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NATIONAL PERINATAL DEPRESSION INITIATIVE
Emotional wellbeing
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.
One of every four people is affected by mental illness directly or indirectly
New Idea, October, 2012 pg 40
Evidence
Research
NPDI Objective
s
NPDI Project
National Perinatal Depression Initiative
Beyondblue
Team Approach
beyondblue
State & Territory Project Managers
Mental Health Policy Unit• PMHCS
ACT Health• Division WYCCHP
PANSDI
Implementation Plan in ACT
Workforce
Education
Universal & Routine Screening • EDPS• Psychosocial Assessment
Community Awareness
Evaluation
Workforce & training
http://www.wch.sa.gov.au/npdi
http://www.blackdoginstitute.org.au/healthprofessionals/gps/onlinetrainingprogram.cfm
http://thinkgp.com.au/beyondblue
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
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
Referral Care Pathways
Postnatal 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
Local ResourcesGeneral Practitioners – Medicare Local -
ATAPS
Maternal 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. PANDSI
Perinatal Mental Health Consultation Service
Psychiatrists / Psychologists
Events
PND awareness week 18-24November
PANDSI and ACT Health Directorate‘More than PND ‘- Twilight seminar
Walk for PND - Gunghalin Child and Family Centre
Thursday 22 November, 2012 10-11.30
Launch z-card consumer information
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