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Child Welfare and Child Well-BeingNew Perspectives From the National Survey of Child and Adolescent Well-Being$
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Mary Bruce Webb, Kathryn Dowd, Brenda Jones Harden, John Landsverk, and Mark Testa

Print publication date: 2009

Print ISBN-13: 9780195398465

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780195398465.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 27 November 2020

Caregiver Depression, Mental Health Service Use, and Child Outcomes

Caregiver Depression, Mental Health Service Use, and Child Outcomes

(p.351) 12 Caregiver Depression, Mental Health Service Use, and Child Outcomes
Child Welfare and Child Well-Being

Barbara J. Burns

Sarah A. Mustillo

Elizabeth M.Z. Farmer

David J. Kolko

Julie McCrae

Anne M. Libby

Mary Bruce Webb

Oxford University Press

This chapter analyzes the mental health care needs and service use for caregivers involved with the child welfare system, who experience symptoms of depression warranting a psychiatric diagnosis. Noteworthy findings include the high rate of caregiver depression, a 40% rate that greatly exceeds both the rate of depression in the general population and the rate for female welfare recipients; and the large gap between need for mental health care and reported use of such care for serious depression. An unusual feature of the chapter is the highly innovative use of NSCAW longitudinal data to group depressed caregivers into the categories early recovery, recovered and relapsed, and delayed recovery, in order that these caregivers' use of mental health services may be compared. It also reports a number of sobering consequences of caregivers' depressive illnesses for children and the role that mental health services may play in affecting those consequences. The chapter provides a model discussion of clinical and practice implications emerging from these empirical findings.

Keywords:   NSCAW, caregivers, mental health care, child service workers, symptoms of depression

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