Resources

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Specialist mental health midwives

Caring for Women with Mental Health Problems: Standards and Competency Framework for Specialist Mental Health Midwives. RCM, 2015

Describes the competencies expected of all post-registration midwives in connection with mental health and the additional standards and competencies expected of specialist maternal mental health midwives.

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SMHM What they do and why they matterSpecialist mental health midwives: What they do and why they matter.  MMHA, NSPCC, RCM, 2014

A resource for maternity managers and commissioners looking to introduce or strengthen the Specialist Mental Health Midwife role in their local service.

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Survey of Heads of Midwifery – Specalist Maternal Mental Health MidwivesReport on a survey of Heads of Midwifery on Specialist Maternal Mental Health Midwives. RCM 2014

Describes the provision of specialist midwifery posts, the incorporation of ‘mental health’ with wider specialist posts or caseloading teams, what happens where there is no specialist role, and the confusion about the scope of specialist roles.

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Midwives

My pregnancy and post-birth wellbeing plan

Simple tool to help all pregnant women and new mothers think about the support they might need to look after their mental health and wellbeing.

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Maternal mental health. Improving emotional wellbeing in postnatal careMaternal mental health: Improving emotional wellbeing in postnatal care. RCM 2014

Presents the evidence and makes the case for better provision of postnatal care – enabling midwives, maternity support workers and student midwives to give women and their families the care that they deserve.

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RCM Maternal Emotional Wellbeing and Infant DevelopmentMaternal Emotional Wellbeing and Infant Development – a good practice guide for midwives. RCM 2012

Guidance for midwives on supporting the emotional transition to parenthood and promoting mother-infant bonding.

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We just ask some questions 2013 Midwifery‘We just ask some questions’:  the process of antenatal psychosocial assessment by midwives. Midwifery 29(2013)935–942

Rollans M, Schmied V, Kemp L, Mead T. A qualitative ethnographic study based on interviews with midwives and pregnant women in Australia, describing the content and process of psychsocial assessment and depression screening at the antenatal booking visit.

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Two for the price of oneTwo for the price of one: The impact of body image during pregnancy and after birth. Government Equalities Office

Report by Susie Orbach and Holli Rubin on body image and eating disorders. The appendicies at the end look at ‘What midwives and health visitors should know’ and ‘What midwives and health visitors can do’.

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GPs

Royal College of GPs Perinatal Mental Health Toolkit

a set of relevant tools to assist members of the primary care team to deliver the highest quality care to women with mental health problems in the perinatal period. As well as offering a diverse collection of resources, the Perinatal Mental Health Toolkit gives details of additional learning for individual practitioners.

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RCGP Falling through the gaps – perinatal mental health and general practiceFalling through the gaps – perinatal mental health and general practice. RCGP, Centre for Public Health, 2015

Report by Louise Khan based on surveys of mothers and GPs, describing women’s experiences and the role of GPs in disclosure, identification and support, and making recommendations.

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Perinatal mental health services

The Five Year Forward View for Mental HealthThe five year forward view for mental health. Mental Health Taskforce to the NHS in England, 2016

Report which makes detailed recommendations for the transformation of mental health services in England. It includes the goal that by 2020/21, NHS England should support at least 30,000 more women each year to access evidence-based specialist mental health care during the perinatal period.

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Antenatal and postnatal mental health NICE Quality Standard QS115. NICE, 2016

Quality standard covering the recognition, assessment, care and treatment of antenatal and postnatal mental health problems.It also includes providing pre-conception support and advice for women with an existing mental health problem, and the organisation of mental health services needed in pregnancy and the postnatal period.

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MBRRACE-UK Saving Lives, Improving Mothers’ Care 2015Saving lives, Lives, Improving Mothers’ Care – Surveillance of maternal deaths in the UK 2011-13. MBACCE-UK 2015

This reports highlights the significance of poor mental health as a cause of maternal death: almost a quarter of women (23%) who died between six weeks and one year after pregnancy died from mental-health related causes, and one in seven mothers died by suicide. The report makes recommendations for improving care.

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NHSIQ Improving access to perinatal mental health services in England 0915Improving access to perinatal mental health services – a review. NHS Improving Quality 2015

An overview of perinatal mental health care, highlighting good practice, gaps in practice, and the role of charities.

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RCPsych Perinatal mental health services recommendationsPerinatal mental health services: Recommendations for the provision of services for childbearing women, CR197.  Royal College of Psychiatrists, 2015

Report describing the provision of good-quality mental health services to childbearing women, and making recommendations for service provision.

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Costs of perinatal mental health problemsThe costs of perinatal mental health problems. Centre for Mental Health and London School of Economics, 2014

Report by Annette Bauer, Michael Parsonage, Martin Knapp, Valentina Iemmi & Bayo Adelaja, analysing the costs to society and specifically to the NHS of perinatal mental health problems, and the costs of running an effective perinatal mental health service. It makes the case for the cost-effectiveness of perinatal mental health care.

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Antenatal and postnatal mental health: clinical management and service guidance NICE guideline CG192, 2014

Comprehensive evidence-based guidelines for the identification and management of perinatal mental illness.

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Perinatal Community Mental Health Service StandardsService Standards: Second Edition Perinatal Community Mental Health Services Quality Network for Perinatal Mental Health Services, RCPsych, 2014

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Service Standards for MBUs 4th editionService Standards for Mother and Baby Units, 4th edition. Quality Network for Perinatal Mental Health Services, RCPsych, 2014

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NSPCC Prevention in MindPrevention in mind. All Babies Count: Spotlight on Perinatal Mental Health.  Sally Hogg, NSPCC, 2013

Focuses on the services needed to provide effective support to women with perinatal mental health problems in England.

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Practical mental health commissioningGuidance for commissioners of perinatal mental health services. Volume 2: Practical mental health commissioning. Joint Commissioning Panel for Mental Health, 2012

Commissioning guidance, with 10 key messages for commissioners

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SIGN guideline Management of perinatal mood disordersManagement of Perinatal Mood Disorders, SIGN guideline 127, 2012

Comprehensive evidence-based guidelines for the identification and management of perinatal mental illness in Scotland.

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RCOG Management of women with mental health issues good practice 14Management of Women with Mental Health Issues during Pregnancy and the Postnatal Period (Good Practice No. 14) RCOG, 2011

Guidance on the identification of high-risk women and assessment of current illness, and the principles of service organisation.

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Maternal mental health - women’s voicesMaternal mental health – women’s voices. RCOG, 2017

This report outlines the findings of a 2016 survey on women’s experiences of maternal mental health care, and makes recommendations for improvements.

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