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