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Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study

Background: Enquiring about and documenting care arrangements for children of inpatient mothers with mental illness is paramount. Failure to do so could have a negative impact on the well-being of their children. Documenting care arrangements on admission signals good practice on the part of the adm...

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Main Author: Dawood, Nisaar Ahmed
Other Authors: Schneider, Marguerite
Format: Thesis
Language:English
Published: Department of Psychiatry and Mental Health 2019
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access_status_str Open Access
author Dawood, Nisaar Ahmed
author2 Schneider, Marguerite
author_browse Dawood, Nisaar Ahmed
Schneider, Marguerite
author_facet Schneider, Marguerite
Dawood, Nisaar Ahmed
author_sort Dawood, Nisaar Ahmed
collection Thesis
description Background: Enquiring about and documenting care arrangements for children of inpatient mothers with mental illness is paramount. Failure to do so could have a negative impact on the well-being of their children. Documenting care arrangements on admission signals good practice on the part of the admitting medical staff and ensures compliance with the requirements of the South African Children’s Act of 2004. This study explores the current practice at a large government run tertiary female inpatient psychiatric unit in Cape Town, regarding the enquiring and documenting practice within the first 24 hours of admission, of these care arrangements. Methods: The study is a cross sectional study using a mixed methods approach including: i) a case note audit of 100 consecutive patient folders examining the documentation of care arrangements within the first 24 hours of admission and ii) a structured self-administered questionnaire to professional staff working on the unit. Results: A total of 87 clinical folders were audited. Ninety nine percent of these folders had written down in them whether the women had children or not. Fifty eight percent of women had minor children and had 87 children between them. Fifteen percent of women had no care arrangements documented and 20% of women had unclear documentation of care arrangements. Fifteen completed staff questionnaires were returned. All staff agreed that it was important to ask the mothers about care arrangements. Conclusion: Significant more women that those identified on admission may have children who may have been in unsafe care arrangements at the time of their admission. There is room for improving the clarity of documenting of care arrangements and the enquiring into the specific care arrangements.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:49:44.122Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2019
publishDateRange 2019
publishDateSort 2019
publisher Department of Psychiatry and Mental Health
publisherStr Department of Psychiatry and Mental Health
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/29655 Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study Dawood, Nisaar Ahmed Schneider, Marguerite Psychiatry Background: Enquiring about and documenting care arrangements for children of inpatient mothers with mental illness is paramount. Failure to do so could have a negative impact on the well-being of their children. Documenting care arrangements on admission signals good practice on the part of the admitting medical staff and ensures compliance with the requirements of the South African Children’s Act of 2004. This study explores the current practice at a large government run tertiary female inpatient psychiatric unit in Cape Town, regarding the enquiring and documenting practice within the first 24 hours of admission, of these care arrangements. Methods: The study is a cross sectional study using a mixed methods approach including: i) a case note audit of 100 consecutive patient folders examining the documentation of care arrangements within the first 24 hours of admission and ii) a structured self-administered questionnaire to professional staff working on the unit. Results: A total of 87 clinical folders were audited. Ninety nine percent of these folders had written down in them whether the women had children or not. Fifty eight percent of women had minor children and had 87 children between them. Fifteen percent of women had no care arrangements documented and 20% of women had unclear documentation of care arrangements. Fifteen completed staff questionnaires were returned. All staff agreed that it was important to ask the mothers about care arrangements. Conclusion: Significant more women that those identified on admission may have children who may have been in unsafe care arrangements at the time of their admission. There is room for improving the clarity of documenting of care arrangements and the enquiring into the specific care arrangements. 2019-02-19T12:48:33Z 2019-02-19T12:48:33Z 2018 2019-02-19T12:35:08Z Master Thesis Masters MMed http://hdl.handle.net/11427/29655 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences University of Cape Town
spellingShingle Psychiatry
Dawood, Nisaar Ahmed
Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study
thesis_degree_str Master's
title Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study
title_full Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study
title_fullStr Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study
title_full_unstemmed Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study
title_short Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study
title_sort documenting of care arrangements for children of mothers admitted to a psychiatric hospital a south african case study
topic Psychiatry
url http://hdl.handle.net/11427/29655
work_keys_str_mv AT dawoodnisaarahmed documentingofcarearrangementsforchildrenofmothersadmittedtoapsychiatrichospitalasouthafricancasestudy