Cited by 28Maternal Mental Health During Pregnancy and PostpartumChild Welfare and AdoptionPsychoanalysis and Psychopathology Research

Improving antenatal risk assessment in women exposed to high risks.

Perry, Natasha, Newman, Louise K, Hunter, Mick, Dunlop, Adrian·2015·Clinical Child Psychology and Psychiatry

Abstract

Antenatal substance use and related psychosocial risk factors are known to increase the likelihood of child protection involvement; less is known about the predictive nature of maternal reflective functioning (RF) in this population. This preliminary study assessed psychosocial and psychological risk factors for a group of substance dependent women exposed to high risks in pregnancy, and their impact on child protection involvement. Pregnant women on opiate substitution treatment (n = 11) and a comparison group (n = 15) were recruited during their third trimester to complete measures of RF (Pregnancy Interview), childhood trauma, mental health and psychosocial assessments. At postnatal follow-up, RF was reassessed (Parent Development Interview - Revised Short Version) and mother-infant dyads were videotaped to assess emotional availability (EA). Child protection services were contacted to determine if any concerns had been raised for infant safety. Significant between-group differences were observed for demographics, psychosocial factors, trauma and mental health symptoms. Unexpectedly, no significant differences were found for RF or EA between groups. Eight women in the 'exposed to high risks' group became involved with child protection services. Reflective functioning was not significantly associated with psychosocial risk factors, and therefore did not mediate the outcome of child protection involvement. Women 'exposed to high risks' were equally able to generate a model of their own and their infants' mental states and should not be seen within a deficit perspective. Further research is required to better understand the range of risk factors that predict child protection involvement in high risk groups.

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Crossref · 10.1177/1359104513499355

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Authors
Perry, N., Newman, L. K., Hunter, M., & Dunlop, A.
Affiliations
  • Hunter New England Local Health District (AU)
  • Centre for Developmental Psychiatry & Psychology, Melbourne, Victoria, Australia
  • University of Newcastle Australia (AU)
Venue
Clinical Child Psychology and Psychiatry
Published
2013-08-27
Volume
20
Issue
1
Pages
84-105
ISSN
  • 1359-1045 (ISSN-L)
  • 1461-7021
OpenAlex
W2132617457
Cited by
28
References
95
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 1 · 2015: 3
FWCI
1.36
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • NOVA (University of Newcastle Australia) (submittedVersion)
Funders
  • World Health Organization
  • Johns Hopkins University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
maternal reflective functioning, prenatal drug exposure, opioid substitution therapy, psychosocial risk factors, childhood trauma, maternal mental health, emotional availability, mother-infant interaction, high-risk pregnancy, deficit perspectives
MeSH terms
Adult, Child, Child Welfare, Female, Humans, Infant, Mother-Child Relations, Opioid-Related Disorders, Pregnancy, Pregnancy Complications, Prenatal Care, Surveys and Questionnaires, Stress, Psychological, Case-Control Studies, Risk Assessment, Young Adult, Theory of Mind, Opiate Substitution Treatment

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