Women's engagement with community perinatal mental health services: a realist evaluation.

Autor: Fisher L; Department of Primary Care and Mental Health, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK., Davey A; Mood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK., Wong G; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Morgan-Trimmer S; Department of Health and Community Sciences, University of Exeter Medical School, Exeter, UK., Howard LM; Section of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Sharp H; Department of Primary Care and Mental Health, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK., Atmore KH; Department of Global Health and Social Medicine, School of Global Affairs, King's College London, London, UK., Brook J; The Tavistock and Portman NHS Foundation Trust, London, UK., Collins G; Mood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK., Domoney J; Section of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Makinde E; Mood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK., McCree C; Centre for Parent and Child Support and Community Perinatal services, South London and Maudsley NHS Foundation Trust, London, UK., O'Mahen HA; Mood Disorders Centre, Psychology Department, Faculty of Health and Life Sciences, University of Exeter, Washington Singer Laboratories, Perry Road, Exeter, EX4 4QG, UK. H.OMahen@exeter.ac.uk.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2024 Jul 08; Vol. 24 (1), pp. 492. Date of Electronic Publication: 2024 Jul 08.
DOI: 10.1186/s12888-024-05804-1
Abstrakt: Background: In recognition of the burden of Perinatal Mental Health problems, NHS England invested £365 million to transform women's access to mental health care, including investment in Community Perinatal Mental Health Services. This study examined how elements of provider care affected women's engagement with these services.
Methods: Semi-structured interviews were conducted with 139 women and explored their experiences of care from 10 different Community Perinatal Mental Health Teams; including which service components participants believed made a difference to their initial and continued engagement. Realist analysis was used to create context-mechanism-outcome configurations (CMOCs) across interviews, since not all parts of the configurations were always articulated within singular interviews.
Results: Four key pillars for engagement were identified: perinatal competence, relationship building, accurate reassurance, and reliability. The way perinatal competencies were relayed to women mattered; compassion, understanding and consistency were critical interactional styles. The extent to which these factors affected women's engagement varied by their context and personal characteristics.
Conclusions: As mental health problems increase, disproportionately affecting vulnerable populations, it is critical to continue to ensure support is not only available, but appropriately meets the needs of those individuals. Our findings suggest that key staff behaviours applied at the right time can support women's engagement and potentially contribute to better treatment outcomes.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje