’s project: key ingredients of an intervention for parents with mental illness
BothPractitioners (n = 9)
(i) Profession: 3 case managers, 6 child welfare workers
(ii) Gender: not reported
(iii) Age: not reported
Parents (n = 9)
(iv) Diagnosis: 5X Major Depressive disorder, 1X schizoaffective, 1X substance abuse, 1X adjustment disorder, 1X bipolar disorder
(v) Gender: not reported
(vi) Ethnicity: 6 Caucasian, 3 African American
(vii) Age: 26–40
Invisible Children’s Project Department of Social Services
New York, USA
Semistructured interview
general inductive approach
(1) Identification of essential services for parents with mental illness
(2) Mediators of successful outcomes

(18) Hollingsworth et al. [65]
The role of positive and negative social interactions in child custody outcomes: voices of US women with serious mental illness
ParentsN = 3
(i) Diagnoses: 2 X bipolar disorder with psychosis, 1 X schizoaffective disorder
(ii) Gender: 100% female
(iii) Ethnicity: African American
(iv) Age: 28–38
National Institute of Mental Health—longitudinal study of the meaning of motherhood
University of Michegan, USA
Semi-structured interviews
thematic Analysis
(1) The relationship between a mother’s social interactions and the presentation of threats to her child (ren)’s safety
(2) The relationship between a mother’s positive and negative interactions and losing or relinquishing custody of her child (ren)
(3) The relationship between a mother’s social interactions and her efforts to regain custody (reunification) or to adjust to permanent placement

(19) Honey et al. [66]
Living with mental illness and child removal
ParentsN = 8
(i) Diagnoses: 3X depression, 3X bipolar, 3X psychotic disorder, 2X anxiety disorder, 1X post-traumatic stress disorder
(ii) Gender: 100% female
(iii) Ethnicity: not reported
(iv) Age: not reported
Setting not reported
University of Sydney, Australia
Semistructured interviews
interpretive phenomenological approach
(1) Chaotic lives preremoval
(2) Pain and loss
(3) Protecting myself
(4) Constrained mothering

(20) Humphreys et al. [67]
Beyond co-occurrence: addressing the intersections of domestic violence, mental health and substance misuse
PractitionersN = 28
(i) Profession: senior practitioners working in child protection, family support, specialist domestic violence, MH and substance misuse
(ii) Gender: not reported
(iii) Age: not reported
STACY Project – Domestic Violence Services
Australia
Semistructured interviews, ethnographic notes, transcripts
thematic synthesis
(1) Partnering with nonoffending parent
(2) Addressing the intersection of domestic violence with mental health
(3) Pivot to the perpetrator
(4) Differing frameworks across services

(21) Kageyama and Yokoyama [68]
Social workers’ support skills for parents with mental disorders: a qualitative descriptive study in child-welfare social workers
PractitionersN = 8
(i) Profession: child welfare social workers
(ii) Gender: 6 female (75%)
(iii) Age: M = 50.8 (42–60)
Research for child welfare department
Japan
Semistructured interviews
qualitative descriptive analysis
(1) Identification of goals social workers supported parents in
(2) Support skills used by social workers

(22) Keddell [69]
Constructing parental problems: the function of mental illness discourses in a child welfare Context
BothPractitioners (n = 22):
(i) Profession: social workers
(ii) Gender: 19 female (86%)
(iii) Age: not reported
Parents (n = 8)
(iv) Diagnosis: not specified (majority depression)
(v) Gender: 7 female (88%)
(vi) Ethnicity: not reported
(vii) Age: not reported
Child-welfare NGO
Aoteatora, New Zealand
Semistructured case-based interviews
secondary discourse analysis of paired social worker and service user narratives
(1) Dominance of a family maintenance discourse that framed decision-making
(2) Defining children’s best interests as relational needs and rights
(3) The use of mental illness and lack of support to construct nonculpable causes of original family problems
(4) “Safety” in addition to risk
(5) Strong commitment to “respect for persons”

(23) Lever Taylor et al. [70]
Experiences of social work intervention among mothers with perinatal mental health needs
ParentsN = 18
(i) Gender: 100% female
(ii) Diagnosis: 4 X depression, 1 X anxiety, 9 X personality disorder, 4 X bipolar disorder/psychosis/schizophrenia
(iii) Ethnicity: 12 White British, 1 White other, 4 Black Caribbean, 1 Black African
(vi) Age: M = 28.7
NHS Mental Healthcare Services,
UK
Semistructured interviews
thematic analysis
(1) Labelled as “bad mothers”
(2) Set up to fail
(3) Turning points

(24) Marziali et al. [71]
Supportive group therapy for parents who chronically neglect their children
ParentsN = 6
(i) Diagnosis: complex emotional needs
(ii) Gender: not reported
(iii) Ethnicity: not reported
(vi) Age: not reported
Personality Disorder Group Therapy Service Evaluation
Canada
Observed and transcribed group sessions
analytical process not reported
(1) The search for boundaries
(2) Attack and despair
(3) Mourning and repair
(4) Integration of self-control

(25) Mason et al. [72]
Experiences of child protection workers in collaborating with adult mental health providers: An exploratory study from Ontario, Canada
PractitionersN = 339
(i) Profession: family service workers (31.2%), children’s service workers (13.3%), intake workers (10.0%), investigation workers (9.1%), other (36.4%)
(ii) Gender: not reported
(iii) Age: 52.1% between the ages of 25 to 44 years
Children’s Aid Societies,
Ontario, Canada
Survey data (open-ended questions)
thematic qualitative analytic procedures [73]
(1) Collaborative strategies
(2) Barriers and facilitators to collaboration
(3) Ideas to improve collaboration between child welfare and adult mental health services

(26) McPherson et al. [48]
Evaluating integrative services in edge-of-care work
PractitionersN = 24
(i) Profession: MH practitioners, enhanced therapists, PIMHAP lead, trainee clinical psychologists, children’s services managers, children’s services social workers, children’s centre managers, midwives, allied project consultants, and administrators
(ii) Gender: not reported
(iii) Age: not reported
Norfolk Parent Infant Mental Health Attachment Project (PIMHAP) Service EvaluationFocus groups(1) A safe place to leave professional defences behind
(2) Working within financial and professional constraints
(3) Creating solutions to long-standing dilemmas
(4) Holding really tough stuff without switching off

(27) Mind [74]
A right to know, a right to be involved: a survey of the views of people with mental health problems who were parents experiencing local authority statutory children’s services
BothPractitioners (n = 9)
(i) Profession: child and family social workers, independent Reviewing Officer, family resilience workers, community MH workers, solicitors
(ii) Gender: not reported
(iii) Age: not reported
Parents (n = 14)
(iv) Diagnosis: not reported
(v) Gender: not reported
(vi) Age: not reported
(vii) Ethnicity: not reported
Mind’s Parenting Advocacy Service,
Croydon, UK
Survey data (open questions) and 1 : 1 telephone interviews
not reported
Service evaluation, themes not reported

(28) Ostler [75]
Dysregulation of the caregiving system in the context of maternal depression: the role of mistrust in the development and causation of abusive parenting behaviour
ParentsN = 8
(i) Diagnosis: depression
(ii) Gender: 100% female
(iii) Ethnicity: 4x African American, 3x Caucasian, 1X Hispanic backgrounds
(iv) Age: 21–44
State Child Protective Services,
Illinois, USA
Parent interviews, record reviews, observational and standardized measures
deductive thematic analysis
(1) Mistrust as an extreme defense
(2) Reported childhood experiences
(3) Abusive and role-reversed parenting behaviours
(4) Attachment-relevant triggers of abusive parenting
(5) Context of depression

(29) Pause [76]
How can maternal mental health services best support women who have experienced the removal of children from their care?
BothPractitioners (n = 9)
(i) Profession: MH Clinicians
(ii) Gender: not reported
(iii) Age: not reported
Parents (n = 32)
(iv) Diagnosis: not reported
(v) Gender: 100% female
(vi) Age: not reported
(vii) Ethnicity: not reported
Maternal Mental Health Service
Cheshire and Merseyside, UK
Virtual focus group, individual conversations, and an online survey
analysis not reported
(1) Women who have experienced the removal of children are currently not routinely offered maternal mental health services
(2) Women will be feeling overwhelmed and may be fearful of services
(3) Maternal mental health services should offer support early, build trusting relationships, work collaboratively with other services, and be open and honest with women
(4) Services should understand the impact of trauma, ask and listen to women’s preferences

(30) Perera et al. [32]
There is a lot to it: being a mother and living with a mental illness
BothPractitioners (n = 11)
(i) Profession: 6 social workers, 2 psychiatric nurses, 2 medical offers, 1 parent peer leader
(ii) Gender: 9 female (81%)
(iii) Age: not reported
Parents (n = 8)
(iv) Diagnosis: 5 X schizophrenia, 2 X psychotic depression, 1 X bipolar disorder
(v) Gender: 100% female
(vi) Ethnicity: not reported
(vii) Age: M = 36 (26–44)
Adult public mental health service
Melbourne, Australia
Semistructured interviews
constructivist grounded theory
(1) Positive aspects of motherhood for women living with mental illness
(2) Challenging aspects of motherhood

(31) Powell et al. [77]
Perceived community-based needs of low-income parents with psychiatric disabilities who experienced legal challenges to their parenting rights
ParentsN = 12
(i) Gender: 10 female (83%), 2 men (17%)
(ii) Diagnosis: mixed (anxiety, bipolar disorder, depression, post-traumatic stress disorder (PTSD), and schizophrenia)
(iii) Ethnicity: 7 White, 1 Black/African American, 1 Asian, 3 multiracial
(iv) Age: not reported
Setting not reported
USA
Semistructured telephone interviews
content analysis
(1) Types of supports parents reported as useful for their well-being
(2) Chronic economic hardships and material deprivation

(32) Rouf et al. [78]
Making decisions about parental mental health: an exploratory study of community mental health team staff
PractitionersN = 13
(i) Profession: 3 community psychiatric nurses (CPNs), 3 psychologists, 3 social workers and 4 psychiatrists, 5 named nurses for child protection
(ii) Gender: 100% female
(iii) Age: not reported
Community Mental Health Team, Oxford and Buckinhamshire Mental health Trust
UK
Semistructured interviews (all staff)
diaries (named nurses)
interpretative phenomenological analysis (IPA)
(1) The tensions of working across systems
(2) Trying to balance the perceptions and feelings involved in sense-making
(3) The role that interpersonal dynamics play in the understanding and management of risk

(33) Scott et al. [79]
What does “recovery” from mental illness and addiction mean? Perspectives from child protection social workers and from parents living with mental distress
BothPractitioners (n = 11)
(i) Profession: child protection workers
(ii) Gender: not reported
(iii) Ethnicity: not reported
(iv) Age: not reported
Parents (n = 13)
(v) Ethnicity: 11 New Zealand Europeans, 1 Māori, 1 Asian
(vi) Gender: 9 (69%) female
(vii) Diagnosis: mixed
(viii) Age: 20+
Child Custody Research Project (CCRP)
Aotearoa, New Zealand
Semistructured interviews,
primary thematic analysis, and secondary discourse analysis
(1) Child protection worker perspectives on symptom management and recovery
(2) Parents on their experiences of recovery and on the views of child protection workers

(34) Siverns and Morgan [15]
“If only I could have said, if only somebody was listening”: mothers’ experiences of placing their child into care
ParentsN = 3
(i) Diagnosis: not specified; receiving service support for trauma
(ii) Gender: 100% female
(iii) Ethnicity: 2 White British, 1 Asian British
(iv) Age: 21–50
Mental Health Services (NHS and private healthcare providers)
UK
Semistructured interviews
interpretive phenomenological analysis (IPA)
(1) Fractured sense of motherhood
(2) Feelings of failure, shame, and regret
(3) Dehumanisation and disempowerment

(35) Stanley et al. [40]
Working on the interface: identifying professional responses to families with mental health and child-care needs
BothPractitioners (n = 500)
(i) Profession: 104 children’s social workers, 67 health visitors, 58 adult psychiatry staff, 56 community psychiatrist nurses, 54 MH social workers, 22 child care voluntary agency staff, 19 child and adolescent psychiatry staff, 19, GP’s, 18 family centre workers, other (occupational therapists, guardians, police, paediatricians, MH volunteers, residential care workers)
(ii) Gender: not reported
(iii) Age: not reported
parents (n = 11)
(iv) Diagnosis: not reported
(v) Gender: 100% female
(vi) Ethnicity: not reported
(vii) Age: not reported
2 local authority areas in the northeast of England
UK
Semistructured postal survey (practitioners)
semistructured interviews (parents)
thematic analysis
(1) Professional roles and remits
(2) Focusing on users’ needs
(3) Interprofessional coordination
(4) Identifying a lead service
(5) The mothers’ perspectives

(36) Staudt and Massengale [80]
Parents involved with child welfare: their perceptions of mental health services
ParentsN = 20
(i) Diagnosis: not reported
(ii) Gender: 100% female
(iii) Ethnicity: 3 African American, 17 European American
(iv) Age: not reported
Public child welfare agencies
Tennesee, USA
Semistructured interviews
grounded theory
(1) Relationships with therapists
(2) Perceived treatment benefits
(3) Availability and accessibility of services and therapists
(4) Treatment expectations
(37) Stephens [53]
Recognizing complex trauma in child welfare-affected mothers of colour
ParentsN = 20
(i) Diagnosis: not specified—all had experience traumatic event
(ii) Gender: 100% female
(iii) Ethnicity: 8 Black or African American, 7 Latina or Hispani, 5 mixed race
(iv) Age: M = 43
CW-affiliated community-based organizations (e.g., social service providers, mental health centres)
New York, USA
Semistructured interviews
Interpretive phenomenological analysis and directed content analysis
(1) Chronic and compound exposure to potentially traumatic events (PTEs)
(2) Interpersonal violations of trust
(3) Pervasive mistrust of others
(4) Revictimization
(5) The absence of appropriate MH treatment (6) Grown while living with complex trauma

(38) Tchernegovski et al. [81]
How do Australian adult mental health clinicians manage the challenges of working with parental mental illness? A phenomenological study
PractitionersN = 11
(i) Profession: MH clinicians
(ii) Gender: 8 female (73%)
(iii) Age: M = 39.3
Clinical adult mental health sector-public services
Victoria, Australia
Semistructured telephone interviews
interpretive phenomenological analysis
(1) Managing sensitive parenting conversations
(2) Making decisions about child safety in unclear or unpredictable situations
(3) Working with child protection services

(39) Björkhagen Turesson [82]
Conceptions, norms, and values in the work of child protective services with families at risk: an analysis of social workers’ diaries
PractitionersN = 3
(i) Profession: Social workers
(ii) Gender: not reported
(iii) Age: not reported
Child protective Services
Sweden
Social workers’ diary entries
thematic analysis
(1) The Janus face of child protective services
(2) Clienthood and its conditions
(3) Child protective services and good and bad parenting
(4) The fathers

(40) Yoo et al. [83]
Psychotherapy for child welfare cases: clinicians’ and parents’ perspectives
BothPractitioners (see [84])
Parents (N = 7):
(i) Diagnosis: not reported
(ii) Gender: 100% female
(iii) Ethnicity: 4 White American, 3 African American
(iv) Age: M = 29.4 (19–39)
Child welfare agencies
Illinois, USA
Semistructured interviews
thematic analysis
(1) Psychotherapy as a place for safety and empathy
(2) Psychotherapy as a place for challenge
(3) Psychotherapy as a place for problem resolution

(41) Yoo et al. [84]
They’re not bad parents. They’ve just made bad choices: “Mental health clinicians” perspectives of parents involved with child protective services
PractitionersN = 10
(i) Profession: 3 family therapists, 3 counsellors, 3 social workers, 1 clinical psychologist
(ii) Gender: 9 female (90%)
(iii) Age: M = 43.5
Child welfare agencies
Illionois, USA
Semistructured interviews
thematic analysis
(1) Parents strengths: potential and capacity for care
(2) Parents challenges: reasons behind maltreatment