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Engaging women at risk for poor perinatal mental health outcomes: a mixed-methods study


Myors, KA and Johnson, M and Cleary, M and Schmied, V, Engaging women at risk for poor perinatal mental health outcomes: a mixed-methods study, International journal of mental health nursing, 24, (3) pp. 241-52. ISSN 1445-8330 (2015) [Refereed Article]

DOI: doi:10.1111/inm.12109


Risk factors for poor perinatal mental health are well known. Psychosocial assessment and depression screening during the perinatal period aim to identify women at risk for poor perinatal outcomes. Early intervention programmes are known to improve the mental health outcomes of women and infants. Key to any intervention is initial and ongoing engagement in the therapeutic process. This mixed-methods study reports the proportion of women who engage/do not engage with services and their characteristics, as well as the strategies clinicians use to engage women. Data were collected by reviewing medical records, interviewing perinatal and infant mental health (PIMH) clinicians, their managers, key stakeholders, and women service users. Analyses identified that most (71.3%) women referred engaged with the PIMH service. Themes related to non-engagement are 'time to rethink' and 'stigma'. Themes reflecting the engagement strategies used by PIMH clinicians are initial engagement: 'back to basics' and 'building trust', therapeutic engagement: 'making myself useful', engagement at discharge: 'woman or clinician led', and models that facilitate engagement.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Cleary, M (Professor Michelle Cleary)
ID Code:107342
Year Published:2015
Web of Science® Times Cited:11
Deposited By:Health Sciences
Deposited On:2016-03-10
Last Modified:2017-11-03

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