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Implementing innovative evidence-based perinatal mental health screening for women of refugee background
- Source :
- Women and Birth. 33:e245-e255
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Problem National guidelines recommend repeated screening for depression and anxiety for all women in the perinatal period. Routine screening in pregnancy is limited due to service, community and individual barriers. Background Perinatal depression and perinatal anxiety affect up to 20% of all women. Women of refugee background are at even greater risk for perinatal mental health conditions due to refugee experiences and resettlement stressors. Aim To evaluate the acceptability and feasibility of a perinatal mental health screening program for women of refugee background from the perspective of health professionals. Methods A mixed methods design guided by the Normalization Process Theory was used. Data were collected at a dedicated refugee antenatal clinic in the south-eastern suburbs of Melbourne, Australia. An online survey (n = 38), focus groups (n = 2; 13 participants) and semi-structured interviews (n = 8; 11 participants) with health professionals were conducted. Findings Under the four constructs of the Normalization Process Theory, health professionals reported improvements in identifying and referring women with mental health issues, more open and in-depth conversations with women about mental health and valued using an evidenced-based measure. Key issues included professional development, language barriers and time constraints. Discussion Implementing a perinatal mental health screening program has been positively received. Strategies for sustainability include professional development and the addition of audio versions of the measures. Conclusion This perinatal mental health screening program is acceptable and a feasible option for health professionals. Health professionals value providing more holistic care and have more open discussion with women about mental health.
- Subjects :
- Adult
Mental Health Services
Normalization process theory
medicine.medical_specialty
Evidence-based practice
Health Personnel
Refugee
Anxiety
Young Adult
03 medical and health sciences
0302 clinical medicine
Pregnancy
Surveys and Questionnaires
Maternity and Midwifery
medicine
Humans
Mass Screening
Qualitative Research
Refugees
Evidence-Based Medicine
030219 obstetrics & reproductive medicine
030504 nursing
Depression
Communication Barriers
Professional development
Australia
Obstetrics and Gynecology
Focus Groups
Mental health
Focus group
Pregnancy Complications
Perinatal Care
Mental Health
Family medicine
Feasibility Studies
Female
medicine.symptom
0305 other medical science
Psychology
Perinatal Depression
Subjects
Details
- ISSN :
- 18715192
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Women and Birth
- Accession number :
- edsair.doi.dedup.....96688537ef7284fb1453a62bc0a425ab
- Full Text :
- https://doi.org/10.1016/j.wombi.2019.05.007