Profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia

Coates, D; Saleeba, C; Howe, D

Profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia

Coates, D

Saleeba, C Howe, D

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Publication Type:: Journal Article
Citation:: Health and Social Care in the Community, 2018, 26 (1), pp. e154 - e163
Issue Date:: 2018-01-01

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Field	Value	Language
dc.contributor.author	Coates, D https://orcid.org/0000-0002-4463-7615	en_US
dc.contributor.author	Saleeba, C	en_US
dc.contributor.author	Howe, D	en_US
dc.date.available	2020-05-25T19:07:28Z
dc.date.issued	2018-01-01	en_US
dc.identifier.citation	Health and Social Care in the Community, 2018, 26 (1), pp. e154 - e163	en_US
dc.identifier.issn	0966-0410	en_US
dc.identifier.uri	http://hdl.handle.net/10453/128734
dc.description.abstract	© 2017 John Wiley & Sons Ltd The perinatal period is a time of great vulnerability for many women, in particular those with a range of psychosocial vulnerabilities and mental health risk factors. This paper outlines the psychosocial and mental health profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia. To establish the consumer profile, we analysed client vulnerabilities and demographical information maintained over a 6-year period for 406 consumers. Consumer information, including mental health problems, psychosocial vulnerabilities and demographical information, was entered into a standalone database by the allocated clinicians upon service allocation and throughout treatment. The women accepted by PIMH presented with an average of nine different vulnerabilities. Frequently endorsed risk factors included depression (72.66%), anxiety (71.43%), comorbid depression and anxiety (58.13%), self-harm (past, 7.88%, present, 16.26%), a history of family mental health issues (39.66%), childhood trauma (57.88%), limited support (68.84%), relationship conflict with partners (38.92%) and financial stress (47.29%). The women's partners also presented with a range of vulnerabilities, in particular childhood trauma (34.11%) and mental health issues (30.81%). This study contributes to our understanding of the profile of vulnerable women in the perinatal period, and in particular contributes to the literature by highlighting that in addition to depression, anxiety, self-harm and trauma are also significant in PIMH service delivery.	en_US
dc.relation.ispartof	Health and Social Care in the Community	en_US
dc.relation.isbasedon	10.1111/hsc.12489	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Perinatal Care	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Mental Health	en_US
dc.subject.mesh	Mental Health Services	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Child Health Services	en_US
dc.subject.mesh	Maternal Health Services	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.title	Profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	26	en_US
utslib.for	1607 Social Work	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	26	en_US

Abstract:

© 2017 John Wiley & Sons Ltd The perinatal period is a time of great vulnerability for many women, in particular those with a range of psychosocial vulnerabilities and mental health risk factors. This paper outlines the psychosocial and mental health profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia. To establish the consumer profile, we analysed client vulnerabilities and demographical information maintained over a 6-year period for 406 consumers. Consumer information, including mental health problems, psychosocial vulnerabilities and demographical information, was entered into a standalone database by the allocated clinicians upon service allocation and throughout treatment. The women accepted by PIMH presented with an average of nine different vulnerabilities. Frequently endorsed risk factors included depression (72.66%), anxiety (71.43%), comorbid depression and anxiety (58.13%), self-harm (past, 7.88%, present, 16.26%), a history of family mental health issues (39.66%), childhood trauma (57.88%), limited support (68.84%), relationship conflict with partners (38.92%) and financial stress (47.29%). The women's partners also presented with a range of vulnerabilities, in particular childhood trauma (34.11%) and mental health issues (30.81%). This study contributes to our understanding of the profile of vulnerable women in the perinatal period, and in particular contributes to the literature by highlighting that in addition to depression, anxiety, self-harm and trauma are also significant in PIMH service delivery.

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http://hdl.handle.net/10453/128734