www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers,
Jan 15, 2016
www.england.nhs.uk
Perinatal and Infant Mental
Health
South West Maternity and Children’s Strategic
Clinical Network
27th November 2014Ann Remmers, Clinical
Director
www.england.nhs.uk
Network priority
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• NHS Mandate 2013-15
- reduce the incidence and impact of postnatal depression through earlier diagnosis and better intervention and support
- Ensuring people have access to the right treatment when they need it, including drugs and treatments recommended by NICE … and services for children and adults with mental health problems.
- Mental health on a par with physical health – parity of esteem (Domain 3)
• Priority of the National Clinical Director for Maternity and Women’s Health, Dr Catherine Calderwood
National Priority
www.england.nhs.uk
0%
2%
4%
6%
8%
10%
12%
14%
maj
or dep
ress
ion
hyper
tens
ion
PPH
prete
rm
diabet
es
precl
amps
iaIU
GR
place
ntal
abru
ptio
n
Depression: the most common major complication of maternity
www.england.nhs.uk
Suicide: always in the top 3 causes of maternal deaths up to 12 months
0
5
10
15
20
25
Cardia
cVTE
Suicid
e
CNS Hae
morr
hage
Sepsi
s
Preec
lam
psia
AFE
Haemorrh
age
Infe
ctio
ns
Mat
ern
al
Dea
th:
rate
s p
er m
illi
on
ma
tern
itie
s, U
K 2
003
-05
www.england.nhs.uk
Children depressed at 16 all had mothers who were depressed, mainly during pregnancy No maternal depression No children depressed at 16
0
10
20
30
40
50
60
70
% o
f ad
ole
scen
t off
spri
ng
Never In utero 1st year Earlychildhood
Middlechildhood
Adolescence
When mother first depressed
Depressedadolescents
Welladolescents
Pawlby et al 2009
www.england.nhs.uk
Specialist Perinatal Community Care
www.england.nhs.uk
Work to date• Working group set up • Group agreement to work with the NSPCC standards
(Prevention in Mind) • SW-wide event to engage stakeholders in prioritising
these standards in order to ensure equitable, consistent and high quality maternal and infant mental healthcare throughout the region
• Thursday 6th November 2014 – Exeter Racecourse – PIMH workshop – 100+ attended
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Work to date (continued)
• Self-assessment questionnaire based on the standards from the NSPCC distributed across region
• Aim of gaining a better understanding of the provision of perinatal mental health services across the South West
• Over 50 responses received• Initial results shared to help inform local work across
the region
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Moving forward
• Following on from November event and information gained from completed questionnaires, areas of work being identified and initiated with the working group:• Sharing the South West vision for the provision of
high quality perinatal and infant mental health care• Prioritisation of the NSPCC standards to inform the
Network work programme• Delivery of the work programme
Questions?