How do you know when the family or the interpersonal relations is suffering to such a great degree that this change is required?

If a mother feels that her family is out of control and other methods have failed and this is the only method that seems to be available, then it might be necessary. Please note that the mother’s feeling of being out of control is more important than an objective view that she is not necessarily out of control. If the mother feels that she is not in control and psychologist or social worker feels that she really is in control then perhaps some time and effort should be spent to show her that she can indeed continue without making this major step in learning how to multi-task. Perhaps some other efficiency tools might satisfy her and avoid making major changes in her life. This would certainly be preferable.