دورية أكاديمية
Evaluation of a new Perinatal Mental Health Service in a University Maternity Hospital.
| العنوان: | Evaluation of a new Perinatal Mental Health Service in a University Maternity Hospital. |
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| المؤلفون: | Cooney C; Coombe Women and Infants University Hospital, Specialist Perinatal Mental Health Service, Cork St, Dolphin's Barn, Dublin 8, Ireland., Kennedy N; St. Patrick's University Hospital, St James' St, Dublin 8, Ireland., Doherty A; Coombe Women and Infant's University Hospital, Dublin 8, Ireland., Shipsey M; Coombe Women and Infant's University Hospital, Dublin 8, Ireland., Lindow SW; Coombe Women and Infant's University Hospital, Dublin 8, Ireland., Hinds C; Coombe Women and Infants University Hospital, Specialist Perinatal Mental Health Service, Cork St, Dolphin's Barn, Dublin 8, Ireland. |
| المصدر: | Irish journal of psychological medicine [Ir J Psychol Med] 2023 Dec; Vol. 40 (4), pp. 588-591. Date of Electronic Publication: 2023 May 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 8900208 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2051-6967 (Electronic) Linking ISSN: 07909667 NLM ISO Abbreviation: Ir J Psychol Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2013- : Cambridge : Cambridge University Press Original Publication: [Dublin : Irish Institute of Psychological Medicine, 1988- |
| مواضيع طبية MeSH: | Hospitals, Maternity* , Mental Health Services*, Pregnancy ; Female ; Humans ; Universities ; Psychotropic Drugs ; Referral and Consultation |
| مستخلص: | Objectives: Specialist Perinatal Mental Health Services (SPMHS) are a new development in Ireland. This service evaluation examined the impact of the introduction of a SPMHS multidisciplinary team (MDT) on prescribing practices and treatment pathways in an Irish maternity hospital. Methods: Clinical charts were reviewed to collect data on all referrals, diagnoses, pharmacological and non-pharmacological interventions delivered in a SPMHS over a 3-week period in 2019. The findings were compared to the same 3-week period in 2020 following the expansion of the SPMHS MDT. Results: In 2019 ( n = 32) and 2020 ( n = 47), most (75 and 79%, respectively) assessments were antenatal. The proportion of patients prescribed psychotropic medication within the SPMHS was not significantly different from 2019 (31%) to 2020 (23%), though more patients were already prescribed psychotropic medications at the time of referral (22% in 2019 v. 36% in 2020). There was an increase in MDT interventions in 2020 with more input from psychology, clinical nurse specialist (CNS), and social work intervention. Adherence to prescribing standards improved from 2019 to 2020. Conclusion: Prescribing patterns remained unchanged between 2019 and 2020. Improvement was observed in adherence to prescribing standards and there was increased provision of MDT interventions in 2020. Broader diagnostic categories were also used in 2020, possibly suggesting that the service is now providing more individualized care. |
| فهرسة مساهمة: | Keywords: Infants; Ireland; maternal health; perinatal mental health; prescribing; service model; women |
| المشرفين على المادة: | 0 (Psychotropic Drugs) |
| تواريخ الأحداث: | Date Created: 20230526 Date Completed: 20240125 Latest Revision: 20240125 |
| رمز التحديث: | 20240125 |
| DOI: | 10.1017/ipm.2023.18 |
| PMID: | 37231740 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2051-6967 |
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| DOI: | 10.1017/ipm.2023.18 |