Acceptability of a Positive Parenting Programme on a Mother and Baby Unit: Q-Methodology with Staff

Butler-Coyne, Hannah; Hare, Dougal Julian; Walker, Samantha; Wieck, Angelika; Wittkowski, Anja

doi:10.1007/s10826-016-0564-9

Cited by 7 publications

(9 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It could be hypothesised that the parenting support and interventions received during co-admission to an MBU could help to foster more positive mother-baby attachments [31] – perhaps by improving maternal sensitivity, a key theoretical aspect of parenting related to attachment [32, 33]. More research is needed to explore this, since national guidance on parenting interventions in MBUs is currently limited [34, 35], due to a lack of evidence for the effectiveness of parenting interventions for women experiencing severe mental illness, especially in MBU settings [36].…”

Section: Discussionmentioning

confidence: 99%

A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards

et al. 2019

View full text Add to dashboard Cite

BackgroundMother and baby units (MBUs) are an inpatient mental health service where women experiencing acute severe postpartum psychiatric difficulties can be admitted with their babies. They are currently viewed as best practice in the UK and elsewhere. However, as service provision is fragmented, some women residing in areas without MBUs are admitted to acute general psychiatric wards without their infants. This study aimed to compare qualitatively experiences of these two service types from the perspectives of women and clinicians.MethodsSemi-structured interviews were conducted with fifteen women who received treatment for perinatal mental health problems on a general psychiatric ward and/or MBU in England. Two focus groups were also conducted, one with MBU staff (n = 11) and one with acute ward staff (n = 6). Data were analysed thematically.ResultsWomen generally preferred being co-admitted with their baby to an MBU over lone admission to a general psychiatric ward. Women and clinicians felt that MBUs provided more perinatally-focused, family-centred care, and were better-equipped to meet women’s needs. General wards were reported by women and staff to lack the necessary facilities and expertise to support perinatal women adequately, while separation of mothers and babies was often experienced by women as traumatic and detrimental to recovery. However, some areas for improvement were also identified across both service types, particularly relating to difficulties transitioning home post-discharge, inadequate support for family members, staffing issues and access problems (with MBUs).ConclusionsFindings suggest that specialist perinatal inpatient care is considered preferable to generic care in the perinatal period from both service user and staff perspectives. Increased collaboration between perinatal and non-perinatal services could help improve perinatal expertise on general psychiatric wards, while further expansion of perinatal services (e.g. to cater for women currently considered too high risk for MBUs and for those discharged from inpatient settings) could tackle other shortfalls in care.

show abstract

Section: Discussionmentioning

confidence: 99%

A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Studies investigating the feasibility and acceptability of parenting interventions in SMI have yielded promising results (Butler, Hare, Walker, Wieck, & Wittkowski, 2014; Butler‐Coyne, Hare, Walker, Wieck, & Wittkowski, 2017; Jones et al ., 2015). Furthermore, research into the impact of a self‐directed parenting intervention involving children and parents with psychosis (Wolfenden et al , (unpublished doctoral thesis)) indicated positive effects on parental mental health as well as child behaviour.…”

mentioning

confidence: 99%

Adult mental health practitioner beliefs about psychosis, parenting, and the role of the practitioner: A Q methodological investigation

et al. 2019

Self Cite

View full text Add to dashboard Cite

Objectives. There is a lack of research into parenting interventions for families which include a parent experiencing psychosis or other serious mental illness (SMI). Preliminary findings highlight the potential benefits of adult mental health practitioners supporting parents experiencing SMI by using self-directed parenting interventions. This study explored beliefs relating to parenting and psychosis held by practitioners working in adult mental health settings, specifically examining their beliefs about the parenting needs of adults experiencing psychosis who have dependent children, as well as their role as adult mental health practitioners. Design. This study used Q methodology to explore the beliefs of mental health practitioners on psychosis and parenting. Methods. Twenty-one adult mental health practitioners ranked 58 items according to how much they agreed with the belief statement presented. Participants also provided additional written information and interviews to contextualize the Q methodology data. Results. Three factors emerged representing three groups of practitioners with similar beliefs around psychosis and parenting. Factors were labelled: 'Parenting interventions are worthwhile, and I'd deliver them', 'Parenting interventions are worthwhile, but I'm not confident to deliver them', and 'Parenting interventions might be worthwhile, but it's not my responsibility'. Conclusion. Using parenting interventions as part of their clinical work was acceptable to most practitioners; however, some lacked confidence in their ability to work in a family-focused way. Efforts now need to focus on enhancing practitioners' skill, knowledge, and confidence in family-focused approaches to provide increased and improved support to families which include a parent experiencing psychosis or other SMI. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

show abstract

“…We conducted two studies to investigate patient ( n = 15) and staff ( n = 16) views and opinions regarding the acceptability of an intervention like Baby Triple P being offered on a MBU [ 45 , 46 ]. These findings alongside information from a pilot study of Baby Triple P offered to mothers with postnatal depression [ 44 ] and patient and public involvement consultations were used to inform the treatment and implementation protocol of this RCT.…”

Section: Methodsmentioning

confidence: 99%

“…However, without staff support, the possible implementation of this intervention on the MBU would be difficult. Consequently, we conducted another study with MBU staff [ 46 ], which showed that staff also regarded this intervention to be feasible and acceptable for the MBU setting. MBU staff indicated that the intervention could help reduce the ‘bad parent’ stigma often identified in the population of mothers presenting with severe mental health difficulties [ 35 ].…”

Section: Introductionmentioning

confidence: 99%

Enhancing maternal and infant wellbeing: study protocol for a feasibility trial of the Baby Triple P Positive Parenting programme for mothers with severe mental health difficulties (the IMAGINE study)

Wittkowski

Cartwright

Emsley

et al. 2018

Trials

Self Cite

View full text Add to dashboard Cite

BackgroundThere is a strong evidence base for the benefits of parenting interventions for parents without severe mental illness (SMI). As the impact of maternal SMI can be significant on child development, mothers need support to maximise outcomes for themselves and their children. Some mothers with SMI require admission jointly with their baby to a Mother and Baby Unit (MBU), a psychiatric inpatient ward, for assessment and treatment. However, MBUs do not yet offer formally evaluated, evidence-based parenting interventions as a matter of routine. This paper describes a study to investigate the feasibility and acceptability of conducting a randomised controlled trial (RCT) to evaluate a parenting and psychological intervention targeting the mother’s and infant’s wellbeing for mothers admitted to a MBU.Methods/DesignThis study is a multisite, single-blind feasibility trial with half the participants randomised to the Baby Triple P Positive Parenting Programme plus treatment as usual (TAU) and the other half randomised to TAU alone. Self-report and observer-rated assessments are collected at baseline, 10 weeks post-baseline and 6 months post-baseline. Participants are mothers admitted to a MBU in the Northwest of England or the Midlands. Participants are included if they are fluent in English to provide informed, written consent. Our objective is to determine whether we can recruit 66 women, randomise 60, and retain them in the intervention and study, and whether the intervention and study procedures are acceptable. As part of a nested process evaluation, qualitative interview data from trial participants and MBU staff will inform feasibility and acceptability. The feasibility of collecting data required to conduct an economic evaluation of the intervention will also be explored.DiscussionAlthough research has been conducted in relation to mothers with severe mental illness and MBUs, to our knowledge, this is the first controlled trial to test the feasibility, acceptability, uptake and retention alongside the potential efficacy of a parenting intervention for this population. This study is essential to examine the contextual challenges involved in this setting with this population and to identify any refinements required.Trial registrationISRCTN12765736. Date of first registration: 2 February 2017.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2869-z) contains supplementary material, which is available to authorized users.

show abstract

Acceptability of a Positive Parenting Programme on a Mother and Baby Unit: Q-Methodology with Staff

Cited by 7 publications

References 36 publications

A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards

A qualitative comparison of experiences of specialist mother and baby units versus general psychiatric wards

Adult mental health practitioner beliefs about psychosis, parenting, and the role of the practitioner: A Q methodological investigation

Enhancing maternal and infant wellbeing: study protocol for a feasibility trial of the Baby Triple P Positive Parenting programme for mothers with severe mental health difficulties (the IMAGINE study)

Contact Info

Product

Resources

About