Course and Severity of Maternal Depression: Associations with Family Functioning and Child Adjustment

Number of lifetime episodes, duration of current episode, and severity of maternal depression were investigated in relation to family functioning and child adjustment. Participants were the 151 mother–child pairs in the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) child multi-site study. Mothers were diagnosed with Major Depressive Disorder; children (80 males and 71 females) ranged in age from 7 to 17 years. Measures of child adjustment included psychiatric diagnoses, internalizing and externalizing symptoms, and functional impairment. Measures of family functioning included family cohesion, expressiveness, conflict, organization, and household control; parenting measures assessed maternal acceptance and psychological control. Children of mothers with longer current depressive episodes were more likely to have internalizing and externalizing symptoms, with this association being moderated by child gender. Mothers with more lifetime depressive episodes were less likely to use appropriate control in their homes.

COMMUNITY COLLABORATIONS:

Many communities are now involved in collaborations in order to solve problems which no one group or organization can deal with by themselves. They find they must organize in a unique way that allows them to try to solve these problems on equal terms with the public, non-profit and private sectors. These unique collaborations are referred to in this article as network structures. Network structures require the use of different management styles and policy instruments than are used in more typical bureaucratic efforts. This article is based on a study of four community groups in the Los Angeles area which organized in such a way to try to improve conditions of families and children. Each of these collaborations highlights the impact of network structures on the ability to sustain effective collaborative efforts. In addition they point to new roles and changing relationships among government at all levels and those participants outside the government. They also highlight what participants, both inside and outside the public sector, will need to understand about how to organize and mange in these unique settings.     

Network Structures: Working Differently and Changing Expectations

There is a growing need for innovative methods of dealing with complex, social problems. New types of collaborative efforts have emerged as a result of the inability of more traditional bureaucratic hierarchical arrangements such as departmental programs to resolve these problems. Network structures are one such arrangement that is at the forefront of this movement. Although collaboration through network structures establishes an innovative response to dealing with social issues, there remains an expectation that outcomes and processes are based on traditional ways of working. It is necessary for practitioners and policy makers alike to begin to understand the realities of what can be expected from network structures in order to maximize the benefits of these unique mechanisms.