Developing a multi-agency perinatal mental health pathway: A system leadership approach to a wicked problem.
PHE ePoster Library. Clifford N. 09/12/17; 186587; 102
Ms. Natalia Clifford
Ms. Natalia Clifford
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Abstract
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Abstract IntroductionPerinatal mental health conditions affect 20% of women and have a range of high impact and costly consequences for mother and child. There is a gap in perinatal mental health services in Barnet, and with reducing budgets there is a need to look across the health and social care system to design a pathway to ensure that women receive the right help first time.MethodPublic Health worked with key partners across CCG, primary care, health visiting, midwifery and children centres to design an innovative pathway to provide universal perinatal mental health identification and prevention opportunities. We used best practice guidance and agreed shared outcomes and a joint training programme across agencies. We embedded evaluation to ensure the pathways are contributing to the demand challenge.ResultsThis system leadership approach is a test bed for a multi-agency solution to shrinking budgets whilst aiming to maintain universal identification and support as appropriate. Initial results show the complexity of working across professional bodies and the need to focus on shared outcomes to drive results. We will describe the process for engaging effectively with local stakeholders, detail the skill-mix pathway and evaluation framework to demonstrate enabling more for less in a challenging economic climate. ConclusionPublic Health in local Councils are in a strong position to take on a system leadership role to encourage a partnership response to identification of poor mental health in the perinatal period and ensure the best outcomes for women and children.
Abstract IntroductionPerinatal mental health conditions affect 20% of women and have a range of high impact and costly consequences for mother and child. There is a gap in perinatal mental health services in Barnet, and with reducing budgets there is a need to look across the health and social care system to design a pathway to ensure that women receive the right help first time.MethodPublic Health worked with key partners across CCG, primary care, health visiting, midwifery and children centres to design an innovative pathway to provide universal perinatal mental health identification and prevention opportunities. We used best practice guidance and agreed shared outcomes and a joint training programme across agencies. We embedded evaluation to ensure the pathways are contributing to the demand challenge.ResultsThis system leadership approach is a test bed for a multi-agency solution to shrinking budgets whilst aiming to maintain universal identification and support as appropriate. Initial results show the complexity of working across professional bodies and the need to focus on shared outcomes to drive results. We will describe the process for engaging effectively with local stakeholders, detail the skill-mix pathway and evaluation framework to demonstrate enabling more for less in a challenging economic climate. ConclusionPublic Health in local Councils are in a strong position to take on a system leadership role to encourage a partnership response to identification of poor mental health in the perinatal period and ensure the best outcomes for women and children.
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