Developing a Curriculum and Standards for Psychiatric Training in Perinatal Mental Health

2017 ◽  
Vol 41 (S1) ◽  
pp. S65-S65
Author(s):  
E. McDonal
Keyword(s):  
Mental Health ◽  
Curriculum Development ◽  
Royal College ◽  
Perinatal Mental Health ◽  
Psychiatric Training ◽  
Intensive Training ◽  
Perinatal Psychiatry ◽  
Workforce Issues ◽  
Training Courses ◽  
Competing Interest

This presentation will inform the audience about the workforce issues in England in relation to Perinatal Psychiatry. The talk will illustrate the methods being utilised within the Royal College of Psychiatrists to develop the skills and competencies of clinicians. Intensive training courses, curriculum development and an innovative bursary scheme for consultant psychiatrists will be described.Disclosure of interestThe author has not supplied his declaration of competing interest.

Psychiatric Training in Perinatal Mental Health Across European Countries

2017 ◽  
Vol 41 (S1) ◽  
pp. S65-S65
Author(s):  
M. Casanova Dias ◽  
E. Sonmez ◽  
F. Baessler ◽  
A. Kanellopoulos ◽  
S. Naughton ◽  
...  
Keyword(s):  
Mental Health ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Psychiatric Training ◽  
European Federation ◽  
Mental Health Training ◽  
Illness Episode ◽  
Pregnancy And Childbirth ◽  
Annual Survey ◽  
Perinatal Psychiatry

IntroductionThe aim of postgraduate psychiatric training is to prepare psychiatrists to practice independently. The quality of care provided will depend on the training they received. Pregnancy and childbirth (usually called the perinatal period) are a high-risk period for many women with psychiatric problems. An illness episode at that time can have a devastating effect on women and the whole family, including the child's development.ObjectivesTo understand how perinatal mental health training is organized within Europe and how it fits in the training curricula.MethodsThe European Federation of Psychiatric Trainees conducts an annual survey of all member country organizations. We have asked respondents if they received training in perinatal psychiatry, whether that was optional or mandatory and what was its duration. Where training in perinatal psychiatry was not available we asked if they felt it should be.ResultsData will be presented from the 35 countries that responded in the 2016 survey. Six countries reported that training in perinatal mental health is available. But it is mandatory in only one, with the others offering a mix of theoretical and practical optional training. Of the 29 countries that do not offer perinatal psychiatry training, the majority reported it should be offered and mandatory.ConclusionThere is a gap in the expectations of psychiatrists treating women in pregnancy and after birth, and a widespread lack of training for them to be able to do so effectively.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Should all psychiatrists be skilled to practice psychotherapy?

2016 ◽  
Vol 33 (S1) ◽  
pp. S15-S15
Author(s):  
E. Sönmez ◽  
T. Gargot
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychotherapy Training ◽  
Basic Knowledge ◽  
Psychiatric Training ◽  
Ample Evidence ◽  
Training And Supervision ◽  
Training Institutions ◽  
Competing Interest

Psychiatrists have a unique place in the spectrum of mental health services, as being able to integrate psychotherapy and pharmacotherapy in clinical practice. It is through psychotherapy training that a trainee gains optimal communicative skills and competence in establishing therapeutic alliance with a patient. It helps developing empathic understanding, which is very important for a good collaboration and enable understanding, diagnostic and treatment. It improves trainees’ own insight. All are these fundamental aspects of a biopsychosocial approach of psychiatry.In many countries psychiatry trainees have a positive attitude towards psychotherapy during their training. Moreover, patients often prefer and adhere to combined psychotherapy and medication than split-care treatments. Research in psychotherapy provides ample evidence that these treatments are effective. The UEMS considers psychotherapy education as mandatory. EFPT advocates that all trainees must gain competence in at least one recognised form of psychotherapy and have a basic knowledge for other forms. Altogether, there is a consensus among all actors of mental health services that psychotherapy training is essential and should be improved. Yet, it is still far from being a priority in psychiatric training and is subdued by biological training and research, which is easier, faster and prevailing in training institutions. Also, psychotherapy training is found less affordable by trainees.With collaboration from other organizations, EFPT aims to improve standards of psychiatry training, including psychotherapy. We present some initiatives led by UEMS, EPA, WPA and ECNP. Today's technology allows trainees to reach various psychotherapeutic training availabilities, including online tools (Webinar, MOOCs, online guidebooks) and international courses. It is advisable that training institutions devote more time on psychotherapy training and supervision, associations provide costly training availabilities or scholarships, encourage more scientific research on psychotherapeutics and take into account the progress of research in psychology and neuroscience [1–5].Disclosure of interestThe authors have not supplied their declaration of competing interest.

Psychiatric Trainees’ Experience of their Training in Perinatal Mental Health

2017 ◽  
Vol 41 (S1) ◽  
pp. S65-S65
Author(s):  
E. Sönmez ◽  
M. Casanova Dias ◽  
M. Pinto Da Costa
Keyword(s):  
Mental Health ◽  
Perinatal Mental Health ◽  
Psychiatric Training ◽  
Practical Training ◽  
Mental Health Training ◽  
Psychiatry Training ◽  
Childbearing Age ◽  
Health Training ◽  
Use Of Resources ◽  
The Impact

IntroductionApproaching and offering treatment to a patient in perinatal period might be complicated. Often, it is regarded as one of the most difficult aspects in psychiatry. Given the increasing trends in the number of female patients of childbearing age consulting to psychiatric services, it has become an issue that specialists of today and tomorrow need to be well aware of.ObjectivesTo better understand the impact of perinatal mental health training on psychiatric trainees from different countries in Europe who receive such training.MethodsThe European Federation of Psychiatric Trainees conducts annual surveys, directing questions to national trainee representatives, to assess the situation of psychiatric training. EFPT representatives of the countries where perinatal mental health training was reported to be included in psychiatry and/or child and adolescent psychiatry training programmes, namely Germany, France, Malta, Finland and Ireland, were contacted. Qualitative interviews focusing on the confidence (or in confidence) trainees feel when a patient who is planning pregnancy, pregnant or breastfeeding consults to them and the impact of training in perinatal mental health on their attitudes as clinicians were explored.ResultsAlthough theoretical training in perinatal mental health is considered as an important aspect of psychiatry training in general, practical training or rotations are not found as essential. However, being able to benefit to more than one generation was perceived as a source of motivation.ConclusionsPerinatal mental health is appreciated as a critical part of theoretical education by trainees and in countries where a clinical rotation is available, it enhances making more use of resources and consultation possibilities.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Maternal Mental Illness and Early Parenting Interventions

2017 ◽  
Vol 41 (S1) ◽  
pp. S64-S64
Author(s):  
A.L. Sutter-Dallay
Keyword(s):  
Mental Health ◽  
Transition To Parenthood ◽  
Stressful Life Event ◽  
Perinatal Care ◽  
Critical Time ◽  
Well Being ◽  
Perinatal Period ◽  
Transitional Period ◽  
Perinatal Mental Health ◽  
Competing Interest

The importance of the “1001 critical days” (conception to age 2) underlies the need to act early in life to enhance children's developmental outcomes. Lack of intervention is likely to affect the children of today but also the generations to come. For adults, transition to parenthood is a major stressful life event. The strong emotional load of this experience can make this transitional period much more challenging for adults with psychological, social and economic vulnerabilities, and lead to unadjusted interactions.Then, applying the “transactional model of development” (Sameroff, 2009) to the early perinatal period helps us to understand how the needs of infants can easily affect a parent's mental state and induce inadequate parenting behaviors. These in turn make the infant's interactions more difficult and the infant's development more likely to be impaired. Perinatal mental health is thus an important public health challenge for it is essential to provide services to enhance maternal and infant emotional well-being at a moment that is simultaneously when the mother's social and emotional vulnerabilities are at their height and a critical time in the child's development.Perinatal mental health policies, including joint care of parents and infants, must provide positive support for the potential virtuous circle between the skills and vulnerabilities of the infant and the parents.This presentation will explore the different types of joined perinatal care for parents and infants that cover a range of services, from parent-infant psychotherapies to joint mother-baby hospitalizations.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Perinatal mental health around the world: priorities for research and service development in Norway

2021 ◽  
pp. 1-3
Author(s):  
Magnhild Singstad Høivik ◽  
Malin Eberhard-Gran ◽  
Catharina Elisabeth Arfwedson Wang ◽  
Signe Karen Dørheim
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Perinatal Mental Health ◽  
Healthcare Personnel ◽  
Service Development ◽  
National Guidelines ◽  
Systematic Screening ◽  
Treatment Pathways ◽  
Perinatal Psychiatry ◽  
Welfare Systems

Despite the country's generous social welfare systems, perinatal mental health problems are prevalent in Norway. National guidelines recommend that health services identify women with perinatal mental conditions, but systematic screening and clear treatment pathways are not nationally endorsed, neither are recommendations for evaluating and treating possible parent–infant interaction difficulties of affected mothers. There are no subspecialties in perinatal psychiatry or psychology, hence healthcare personnel often lack expertise about perinatal mental health. To safeguard the mental health of infants and parents, we need to establish systematic communication between primary healthcare professionals, as well as between primary- and secondary-level professionals.

scholarly journals 20 years on: the legacy of Daksha Emson for perinatal psychiatry

2021 ◽  
Author(s):  
Marisa Casanova Dias ◽  
Ekin Sönmez Güngör ◽  
Clare Dolman ◽  
Livia De Picker ◽  
Ian Jones
Keyword(s):  
Mental Health ◽  
Psychiatric Services ◽  
Perinatal Mental Health ◽  
Perinatal Psychiatry ◽  
Seeking Help ◽  
And Training

AbstractThe tragedy of Daksha’s death illustrates both the importance of perinatal mental health and the stigma associated with doctors seeking help. With this letter, we express our hope that the lasting legacy of her and others’ tragic stories lies in the continuing improvement and worldwide expansion of perinatal psychiatric services and training so that those in greatest need receive the best care possible wherever — and whoever — they are.

What is it about DID? A patient and clinician perspective

2021 ◽  
Vol 27 (2) ◽  
pp. 99-101
Author(s):  
Amy Crellin ◽  
Melanie Temple
Keyword(s):  
Mental Health ◽  
Royal College ◽  
Psychiatric Diagnosis ◽  
Dissociative Identity Disorder ◽  
Diagnosis And Treatment ◽  
Psychiatric Practice ◽  
Psychiatric Training ◽  
Neurological Findings ◽  
Mental Health Patients ◽  
Psychiatric Conditions

SUMMARY The diagnosis of dissociative identity disorder (DID) remains a contentious area in mental health. Patients experiencing such difficulties are often harshly identified as suggestible neurotics and interested clinicians as fanatics. However, for the sufferer, DID is as real and has as much impact as any other psychiatric diagnosis. This commentary challenges psychiatry's dismissive and disbelieving attitude towards DID. The authors (a person with DID and a clinician) acknowledge the limited understanding of DID's aetiology and the paucity of associated neurological findings, but ask whether this is not the case for many other accepted psychiatric conditions. They call for UK psychiatric practice to move on from the debate and for the Royal College of Psychiatrists to take the lead, with inclusion of DID in core psychiatric training and guidelines on approaches to diagnosis and treatment.

Perinatal Psychiatry: Improving Access to Perinatal Mental Health Care

2022 ◽  
Vol 73 (1) ◽  
pp. 116-117
Author(s):  
Kunmi Sobowale ◽  
Misty Richards ◽  
Lisa B. Dixon
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Perinatal Mental Health ◽  
Perinatal Psychiatry

Risks and Challenges in Perinatal Mental Health

2017 ◽  
Vol 41 (S1) ◽  
pp. S64-S64
Author(s):  
A. Wieck
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Services ◽  
Universal Access ◽  
Perinatal Mental Health ◽  
Expert Advice ◽  
Recent Analysis ◽  
Parental Mental Illness ◽  
Essential Components ◽  
Competing Interest

Mental illness affects 1 in 5 women during pregnancy and the first year postnatal and in about 1 in 20 women the condition is serious. When a woman with major mental illness becomes pregnant she and her child face a number of risks. These include poor pregnancy and neonatal outcomes and a sharp rise of psychiatric admissions after childbirth. Mental illness is also one of the leading causes of maternal death. Risks to children are impaired parenting and developmental disadvantage in emotional, behavioral and cognitive domains. Parental mental illness also has a significant role in infanticide and abuse-related serious harm to children, with infants <1 year old being most at risk.A recent analysis has shown that the resulting economic costs to public services and the wider society are extremely high. In view of the wide-ranging consequences, a number of European countries have set up specialized perinatal mental health services. These consist of specialized inpatient units and community teams. The essential components of their service are preconception counselling, expert advice on the use of medication during pregnancy and breastfeeding, joint inpatient admissions of mothers and babies, interventions to improve parenting, and advice to children's social services. None of these countries, however, are yet offering universal access.In order to improve service provision and outcomes it is important that perinatal mental health is acknowledged more widely as a public health priority. The workshop will provide an opportunity for participants to discuss approaches to raise awareness and promote perinatal service developments.Disclosure of interestThe author has not supplied his declaration of competing interest.

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