Abstract
Perinatal mother and baby units are an essential service for women suffering from perinatal mental illness by allowing the baby to stay with the mother whilst receiving inpatient mental health care. Such units enable the mother to develop a relationship with her baby in a safe and supportive environment whilst caring for her mental health needs and allow her to gain confidence in her role as a mother. This article presents the development of the Brockington Mother and Baby unit and its progressive advancement towards an exemplary service for women suffering from perinatal mental illness. The Brockington Mother and Baby unit (MBU) at South Staffordshire and Shropshire Healthcare Foundation Trust (SSSFT) is celebrating its 10th anniversary and is one of six MBUs accredited as excellent by the Royal College of Psychiatry (RCPsych). The unit is a member of the Royal College of Psychiatrists’ Quality Care Network and thereby adheres to their national standard of care. This article describes the journey from a single lone worker in perinatal mental health to an exemplary service caring for women with perinatal mental illness during the first 12 months following the birth of their child.
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References
Bardon D, Glaser YIM, Prothero D, Weston D (1968) Mother and baby unit: psychiatric survey of 115 cases. Br Med J 2:755–758
Bowlby J (1951) Maternal care and mental health. World Health Org Monogr Ser p.179
Brand SR, Brennan PA (2009) Impact of antenatal and postpartum maternal mental illness: how are the children? Clin Obstet Gynecol 52:441–455
Buist AE, Dennerstein L, Burrows GD (1990) Review of a mother-baby unit in a psychiatric hospital. Aust N Z J Psychiatr 24:103–108
Buist A. et al (2004) Mother-baby psychiatric units in Australia—the Victorian experience. In Arch Women’s Ment Health pp. 81–87
Cantwell R et al (2011) Saving mothers’ lives: reviewing maternal deaths to make motherhood safer: 2006–2008. The eighth report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG Int J Obstet Gynaecol 118(Suppl):1–203
Castroa RTA, Schroederb K, Pinardc C, Blöchlingerc P, Künzlic H, Riecher-Rösslerb Anita, Kammerer M (2015) Perinatal mental health service provision in Switzerland and in the UK. Swiss Med Wkly
CEMACH (2007) Saving mothers’ lives 2003–2005 (executive summary). Confidential Enquiries into Maternal Deaths in the United Kingdom 7, pp. 1–12
Centre for Mental Health, Department of Health, Mind, NHS Confederation Mental Health Network, Rethink Mental Illness, TP (2012) No health without mental health: implementation framework
Christl B, Reilly N, Yin C and Austin M-P (2014) Clinical profile and outcomes of women admitted to a psychiatric mother-baby unit. Arch Women’s Ment Health
Fisher JRW, Feekery CJ, Rowe-Murray HJ (2002) Nature, severity and correlates of psychological distress in women admitted to a private mother-baby unit. J Paediatr Child Health 38:140–145
Glangeaud-Freudenthal NMC (2004) Mother-baby psychiatric units (MBUs): national data collection in France and in Belgium (1999–2000). In Archives of Women’s Mental Health. pp. 59–64
Glangeaud-Freudenthal NMC & Barnett BEW (2004) Mother-baby inpatient psychiatric care in different countries: data collection and issues—introduction. In Archives of Women’s Mental Health. pp. 49–51
Glangeaud-Freudenthal NMC et al (2011) Inpatient mother-and-child postpartum psychiatric care: factors associated with improvement in maternal mental health. Eur Psychiatr 26:215–223
Joint Commissioning Panel for Mental Health (2012) Guidance for commissioners of perinatal mental health services. London
Kendell RE, Chalmers JC, Platz C (1987) Epidemiology of puerperal psychoses. Br J Psychiatry 150:662–673
Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk J (2014) Saving lives, improving mother’s care; Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Death and Morbidity 2009–2012. MBRRACE-UK
Main T (1958) Mothers with children in a psychiatric hospital. Lancet 2(18):845–7
Murray L, Cooper PJ (1997) Postpartum depression and child development. Psychol Med 27:253–260
Muzik M. & Borovska S (2010) Perinatal depression: implications for child mental health. Ment Health Fam Med 7:239–247
Ndoro S (2014) Effective multidisciplinary working: the key to high-quality care. Br J Nurs 23(13):724–727
NHS (2009) IAPT; Perinatal positive practice guide
O’Hara MW, Wisner KL (2014) Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol 28:3–12
Oates MR (2009) The confidential enquiry into maternal deaths 1997–2005: implications for practice. Psychiatry 8:13–16
Patel V et al (2004) Effect of maternal mental health on infant growth in low income countries: new evidence from South Asia. BMJ (Clin Res Ed) 328:820–823
Previti G, Pawlby S, Chowdhury S, Aguglia E, Pariante C (2014) Neurodevelopmental outcome for offspring of women treated for antenatal depression: a systematic review. Arch Womens Ment Health 17:471–483
RCPsych (2015) Members of the perinatal quality network. Available at: http://www.rcpsych.ac.uk/workinpsychiatry/qualityimprovement/qualityandaccreditation/perinatal/perinatalqualitynetwork/currentmembers.aspx
Salmon M et al (2003) Clinical and parenting skills outcomes following joint mother-baby psychiatric admission. Aust N Z J Psychiatry 37:556–562
Slade M, Rosen A, Shankar R (1995) Multidisciplinary mental health teams. Int J Soc Psychiatry 41:180–189
Spitz RA (1945) Hospitalism; an inquiry into the genesis of psychiatric conditions in early childhood. Psychoanal study Child 1:53–74
Stein A, et al (2014) Effects of perinatal mental disorders on the fetus and child. Lancet 384(9956):1800–1819
Waters CS, Hay DF, Simmonds JR, van Goozen S (2014) Antenatal depression and children’s developmental outcomes: potential mechanisms and treatment options. Eur J Adolesc Psychiatry 23:957–971
Acknowledgments
The authors would like to acknowledge the Brockington Mother and Baby unit team, the SSSFT community team and the SSSFT liaison team for their contribution to the perinatal service in South Staffordshire and Shropshire.
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Green, D.J., Hofberg, K., Carr, C. et al. A 10-year history of perinatal care at the Brockington Mother and Baby Unit Stafford. Arch Womens Ment Health 19, 507–513 (2016). https://doi.org/10.1007/s00737-015-0583-3
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DOI: https://doi.org/10.1007/s00737-015-0583-3