Managing perinatal mental health disorders effectively: identifying the necessary components of service provision and delivery

Rothera, Ian; Oates, Margaret R.

doi:10.1192/pb.bp.107.16758

Cited by 16 publications

(28 citation statements)

References 4 publications

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“…Despite the need for effective communication ‘health professionals often failed to communicate important information to one another’ (Rothera & Oates, 2008, p. 132), which can result in long term negative consequences,…”

Section: Resultsmentioning

confidence: 99%

“…This framework includes the notions of ‘holistic approach’, ‘reproductive choice’ and ‘continuity of care’. Four papers were based on service evaluations (Brown, Mills, McCalmont, & Lees, 2009; Lees, Mills, & McCalmont, 2009; Rothera & Oates, 2008; Rowan & Bick, 2008). The first three cited papers above provide very little background information.…”

Section: Methodsmentioning

confidence: 99%

“…Human resources: Increased funding for human resources (Brown et al., 2009; Darlington & Feeney, 2008; Darlington et al., 2004; Janssens et al., 2010; Lees et al., 2009; Rothera & Oates, 2008) was needed to expand teams (Darlington et al., 2004; Lees et al., 2009) due to high referral rates (Lees et al., 2009), and long waiting lists (Janssens et al., 2010; Lees et al., 2009) which resulted in slower response times (Rothera & Oates, 2008, p. 132), and prevented professionals from responding to women’s needs effectively and efficiently (Brown et al., 2009, p. 39) was reported.…”

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confidence: 99%

“…Shared vision, aims and goals. When collaboration did not occur there were often misunderstandings and uncertainty (Rothera & Oates, 2008, p. 133) about the care of pregnant and postpartum women and their families. These misunderstandings were more likely to arise when professionals were working from a framework of ‘us and them’, for example, mental health care systems versus non‐mental health care systems and vice versa, and not looking at the whole picture,…”

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confidence: 99%

“…Continuity of care. Supporting continuity of care, such as a designated link worker, or an identified contact person (Darlington et al., 2005a; Elliott et al., 2007; Rothera & Oates, 2008) or a small team of caregivers (Hauck et al., 2008), was noted as facilitating collaborative work through improved communication. Having easily identifiable and consistent contact points can help ensure regular and timely communication (Darlington et al., 2005a, p. 241; Darlington & Feeney, 2008, p. 194).…”

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confidence: 99%

See 4 more Smart Citations

Collaboration and integrated services for perinatal mental health: an integrative review

Myors¹,

Schmied²,

Johnson³

et al. 2012

Child Adoles Ment Health

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Background: An integrative review was undertaken to synthesise the research related to professionals’ perceptions and experiences of working in collaborative and integrated models of perinatal care for women with mental health problems. Method: A search of the databases CINAHL, Medline, PubMed, Psychinfo and Scopus was conducted. Studies were limited to English language papers published from 2000 to 2010. Fourteen papers were included in the review. Results: The overarching theme identified in the review related to the process of ‘making it happen’. Eight key elements were identified as central components of this process: funding and resources for collaboration; shared vision, aims and goals; pathways and guidelines; continuity of care; building relationships and trust; role clarity; training and education of staff and support to work in new ways. Conclusion: Perinatal mental health is an emerging field that is particularly challenging as it requires professionals to work across disciplines and timeframes, where there is a risk of dichotomising care, compounding existing barriers to service uptake. Professionals need resources and to feel supported to change clinical practice and work in more collaborative ways. The voices of women and families are missing in the literature.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Collaboration and integrated services for perinatal mental health: an integrative review

Myors¹,

Schmied²,

Johnson³

et al. 2012

Child Adoles Ment Health

View full text Add to dashboard Cite

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Carry on screening

Martin¹,

Redshaw²

2009

Journal of Reproductive and Infant Psychology

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Patient, provider, and system-level barriers and facilitators to addressing perinatal depression

Byatt

Biebel

Lundquist

et al. 2012

Journal of Reproductive and Infant Psychology

110

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Objective: To explore perinatal health care professionals’ perspectives on barriers and facilitators to addressing perinatal depression. Background: Perinatal depression is common and associated with deleterious effects on mother, foetus, child and family. Although the regular contact between mothers and perinatal health care professionals may make the obstetric setting ideal for addressing depression, barriers persist, and depression remains under-diagnosed and under-treated. Methods: Four 90-minute focus groups were conducted with perinatal health care professionals, including obstetric resident and attending physicians, licensed independent practitioners, nurses, patient care assistants, social workers and administrative support staff. Focus groups were transcribed, and resulting data were analysed using a grounded theory approach. Results: Participants identified patient-, provider- and system-level barriers and facilitators to addressing perinatal depression. Provider-level barriers included lack of resources, skills and confidence needed to diagnose, refer and treat perinatal depression. Limited access to mental health care and resources were identified as system-level barriers. Facilitators identified included targeted training for perinatal health care professionals’, structured screening and referral processes, and enhanced support and guidance from mental health providers. Conclusion: A complex set of interactions between women and perinatal health care professionals contributes to perinatal depression being untreated. Service gaps could be closed by addressing identified barriers through integrated obstetric and depression care and enhanced collaborations. Future intervention testing could include targeted training, improved access, and mental health provider support to empower perinatal health care professionals’ to address perinatal depression, and thereby improve delivery of depression treatment in obstetric settings

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Managing perinatal mental health disorders effectively: identifying the necessary components of service provision and delivery

Cited by 16 publications

References 4 publications

Collaboration and integrated services for perinatal mental health: an integrative review

Collaboration and integrated services for perinatal mental health: an integrative review

Carry on screening

Patient, provider, and system-level barriers and facilitators to addressing perinatal depression

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