The Jerusalem psychiatric mother-baby unit

Maizel, Shmuel; Katzenelson, Sarah Kandel; Fainstein, Vladislav

doi:10.1007/s00737-005-0091-y

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…Mean length of stay ranged from 6.93 days in a study in the US (Meltzer-Brody et al 2014) to 11.6 weeks in a study in Israel (Maizel et al 2005). These differences are likely to be, at least in part, due to the different nature and purpose of MBUs in different countries and regions.…”

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confidence: 98%

A systematic review of research on psychiatric mother-baby units

Connellan

Bartholomaeus

Due

et al. 2017

Arch Womens Ment Health

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Purpose: Psychiatric Mother-Baby Units (MBUs) are currently viewed as best practice, particularly in the United Kingdom, Australia, and France, for improving outcomes for mothers and babies when the former are experiencing severe forms of mental illness. A growing number of publications have examined MBUs, but to date there has not been a comprehensive review of these studies. As such, the systematic review reported in this paper sought to address this gap. Methods: A systematic search was conducted for peer-reviewed research and grey literature published in English between 2000 and 2015. A final sample of 44 publications were identified that reported on empirical findings with regard to MBUs. Three quarters of the studies focused on individual MBUs and most studies were quantitative. Results: A thematic analysis of the studies identified three major themes: (1) admissions data, (2) outcomes for mothers, and (3) programs and interventions. The analysis also identified four secondary themes: (i) follow up after discharge; (ii) separation of mothers and babies after discharge; (iii) client satisfaction with MBUs; and (iv) partners of women admitted to MBUs. Conclusions: The findings of the review highlight gaps in knowledge about MBUs and provide suggestions for future research.

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Section: [Insert Table 2 About Here]mentioning

confidence: 98%

A systematic review of research on psychiatric mother-baby units

Connellan

Bartholomaeus

Due

et al. 2017

Arch Womens Ment Health

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“…One of the first findings is that the length of stay in day units (29 weeks) is much longer than in day/night facilities. Based on the existing literature, the durations of the stay in the later vary from 5.93 days for a study in the US ( 36 ) to 11.6 weeks in Israel ( 37 ). It is even more obvious when considering only therapeutic care (34 weeks).…”

Section: Discussionmentioning

confidence: 99%

“…The mean maternal age at the time of admission ranges from 24 ( 34 ) to 33 years ( 28 ) with a mean child age ranging from 9 weeks ( 29 ) to 7 months ( 35 ). The average length of stay ranged from 7 days [US study by ( 36 )] to 11 weeks ( 37 ). The most frequent diagnosis for the mothers were depressive disorder, schizophrenia, or other psychotic disorders.…”

Section: Introductionmentioning

confidence: 99%

A 5 years’ experience of a parent-baby day unit: impact on baby’s development

Moureau,

Cordemans,

Gregoire

et al. 2023

Front. Psychiatry

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IntroductionPsychiatric Mother-Baby Units are well established in France, United Kingdom, and Australia, mostly in full-time hospitalization. Inpatient units are considered as best practice for improving outcomes for mothers and babies when the mother is experiencing severe mental illness and many studies have showed the effectiveness of care for the mother or the mother-infant relationship. Only a limited number of studies have focused on the day care setting or on the development of the baby. Our parent-baby day unit is the first day care unit in child psychiatry in Belgium. It offers specialized evaluation and therapeutic interventions focused on the baby and involves parents with mild or moderate psychiatric symptoms. The advantages of day care unit is to reduce the rupture with social and family living.AimsThe objective of this study is to evaluate the effectiveness of parent-baby day unit in prevention of babies’ developmental problems. First, we present the clinical characteristics of the population treated in the day-unit in comparison to the features presented in the literature review about mother-baby units, which usually receive full-time treatment. Then, we will identify the factors that might contribute to a positive evolution of the baby’s development.Materials and methodsIn this study, we retrospectively analyze data of patients admitted between 2015 and 2020 in the day unit. Upon admission, the 3 pillars of perinatal care – babies, parents, and dyadic relationships – have systematically been investigated. All the families have received a standard perinatal medico-psycho-social anamnesis, including data on the pregnancy period. In this unit, all the babies are assessed at entry and at discharge using the diagnostic 0 to 5 scale, a clinical withdrawal risk, and a developmental assessment (Bayley). Parental psychopathology is assessed with the DSM5 diagnostic scale and the Edinburgh scale for depression. Parent–child interactions are categorized according to Axis II of the 0 to 5 scale. We have evaluated the improvement of children symptomatology, the child development and the mother–child relation between the entrance (T1) and the discharge (T2) and we have compared two groups of clinical situations: a group of patients with a successful evolution (considering baby’s development and the alliance with the parents) and a group of unsuccessful evolution during hospitalization.Statistical analysisWe use descriptive statistics to characterize our population. To compare the different groups of our cohort, we use the T-test and non-parametric tests for continue variables. For discrete variables, we used the Chi2 test of Pearson.DiscussionThe clinical population of the day unit is comparable to the mother-baby units in terms of psychosocial fragility but the psychopathological profile of the parents entering the day unit shows more anxiety disorder and less post-partum psychosis. The babies’ development quotient is in the average range at T1 and is maintained at T2. In the day unit, the number of symptoms as well as the relational withdrawal of the babies is reduced between T1 and T2. The quality of parent–child relationship is improved between T1 and T2. The children of the group of pejorative evolution had a lower developmental quotient at the T1 and an overrepresentation of traumatic life events.ConclusionThese results indicate that parent-baby day unit lead to positive outcomes in clinical situations with anxio-depressive parents, relational withdrawal of the babies, functional problems of the babies but not when a significant impact on the development of the baby already exists. The results of this study can guide therapeutic approaches for the benefit of care in parent-baby day units, and improve the development of the child and of the dyadic relationships.

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“…Schizophrenic mothers are frequently hospitalized earlier than other mentally ill women. However, the development of psychiatric mother-baby units helps to reduce the need for separating the mother from her baby in the case of maternal hospital admission (Buist et al 1990, Kumar et al 1995, Maizel et al 2005.…”

Section: Introductionmentioning

confidence: 99%

Nurses' attitudes towards breastfeeding among women with schizophrenia in southern Israel

Artzi‐Medvedik

Chertok

Romem

2011

Psychiatric Ment Health Nurs

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Breastfeeding is the best source of nutrition for infants. Approximately half of women with schizophrenia become mothers, yet the issue of breastfeeding is often overlooked by the health professional community. The aim of this study was to survey attitudes among registered nurses regarding breastfeeding by schizophrenic women. Cross-sectional descriptive design was used involving a sample of nurses (40 midwives, 37 psychiatric and 33 postpartum) in two medical centres in southern Israel. The validated semistructured questionnaire included sociodemographic and professional questions, personal and professional breastfeeding experience, attitudes and knowledge concerning schizophrenia and attitudes towards breastfeeding by schizophrenic women. The study results indicate that 70% of the respondents held positive attitudes towards breastfeeding in women with schizophrenia, although no significant differences were found between the different types of nurses. Multivariate analysis reveals that academic education was the only variable associated with positive attitudes, while negative feelings towards women with schizophrenia, and extensive knowledge regarding schizophrenia were negatively associated. This study can serve as a foundation for future research to further examine nurses' role in providing postpartum education and care for women with schizophrenia.

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The Jerusalem psychiatric mother-baby unit

Cited by 7 publications

References 4 publications

A systematic review of research on psychiatric mother-baby units

A systematic review of research on psychiatric mother-baby units

A 5 years’ experience of a parent-baby day unit: impact on baby’s development

Nurses' attitudes towards breastfeeding among women with schizophrenia in southern Israel

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