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Page 1: Emotional wellbeing

NATIONAL PERINATAL DEPRESSION INITIATIVE

Emotional wellbeing

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Emotional wellbeing learning objective

Recognize the importance of screening the emotional wellbeing of all Perinatal (antenatal and postnatal) women and develop a system in your practice to ensure this has occurred.

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One of every four people is affected by mental illness directly or indirectly

New Idea, October, 2012 pg 40

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Evidence

Research

NPDI Objective

sNPDI

Project

National Perinatal Depression Initiative

Beyondblue

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Team Approach

beyondblue

State & Territory Project Managers

Mental Health Policy Unit• PMHCS

ACT Health• Division WYCCHP

PANSDI

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Implementation Plan in ACT

Workforce

Education

Universal & Routine Screening • EDPS• Psychosocial Assessment

Community Awareness

Evaluation

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Workforce & training

http://www.wch.sa.gov.au/npdi

http://www.blackdoginstitute.org.au/healthprofessionals/gps/onlinetrainingprogram.cfm

http://thinkgp.com.au/beyondblue

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aim to identify women at risk of experiencing perinatal mental health issues

to enable continued monitoring or referral for appropriate assessment, support and treatment

use in conjunction with the EDPS to detect possible signs of depression &/or anxiety

it infomras the imterpration of answers to the psychosocial factor assessment and score fromt he EDPSProvide information about women's MH and wellbeing, not a diagnosis

Psychosocial Assessment

NPDI – Psychosocial Assessment

Psychosocial Assessment

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Psychosocial Toolkit

Is a collection of practical resources available to health professionals to assist them in the management of perinatal mental health:

Five key tools1. Up to date and accurate information2. Assessment and management tools

DASS-21 K10 ANRQ PNRQ EDPS

3. Fact sheets for patients/clients4. Box of helpful hints – Exercise activates, groups and support services5. Mental health care plans - ATAPS

http://www.blackdoginstitute.org.au/healthprofessionals/resources/thepsychologicaltoolkit.cfm

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Key Considerations

Value of Antenatal education

Integrate psychosocial assessment and EDPS into routine maternal care

Planning for who will provide ongoing care

Availability of appropriate follow-up care

Ensuring continuity of care

Timing of assessment

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Referral Care PathwaysPostnatal

screening 6-8 weeks

Score 0-9

Likelihood of depression is

low

No further action

Score 10-12 +

Psychosocial Assess Possibility of depression

Discuss with Client support

and Repeat EDPS in 2

weeks

Scores > 13 +

Psychosocial Assess Likelihood of

depression

Refer to GP

Refer to appropriate

support services eg groups, social worker, PMHCS

Score 19-30 +

Psychosocial Assess

Consider the safety of mother &

child

Contact nominated

support person

Consult mental health

ACT team 1800 629 354

Antenatal screening

26-34 weeks

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Local ResourcesGeneral Practitioners – Medicare Local -

ATAPSMaternal and Child Health Nurses Support services – Early Days, Relaxing

into Parenting/ Bring Baby Home programs

Beyond baby blues resources www.beyondblue.com.au

Support groups - e.g. PANDSIPerinatal Mental Health Consultation

ServicePsychiatrists / Psychologists

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Events

PND awareness week 18-24NovemberPANDSI and ACT Health Directorate

‘More than PND ‘- Twilight seminarWalk for PND - Gunghalin Child and Family

Centre Thursday 22 November, 2012 10-11.30

Launch z-card consumer information

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Thankyou

Contact details

Sally Haseler NPDI Project [email protected] 62051028