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from
Part IV
-
Specific treatments and service needs
By
David Clodman, Centre for Addiction and Mental Health, Toronto, Canada
Edited by
Michael Göpfert, Webb House Democratic Therapeutic Community, Crewe,Jeni Webster, 5 Boroughs Partnership, Warrington,Mary V. Seeman, University of Toronto
This chapter is written from the perspective of a mental health social worker serving women diagnosed with schizophrenia. Clinic participants come from varying backgrounds and present with a range of needs and experiences. They vary in their awareness of the degree to which mental illness has compromised their ability to perform adequately as parents. The connection between acknowledgement of illness, adherence to a medication regime, participation in a treatment programme and maintenance of child custody is self-evident to some and not at all to others. The author works in collaboration with child welfare agencies but, as the case vignette of Linda presented in the chapter illustrates, the goals of the two systems, child welfare and adult mental health, differ. Social workers are caught between their allegiances to systems. Recommendations for bridging the differences and integrating the systems are provided.
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