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IMPRovE Improving Mental Health Perinatally through Research and Education

IMPRovE Improving Mental Health Perinatally through Research and Education. # BHPhitconf. The challenge. To develop a pathway to provide consistent recognition and management of mental health problems during or after pregnancy.

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IMPRovE Improving Mental Health Perinatally through Research and Education

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  1. IMPRovEImproving Mental Health Perinatally through Research and Education #BHPhitconf

  2. The challenge • To develop a pathway to provide consistent recognition and management of mental health problems during or after pregnancy. • Antenatal and postnatal mental health problems can have a long term impact on the infant and child’s own mental health and wider development lasting into adulthood. #BHPhitconf

  3. The numbers (Bristol) • Around 30 women who become pregnant each year will have pre-existing psychotic illness (including more severe forms of bipolar disorder) • Around 200 women will experience severe depressive illness • 650 will experience mild-moderate anxiety and depression • Nearly 1000 will experience other forms of distress such as adjustment disorders. #BHPhitconf

  4. Workstreams – 2015-16 • Universal Prevention • Antenatal care • Teaching and training • Patient and Public Involvement • Specialist community team #BHPhitconf

  5. Achievements • Pilot project in Children’s Centres linking with midwives to provide additional support to women during pregnancy • Establishment of new training course at UWE for midwives and mental health nurses • PPI input into training including presentation for GPs • Support for business case for specialist community service • Animated films produced by Bluebell with funding from Wellcome Trust • Funding to study consequences of prenatal stress exposure through international cohort collaboration, Montreal, Bristol, Rotterdam and Singapore #BHPhitconf

  6. Challenges • Difficulty in influencing commissioning decisions and priorities where there are major service gaps #BHPhitconf

  7. Funding applications • Understanding the link between PMH and parenting to develop interventions which can prevent problems developing • With the Fatherhood Institute – interventions to support fathers • Trial of interpersonal counselling for perinatal depression • Risks and benefits of anti-depressant use in pregnancy – with Dr Dheeraj Rai #BHPhitconf

  8. Focus for 2016-17 • Universal workstream – developing joint work between early years and health • Teaching and training – maintaining the input of people with lived experience into training and study days • Research bids • PPI to be embedded in all work • Business case now business as usual – HIT to support evaluation #BHPhitconf

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