The Death of Margret Schlosser, Postpartum Psychosis and CIT

The Death of Margret Schlosser, Postpartum Psychosis and CIT

The Death of Margret Schlosser, Postpartum Psychosis and CIT Sergeant A.D. Paul, Plano PD Nicole Bowers, LCSW, Plano PD This Presentation I. Case study of the Margret Schlosser Homicide II. Other Texas Cases III. Postpartum Psychosis/Depression IV. Building collaborations with LEOCIT/Families/Providers/CPS The Commitment of Dena Schlosser

On January 9th Dena Schlosser gives birth at home to Margret Schlosser. January 15, 2004, Welfare concern call. Dena Schlosser is APOWW after fleeing from her 5 year old child on a public sidewalk and being unresponsive to responding officers. Dena Schlosser

Circumstances Husbands loss of job in Ft. Worth. Moved to new town (Plano) after job loss to be near church. Becomes estranged from friends and family (except for church). Had baby blues after births of first two children. Gives birth to third child at home with mid-wife and doesnt sleep for

three (3) days after birth and then just for few hours a night. Dena cuts wrist, but not reported by husband. The Homicide 911 Call The Homicide The response and crime scene. The Arrest. Prosecution & Trial (ASSOCIATED McKINNEY, Tex., April 7 (AP) A

woman charged with murder for cutting off her baby daughter's arms in what her lawyers portrayed as a religious frenzy was found not guilty by reason of insanity Friday by a judge. The woman, Dena Schlosser, 38, will be sent to a state mental hospital and held until she is no longer deemed a threat to herself or others. "My own expectation is that she will remain at the hospital for many, PRESS : The Homicide Baby dies after mother allegedly s evers arms - US news - Crime & co urts | NBC News#.V0XN2KAo674

The Church The Word According to Doyle Davidson - D Magazine Other Texas Cases ANDREA YATES Houston June 20, 2001 37 y/o drowned her 5 children (Noah-7; John-5; Paul-3; Luke-1; Maryinfant) History of Postpartum Depression and Psychosis (treatment

began 1999) Believed she was protecting them from Satan. NGRI; Rusk State Hospital. DEANNA LANEY Tyler (New Chapel Hill) May 10, 2003

39 y/o Bludgeoned 3 sons with stones, killing two (8 y/o and 6 y/o) and seriously injuring the other (14 month old) Delusional Disorder, Grandiose Type Believed God told her to do it Laney was found NGRI; Vernon State Hospital Released May 2012 Other Texas Cases PADMAJA ENJETI Plano November 2007

37 y/o; diagnosed with Psychotic Disorder, N.O.S., in May 2007; December 2007 (after incident) diagnosed with Depression with Psychotic Features Called Plano PD and reported I tried to kill her Dropped her 1-1/2 y/o daughter from the second floor onto hardwood floor 14 feet below, called the police and then did it a 2nd time while on the phone with dispatchers 2008 jury found her guilty of attempted capital

murder, aggravated assault and injury to a child Spent 3 years in prison under psychiatric care & was released in 2011 The Postpartum Period ~ 85% of women experience some type of mood disturbance.

Symptoms are typically mild and shortlived 10 to 15% of women develop more significant symptoms of depression or anxiety Postpartum psychiatric illness is typically divided into three categories: I. Postpartum blues II. Postpartum depression III. Postpartum psychosis. Postpartum Blues

~50 to 85% of women experience postpartum blues during the first few weeks after delivery Most professionals consider this a normal experience following childbirth rather than a psychiatric illness. Rather than feelings of sadness, women with the blues more commonly report mood dysregulation tearfulness

anxiety or irritability These symptoms typically peak on the 4th or 5th day after delivery; may last for a few hours or a few days, typically remitting spontaneously within 2 weeks of delivery. Postpartum Depression PPD typically emerges over the first 2-3 postpartum months but may occur at any

point after delivery. Some women actually note the onset of milder depressive symptoms during pregnancy. Postpartum depression is clinically indistinguishable from depression occurring at other times during a womans life. Postpartum Depression The symptoms of postpartum depression include: Depressed or sad mood Tearfulness Loss of interest in usual activities Feelings of guilt

Feelings of worthlessness or incompetence Fatigue Sleep disturbance Change in appetite Poor concentration Suicidal thoughts Postpartum Psychosis

Is a rare event that occurs in approximately 1-2/1000 women after childbirth. Its presentation is often dramatic, with onset of symptoms as early as the first 48 to 72 hours after delivery. The majority of women develop symptoms within the first 2 postpartum weeks. 5% will commit suicide; 4% will commit infanticide Postpartum Psychosis cont.

Symptoms most closely resemble those of a rapidly evolving manic (or mixed) episode; high mood, racing thoughts Depression Severe confusion Loss of inhibition Delusional beliefs are common and often center on the infant.

Auditory hallucinations that instruct the mother to harm herself or her infant may also occur. Risk for infanticide, as well as suicide is When the Bough Breaks Angela Thompson Sonia Hermosillo Child Protection Services

TEXAS FAMILY CODE SUBTITLE E. PROTECTION OF THE CHILD ABUSE: D) failure to make a reasonable effort to prevent an action by another person that results in physical injury that results in substantial harm to the child; Child Protection Services Neglect - placing a child in or failing to remove a child from a situation that a reasonable person would realize requires judgment or actions beyond the child's

level of maturity, physical condition, or mental abilities and that results in bodily injury or a substantial risk of immediate harm to the child; CIT Resources Postpartum Support International Childrens Advocacy Centers

Under one roof they house law enforcement (e.g., Family Violence Units) , Child Protective Services, therapists, caseworkers, interns, nurses and volunteers. Additionally, they work hand-in-hand with the District Attorneys office to ensure that perpetrators are brought to justice. Plano Police Department Mental Health Coordinator. Houston Police Department Mental Health Division HB 2466

Passed in 2017 Texas legislative session Postpartum screenings by pediatrician during well-baby appointment Payable by Medicaid Bottom Line Postpartum psychosis is a medical emergency and requires long term attention and follow-up to ensure the Contact Us A.D. PAUL SERGEANT


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