Referral for Management of Emotional Health Issues During the Perinatal Period: Does Mental Health Assessment Make a Difference?

Birth ◽  
2013 ◽  
Vol 40 (4) ◽  
pp. 297-306 ◽  
Author(s):  
Nicole Reilly ◽  
Sheree Harris ◽  
Deborah Loxton ◽  
Catherine Chojenta ◽  
Peta Forder ◽  
...  
Author(s):  
S Healy ◽  
K Mabilangan ◽  
T Fantaneanu ◽  
S Whiting

Background: When compared to the general population, researchers have reported elevated rates of mental health issues in the pediatric epilepsy population. These issues have been found to be especially problematic around the time of transition from pediatric to adult care. This is significant because depression and/or anxiety have been found to be directly related to worsened seizure outcomes and quality of life. Despite this, no known Canadian pediatric epilepsy centers have integrated mental health assessment into mainstream practice. Methods: To explore the importance of mental health assessments, we looked at the prevalence rates of both depression and anxiety in 91 adolescents with epilepsy aged 14 to 18 (M=16.3, 51 males, 41 females) enrolled into an epilepsy transition clinic. Results: 58.3% of adolescents showed signs of depression (28.6% mild, 21.4% moderate, 6.0% moderately-severe, 2.4% severe), and 51.8% of adolescents showed signs of anxiety (31.8% mild, 10.6% moderate, 9.4% severe). Remarkably, 54.8% of patients presenting with moderate to severe depression and/or anxiety had not been previously identified Conclusions: These results suggest that in order to ensure the best possible outcomes for patients, mental health assessments should be integrated into the standard model of care for transition-aged adolescents with epilepsy.


2021 ◽  
Author(s):  
Nayra Anna Martin-Key ◽  
Benedetta Spadaro ◽  
Thea Sofie Schei ◽  
Sabine Bahn

BACKGROUND Perinatal mental health symptoms commonly remain underdiagnosed and undertreated in maternity care settings in the UK, with outbreaks of disease, like the coronavirus (COVID-19) pandemic, further disrupting access to adequate mental health support. Digital technologies may offer an innovative way to support the mental health needs of women and their families throughout the perinatal period, as well as assist midwives in the recognition of perinatal mental health concerns. However, little is known about the acceptability and perceived benefits and barriers to using such technologies. OBJECTIVE To conduct a mixed methods evaluation of the current state of perinatal mental healthcare provision in the UK, as well as users’ (women and partners) and midwives’ interest in using a digital mental health assessment throughout the perinatal period. METHODS Eight hundred and twenty-nine women, 103 partners, and 90 midwives participated in the study, which entailed completing an online survey. Quantitative data were explored using descriptive statistics. Open-ended response data were first investigated using thematic analysis. Resultant themes were then mapped onto the components of the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) and summarized using descriptive statistics. RESULTS The provision of adequate perinatal mental healthcare support was limited, with experiences varying significantly across respondents. There was a strong interest in using a digital mental health assessment to screen, diagnose, and triage perinatal mental health concerns, particularly among women and midwives. The digital assessment was seen to be well placed within maternity healthcare settings, with in-person only and blended care (i.e., in-person and remote support) approaches being preferred by women and partners in the event of further care being advised. Identified benefits and barriers mainly related to physical opportunity (e.g., accessibility), psychological capability (e.g., cognitive skills) and automatic motivation (e.g., emotions). CONCLUSIONS This study provides proof-of-concept support for the development and implementation of a digital mental health assessment to inform clinical decision-making in the assessment of perinatal mental health concerns in the UK.


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Ian Hutchby ◽  
Michelle O’Reilly ◽  
Alison Drewett ◽  
Victoria Stafford

Based on a corpus of child mental health assessment meetings, this article explores how practitioners use reports on their own cognitive processing, such as I was just thinking or I’m just wondering, in interaction with children and adolescents presenting with potential mental health issues. Using the methods of conversation analysis, the findings reveal different ways in which this device is used to encourage the child to engage with a particular topic, interpretation, or version of events from the standpoint of subjective experience; in other words, to produce feelings-talk. The analysis contributes further towards the understanding of child–adult interaction in professional arenas of action: in this case child mental health assessments.


2017 ◽  
Vol 48 (6) ◽  
pp. 453-460 ◽  
Author(s):  
Michelle A. Silva ◽  
Manuel Paris ◽  
Luis M. Añez

2018 ◽  
Vol 107 ◽  
pp. 26-32 ◽  
Author(s):  
Stephen Potts ◽  
Frank Vitinius ◽  
Yesim Erim ◽  
Gabor Gazdag ◽  
Robert Gribble ◽  
...  

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