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mental health

Bringing-together-Kings-Fund-March-2016_1

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Bringing together physical and <strong>mental</strong> <strong>health</strong><br />

1 2 3 4<br />

5 6 7<br />

from connected teams such as psychological therapy, IAPT and the Parent-Infant<br />

Psychotherapy team, with whom the Perinatal Health Team work closely.<br />

The first tier of support, offered to all women in touch with the service, includes<br />

evidence-based advice, reassurance, information, and signposting to sources<br />

of support in the local area. People with higher levels of need are offered a full<br />

assessment and a range of psychological and drug treatments as appropriate. The<br />

most serious cases are held within specialist care. Over three years, a quarter of all<br />

the women who gave birth in the area were identified as having a <strong>mental</strong> <strong>health</strong><br />

concern or history and received information, assessment and/or support from<br />

the team.<br />

Women can see the team in their normal antenatal clinic or at home, avoiding<br />

the need to visit a <strong>mental</strong> <strong>health</strong> unit. This makes the service more accessible and<br />

reduces stigma.<br />

Outcomes<br />

Local commissioners report that the service has helped to reduce costs, and has led<br />

to better outcomes for women and their families. Fewer women have escalated to<br />

more expensive forms of care such as admission to <strong>mental</strong> <strong>health</strong> inpatient facilities.<br />

Key enablers<br />

••<br />

The team has built strong relationships with colleagues from primary care,<br />

<strong>health</strong> visiting, children’s centres, midwifery, paediatrics and obstetrics, and<br />

has delivered training to clinicians from all of these disciplines. Interest and<br />

awareness of maternal <strong>mental</strong> <strong>health</strong> has improved and women report receiving<br />

greater support and advice as a result.<br />

••<br />

Commissioners at South Devon and Torbay CCG and Northern, Eastern and<br />

Western Devon CCG are highly engaged with the service, and it is supported<br />

by key clinical leaders in local provider organisations.<br />

• • Women and families who have used the service work closely with the team to<br />

provide training, and can become involved in the service in numerous ways:<br />

Appendices: case study site profiles 100

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