"Sylvia Frumkin" has a baby: a case study for policymakers
Department of Psychiatry; Clinical and Population Health Research; Center for Mental Health Services Research
Medical Subject Headings
Child; Child, Preschool; Female; *Foster Home Care; *Health Policy; Humans; Infant; Infant, Newborn; Male; Mental Competency; Parenting; *Patient Care Team; Pregnancy; Psychotic Disorders; Social Work; Suicide; Treatment Failure
"Sylvia Frumkin" was a pseudonym given to a 32-year-old woman with chronic mental illness described by Susan Sheehan in her books Is There No Place on Earth for Me? This paper presents the case of "Gloria Morrison," a patient similar to Ms. Frumkin, who is also a mother. Issues raised by the case in three areas are discussed. Issues for the service delivery system include developing better assessment, prediction, and reduction of the risk that a parent's mental illness may pose to a child's safety and well-being; targeting supportive and educational interventions to relatives and foster parents caring for children of severely mentally ill patients; and tailoring programs and services to the needs of such patients and their children. Clinical treatment issues include offering treatment options through agencies other than the department of social services; developing protocols for the care of severely mentally ill pregnant and postpartum women; focusing on issues of loss; and providing parenting skills training. Issues in the area of family support include increasing providers' awareness of family burden and alleviating conflicts between the family and patient.
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Citation: Psychiatr Serv. 1996 May;47(5):497-501.
Nicholson, Joanne; Geller, Jeffrey L.; and Fisher, William H., ""Sylvia Frumkin" has a baby: a case study for policymakers" (1996). Psychiatry Publications and Presentations. 120.