Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians

Women with a serious mental illness (SMI), notably schizophrenia, bipolar disorder and personality disorders are considered high risk for adverse pregnancy and birth outcomes, which in turn are associated with poor neurodevelopment in the child. Failure to access antenatal care, poor adherence with...

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Bibliographic Details
Main Authors: Hauck, Yvonne, Rock, D., Jackiewicz, T., Jablensky, A.
Format: Journal Article
Published: Blackwell Publishing 2008
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/47644
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author Hauck, Yvonne
Rock, D.
Jackiewicz, T.
Jablensky, A.
author_facet Hauck, Yvonne
Rock, D.
Jackiewicz, T.
Jablensky, A.
author_sort Hauck, Yvonne
building Curtin Institutional Repository
collection Online Access
description Women with a serious mental illness (SMI), notably schizophrenia, bipolar disorder and personality disorders are considered high risk for adverse pregnancy and birth outcomes, which in turn are associated with poor neurodevelopment in the child. Failure to access antenatal care, poor adherence with folate supplementation, an unhealthy lifestyle, and inappropriate health decisions can contribute to poor outcomes. Many women with SMI continue contact with mental health services while pregnant. This promary prevention project aimed to develop a framework for community mental health clinicians to improve the reproductive health outcomes for women with SMI. The consultation process involved discussions with key stakeholders, an environmental scan to determine current service delivery issues a literature review, and individual and group interviews with community mental health clinicians, consumers general practitioners and midwives. Three key elements underpin the framework: early detection and monitoring of pregnancy providing reproductive choices and implementing a 'small known team approach' in the management of the pregnant client. Specific modules within the framework focus upon establishing a professional support network, assessing the risk of pregnancy the early detection of pregnancy, monitoring during pregnancy, preparing for birth, and planning for the postnatal period. Implementation of the framework has the potential to significanty improve obstestric and neonatal outcomes for this high-risk group.
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spelling curtin-20.500.11937-476442017-09-13T16:03:35Z Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians Hauck, Yvonne Rock, D. Jackiewicz, T. Jablensky, A. serious mental illness antenatal care primary prevention mental health clinician postnatal period pregnancy Women with a serious mental illness (SMI), notably schizophrenia, bipolar disorder and personality disorders are considered high risk for adverse pregnancy and birth outcomes, which in turn are associated with poor neurodevelopment in the child. Failure to access antenatal care, poor adherence with folate supplementation, an unhealthy lifestyle, and inappropriate health decisions can contribute to poor outcomes. Many women with SMI continue contact with mental health services while pregnant. This promary prevention project aimed to develop a framework for community mental health clinicians to improve the reproductive health outcomes for women with SMI. The consultation process involved discussions with key stakeholders, an environmental scan to determine current service delivery issues a literature review, and individual and group interviews with community mental health clinicians, consumers general practitioners and midwives. Three key elements underpin the framework: early detection and monitoring of pregnancy providing reproductive choices and implementing a 'small known team approach' in the management of the pregnant client. Specific modules within the framework focus upon establishing a professional support network, assessing the risk of pregnancy the early detection of pregnancy, monitoring during pregnancy, preparing for birth, and planning for the postnatal period. Implementation of the framework has the potential to significanty improve obstestric and neonatal outcomes for this high-risk group. 2008 Journal Article http://hdl.handle.net/20.500.11937/47644 10.1111/j.1447-0349.2008.00573.x Blackwell Publishing restricted
spellingShingle serious mental illness
antenatal care
primary prevention
mental health clinician
postnatal period pregnancy
Hauck, Yvonne
Rock, D.
Jackiewicz, T.
Jablensky, A.
Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians
title Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians
title_full Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians
title_fullStr Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians
title_full_unstemmed Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians
title_short Healthy babies for mothers with serious mental illness: A case management framework for mental health clinicians
title_sort healthy babies for mothers with serious mental illness: a case management framework for mental health clinicians
topic serious mental illness
antenatal care
primary prevention
mental health clinician
postnatal period pregnancy
url http://hdl.handle.net/20.500.11937/47644