scholarly journals Promoting the Health of Parents & Children: Addressing Perinatal Mental Health by Building Medical Provider Capacity Through Perinatal Psychiatry Access Programs

2020 ◽  
Vol 17 (19) ◽  
Author(s):  
Nancy Byatt ◽  
Aaron Bergman ◽  
Melissa C. T. Maslin ◽  
John Straus ◽  
Heather Forkey ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Psychiatry ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Health Conditions ◽  
Medical Providers ◽  
Medical Provider ◽  
Perinatal Psychiatry ◽  
Access Program ◽  
Access Programs

Mental health conditions are the most common obstetric complications of the perinatal period, impacting 1 in 5 individuals during pregnancy and the year following pregnancy. Perinatal mental health (PMH) conditions have deleterious effects on the health of perinatal individuals and their children, and are a leading and preventable cause of maternal mortality. Nevertheless, PMH conditions are underrecognized, underdiagnosed, and undertreated. To address these gaps, Massachusetts created the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms to build the capacity of frontline medical providers to address PMH conditions by providing education, consultation, and resources and referrals. MCPAP for Moms has emerged as a successful and scalable model with at least 25 states or organizations implementing or developing similar Perinatal Psychiatry Access Programs.

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.

scholarly journals Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

2019 ◽  
Vol 165 (5) ◽  
pp. 363-370 ◽  
Author(s):  
Lauren Rose Godier-McBard ◽  
L Ibbitson ◽  
C Hooks ◽  
M Fossey
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Well Being ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Adverse Outcomes ◽  
Military Spouses ◽  
Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

scholarly journals Creating a Multisite Perinatal Psychiatry Databank: Purpose and Development

2020 ◽  
Vol 17 (24) ◽  
pp. 9352
Author(s):  
Wid Kattan ◽  
Laura Avigan ◽  
Barbara Hayton ◽  
Jennifer L. Barkin ◽  
Martin St-André ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Information ◽  
Perinatal Period ◽  
Self Report ◽  
Postpartum Women ◽  
Psychosocial Variables ◽  
Health Issues ◽  
Mental Health Issues ◽  
Perinatal Psychiatry ◽  
The Relationship

Mental health issues during the perinatal period are common; up to 29% of pregnant and 15% of postpartum women meet psychiatric diagnostic criteria. Despite its ubiquity, little is known about the longitudinal trajectories of perinatal psychiatric illness. This paper describes a collaboration among six perinatal mental health services in Quebec, Canada, to create an electronic databank that captures longitudinal patient data over the course of the perinatal period. The collaborating sites met to identify research interests and to select a standardized set of variables to be collected during clinical appointments. Procedures were implemented for creating a databank that serves both research and clinical purposes. The resulting databank allows pregnant and postpartum patients to complete self-report questionnaires on medical and psychosocial variables during their intake appointment in conjunction with their clinicians who fill in relevant medical information. All participants are followed until 6 months postpartum. The databank represents an opportunity to examine illness trajectories and to study rare mental disorders and the relationship between biological and psychosocial variables.

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.

scholarly journals A mother–baby psychiatric day hospital: History, rationale, and why perinatal mental health is important for obstetric medicine

2014 ◽  
Vol 7 (2) ◽  
pp. 66-70 ◽  
Author(s):  
Cynthia L Battle ◽  
Margaret M Howard
Keyword(s):  
Mental Health ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Treatment Barriers ◽  
Day Hospital ◽  
Depression And Anxiety ◽  
Medical Issues ◽  
Obstetric Medicine ◽  
Pregnancy And Postpartum ◽  
Hospital History

Background Women frequently experience depression, anxiety, or other mental health concerns during pregnancy and postpartum, impacting her and her infant’s health. Patients who require management of medical conditions during the perinatal period are even more likely to experience depression and anxiety compared to those without comorbid medical issues. Despite the availability of effective treatments, perinatal mental health utilization rates are strikingly low. Methods To address common treatment barriers, we developed a specialized mother–baby day hospital for women with psychiatric distress during the peripartum. In this report, we summarize findings from 800 patient satisfaction surveys collected from women treated at the program between 2007 and 2012. Results Findings suggest that women are highly satisfied with the treatment received, often noting that the inclusion of the baby in their treatment is a highly valued feature of care. Conclusion The relevance of perinatal mental health services for patients who are followed by obstetrical medicine specialists is discussed.

scholarly journals ‘We Do Not Talk About It’ – Exploring Visual Approaches to Initiate Deeper Conversations About Perinatal Mental Health With Indian Immigrants

2021 ◽  
Vol 20 ◽  
pp. 160940692110580
Author(s):  
Bridgit Philip ◽  
Lynn Kemp ◽  
Christine Taylor ◽  
Virginia Schmied
Keyword(s):  
Mental Health ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Photo Elicitation ◽  
Visual Methods ◽  
Multiple Methods ◽  
Indian Community ◽  
Face To Face ◽  
Indian Immigrants

Exploring constructions of mental health in the perinatal period among Indian immigrants can be challenging. This article describes the use of visual methods, photo elicitation, free listing and pile sorting, as an adjunct to face-to-face interviews to understand the constructions of perinatal mental health among Indian immigrants in Australia. The benefits and challenges of using these methods and modifications made during the research are explained. The modifications resulted in a broader understanding of terminology used by the Indian community. Incorporating visual methods as an adjunct to interviews when discussing perinatal mental health with Indian immigrants is effective and using multiple methods enhances the richness of data.

scholarly journals Assessing the Mental Health of Fathers, Other Co-parents, and Partners in the Perinatal Period: Mixed Methods Evidence Synthesis

2021 ◽  
Vol 11 ◽  
Author(s):  
Zoe Darwin ◽  
Jill Domoney ◽  
Jane Iles ◽  
Florence Bristow ◽  
Jasmine Siew ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Evidence Synthesis ◽  
Health Assessment ◽  
Depression Scale ◽  
Perinatal Period ◽  
Service Level ◽  
Screening Tools ◽  
Perinatal Mental Health ◽  
Published Evidence

Introduction: Five to 10 percentage of fathers experience perinatal depression and 5–15% experience perinatal anxiety, with rates increasing when mothers are also experiencing perinatal mental health disorders. Perinatal mental illness in either parent contributes to adverse child and family outcomes. While there are increasing calls to assess the mental health of both parents, universal services (e.g., maternity) and specialist perinatal mental health services usually focus on the mother (i.e., the gestational parent). The aim of this review was to identify and synthesize evidence on the performance of mental health screening tools and the acceptability of mental health assessment, specifically in relation to fathers, other co-parents and partners in the perinatal period.Methods: A systematic search was conducted using electronic databases (MEDLINE, PsycINFO, Maternity, and Infant Care Database and CINAHL). Articles were eligible if they included expectant or new partners, regardless of the partner's gender or relationship status. Accuracy was determined by comparison of screening tool with diagnostic interview. Acceptability was predominantly assessed through parents' and health professionals' perspectives. Narrative synthesis was applied to all elements of the review, with thematic analysis applied to the acceptability studies.Results: Seven accuracy studies and 20 acceptability studies were included. The review identified that existing evidence focuses on resident fathers and assessing depression in universal settings. All accuracy studies assessed the Edinburgh Postnatal Depression Scale but with highly varied results. Evidence on acceptability in practice is limited to postnatal settings. Amongst both fathers and health professionals, views on assessment are mixed. Identified challenges were categorized at the individual-, practitioner- and service-level. These include: gendered perspectives on mental health; the potential to compromise support offered to mothers; practitioners' knowledge, skills, and confidence; service culture and remit; time pressures; opportunity for contact; and the need for tools, training, supervision and onward referral routes.Conclusion: There is a paucity of published evidence on assessing the mental health of fathers, co-mothers, step-parents and other partners in the perinatal period. Whilst practitioners need to be responsive to mental health needs, further research is needed with stakeholders in a range of practice settings, with attention to ethical and practical considerations, to inform the implementation of evidence-based assessment.

scholarly journals Promotion of Perinatal Mental Health

NUTA Journal ◽  
2018 ◽  
Vol 5 (1-2) ◽  
pp. 33-39
Author(s):  
Bhabani Adhikari
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Anxiety And Depression ◽  
Symptoms Of Depression ◽  
Quality Health ◽  
Healthy Housing ◽  
Positive Support ◽  
Quality Health Services

The aim of this paper is to discuss different aspects of perinatal mental health like; risk factor, impact, issues and to suggest the guidelines for promotion of perinatal mental health. Perinatal mental health is an emerging concept, generally refers to the period 22 completed weeks (i.e. 154 days) of gestation and ending seven completed days after birth. During the pregnancy women may suffer from different mental health problems such as anxiety and depression. Lack of nutritious food, proper healthy housing, and adequate time for rest, quality health services and positive support by the intimacy partner are major responsible factors for getting mental disorder during perinatal period. Problem with in-laws and domestic violence are also responsible for this. Individual, family, community and national agencies should aware the problem and difficulties of the perinatal period and ways to eliminating the associated problems by their action and efforts. Without waiting the sign and symptoms of depression all well pregnant women need to be screened as part of their perinatal health check.

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